BRC Pre-Job Site Safety

• Job Number

• Job Name

• Job Address
  Address

• Conducted on

  Date

• Prepared by

• Personnel

1. Working at Heights

• Have any falls greater than 6ft been addressed with the proper controls?

  Yes

  No

  N/A

• Have all unprotected roof edges or leading edges been marked and protected with proper controls?

  Yes

  No

  N/A

• Are there adequate and approved anchor points for the fall protection?

  Yes

  No

  N/A

2. Equipment

• Has all unsafe or damaged equipment been removed from service, and schedule for maintenance (including any equipment with damaged or missing guards)?

  Yes

  No

  N/A

• Are the proper tools being used for the job at hand (e.g. grinding discs for grinding/cutting discs for cutting)?

  Yes

  No

  N/A

• Is all equipment being used with the proper and safe attachments?

  Yes

  No

  N/A

• Do all the equipment operators have their proper certifications (forklift, crane, aerial lift)?

  Yes

  No

  N/A

• Are the Lock-out/Tag-out (LOTO) procedures for cleaning, servicing, and maintenance of equipment clear to all employees?

  Yes

  No

  N/A

Equipment - Ladders

• Are all ladders properly functioning?

  Yes

  No

  N/A

• Are employees aware of the proper positioning and securing requirements for ladders?

  Yes

  No

  N/A

• Are all ladders suitable for the jobs which they are used for (e.g., not using a metal ladder for electrical work)?

  Yes

  No

  N/A

Equipment - Lifting

• Has any unsafe or damaged rigging been taken out of service and scheduled for repairs or maintenance?

  Yes

  No

  N/A

• Is all the lifting equipment obviously labelled, in accordance with OSHA requirements?

  Yes

  No

  N/A

Equipment - Scaffolding

• Is all the scaffolding complete and in good repair?

  Yes

  No

  N/A

• Are all employees aware of the Safe Work Load of the scaffolding?

  Yes

  No

  N/A

• Is there a scaffolding-competent person recognized onsite?

  Yes

  No

  N/A

3. Hazardous Materials

• Are all hazardous materials stored safely (e.g., flammables not near ignition sources, spill-able materials not near storm-water drains, etc.)?

  Yes

  No

  N/A

• Are incompatible chemicals stored separately from each other?

  Yes

  No

  N/A

• Are all hazardous materials stored in appropriately labeled and appropriate containers?

  Yes

  No

  N/A

4. Electrical Hazards

• Have any unsafe electrical leads (e.g., frayed cords, broken prongs on plugs) been repaired or removed from service?

  Yes

  No

  N/A

• Has any potential contact with underground utilities been addressed by professionals?

  Yes

  No

  N/A

• Has any potential contact with overhead lines been addressed by professionals?

  Yes

  No

  N/A

• Is all electrical equipment located away from hazards (e.g., water, flammables)?

  Yes

  No

  N/A

• Are all the employees familiar with the the Lock-out/Tag-out (LOTO) procedures for electrical equipment?

  Yes

  No

  N/A

5. Traffic Management

• Is there an adequate Traffic Management Plan (TMP) in place?

  Yes

  No

  N/A

• Are there adequate controls available for the TMP (e.g., physical barriers, bollards, speed limit signs, flashing lights, spotters, etc.)?

  Yes

  No

  N/A

6. Work Environment

• Are there adequate amenities (e.g., toilets, wash areas, lunch rooms, etc)?

  Yes

  No

  N/A

• Is there sufficient lighting for the work being preformed?

  Yes

  No

  N/A

• Is the trailer sufficiently stocked with equipment and supplies for the work being preformed?

  Yes

  No

  N/A

7. Personal Protective Equipment (PPE)

• Is the dust suppression system, if present, adequate for the environment?

  Yes

  No

  N/A

• Are the personnel on the job site adequately trained in the safe use, maintenance, and inspection of their PPE?

  Yes

  No

  N/A

PPE - Individual Equipment

• Do all the employees have adequate respirators/masks for their job?

  Yes

  No

  N/A

• Do all the employees have safe and adequate harnesses for their job?

  Yes

  No

  N/A

8. Emergency Response

• Is there an emergency plan at the site that has been communicated to all employees?

  Yes

  No

  N/A

• Are the first responder and emergency numbers posted onsite in an obvious location?

  Yes

  No

  N/A

• Are there adequate first aid kits and first aid equipment onsite, in obvious locations?

  Yes

  No

  N/A

• Is the route to the nearest clinic or hospital posted onsite in an obvious location?

  Yes

  No

  N/A

9. Administrative Preperations

• Is there a site specific safety plan developed for this jobsite?

  Yes

  No

  N/A

• Have all the permits been obtained (e.g., Council, EPA, WHA, Hot Works, Confined Spaces, etc.)?

  Yes

  No

  N/A

• Are all employees aware with the incident notification procedures?

  Yes

  No

  N/A

• Is there a trailer book available, complete with MSD sheets and weekly toolbox talk primers?

  Yes

  No

  N/A

• Do all current employees have the proper safety training and certifications for the current job?

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken.

Comments

• Enter any comments about the safety preparations for this job.

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