Title Page

  • Job Site

  • Manager

  • Blaster in Charge

  • Crew Members

  • Conducted on

  • Prepared by

  • Location
  • Document Number (leave blank)

Job Site Analysis

Checklist

  • Do all employees have proper PPE?

  • Are parking brakes set and wheels chocked?

  • Have blasting signs/cones been set up?

  • Have you notified the site supervisor and/or signed in?

Task

  • Summarize the task(s) for today's work

  • Emergency meeting location

  • Nearest hospital/urgent care

Hazards

  • Weather

  • Ground Condition

  • Standing Water

  • Tripping Hazards

  • Fall Hazards

  • Utilities

  • Traffic

  • Parked Vehicles/Equipment

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.