Cable services department (pre-task safety checklist)

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site setup checklist (check all that apply)

• PPE

• Signs/cones placed

• Wheels chocked

• Customer contacted

• Stretch/warm up

• Property damage noted

Recognized hazards (check all that apply)

• Pedestrian/vehicle traffic

• Co vehicle placement

• Job access

• Energized electric

• Fire explosion

• Struck by's

• Slip/trip/fall hazard

• Pinch point/caught betweens

• Excessive noise

• Eye injury

Hazard protection (check all that apply)

• Hearing protection

• High volt elec. protection

• Barrier protection erected

• Propane/gas tanks isolated

• Material safety data sheet

• Equipment inspection

• Tool inspection

• Flagger/traffic control

Pre task review (check all that apply)

• Discuss yesterday's incidents

• Site safety orientation complete ?

• Job scope understood ?

• Good catch documented ?

• Site safety assessment completed ?

• Other comments

  Safe

  At Risk

  N/A

Post-task checklist (check all that apply)

• All excavations secured

• Customer equipment secured

• Signs/cones removed

• Truck/trailer/equipment secured

• On-site equipment secured

• Add signature

  Sign