BT Daily Safety Log

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Customer Emergency Contact Number

Physical, Chemical, Mechanical, or Environmental Present.

• Physical, Chemical, Mechanical, or Environmental Present.

  Yes

  No

• Forklift Inspection (Forklift Operation Requires License)

  Yes

  No

  N/A

• Confined Space Entry (Requires Written Permit, LEL/O2 or Multi-gas Tester and Attendant

  Yes

  No

  N/A

• Ladder Usage (Require Ladder Inspection)

  Yes

  No

  N/A

• Scaffold Inspection (Requires Competent Person)

  Yes

  No

  N/A

• Hotwork (Welding, Cutting, Grinding) (Requires Fire Watch and Permit)

  Yes

  No

  N/A

• Hazardous Chemicals (Requires written HAZCOM Plan, MSDS documents)

  Yes

  No

  N/A

• Laboratory or Hazardous Substance (Requires Blood-borne Pathogen Compliance)

  Yes

  No

  N/A

• Man-lift/AWP Operation (Requires Documented Training, also Man-lift Specific

  Yes

  No

  N/A

• Respirator Wear (Requires Documented Training)

  Yes

  No

  N/A

Required on All Job sites (at least 1 per site)

• First aid kit (with blood borne pathogen supplies)

  Yes

  No

• Fire extinguisher-10lb. ABC

  Yes

  No

General PPE (Indicate as Required)

• Hard Hat

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

• Hard-toe/Metatarsal boots/shoes

  Yes

  No

  N/A

• LOTO locks & tags

  Yes

  No

  N/A

• Caution/Danger tape

  Yes

  No

  N/A

• Sturdy work gloves

  Yes

  No

  N/A

• Ear plugs

  Yes

  No

  N/A

• Insulated flashlight

  Yes

  No

  N/A

• LOTO Multi-lock adapter

  Yes

  No

  N/A

• Fall protection

  Yes

  No

  N/A

Electrical Work If today's work involves ANY contact with live equipment NFPA 70E (130.1) requires a justification for the need to work live

• Required live <1,000 V

  Yes

  No

  N/A

• Class 0 (or 00) gloves (w/Leather protectors)

  Yes

  No

  N/A

• Arc-resistant coverall/clothing

  Yes

  No

  N/A

• Calibrated Multi-meter

  Yes

  No

  N/A

• Face shied (80mil polycarbonate)

  Yes

  No

  N/A

• Required live > 1,000 V

  Yes

  No

  N/A

• Class 2 gloves 17 kV

  Yes

  No

  N/A

• Flash-suit/hood

  Yes

  No

  N/A

• Hot-stick / shotgun

  Yes

  No

  N/A

• Set of ground cables

  Yes

  No

  N/A

• Non-Contact High- Voltage Detector >1,000V

  Yes

  No

  N/A

Safety Observations

• During the course of the day, describe at lease one issue or event that promoted safety, and identify at least one way to further reduce

• Act(s) or condition(s) which promote safety:

• How would you make today's work even safer in the future?

• Add signature

  Sign

• Remember, change in scope, addition work or any unexpected conditions require a brief stand - down and safety review!!
  
  Contact with Live Equipment means there is a chance that any part of your body or your tools/leads/cables could contact energized parts.