C&S Corning Canton

BASIC SAFETY RULES

• Are employees trained on the use of the STAC form?

  Yes

  No

  N/A

• are daily safety meetings being conducted?

  Yes

  No

  N/A

• Are employees trained on accident / incident reporting?

  Yes

  No

  N/A

• Are employees trained on how to fill out the accident / incident form?

  Yes

  No

  N/A

• Are employees trained on Corning Canton safety rules?

  Yes

  No

  N/A

Drug & SUBSTANCE ABUSE PROGRAM

• Are employees entered in the substance abuse program (tested) before starting work?

  Yes

  No

  N/A

• Is a facility selected to provided testing as required for the duration of the project?

  Yes

  No

  N/A

• Has a drug and substance abuse policy been created

  Yes

  No

  N/A

LIFE SAFETY PROCEDURES

• Who will author the Life Safety Plan for the job location?

  Yes

  No

  N/A

• Has a plan been created?

  Yes

  No

  N/A

• Does the plan address evacuation routs and gathering locations?

  Yes

  No

  N/A

• Does the plan address shelter in place

  Yes

  No

  N/A

• Does the plan assign responsibilities to individuals (management, supervision, employees)

  Yes

  No

  N/A

HAZCOM

• Are employees trained in hazard communication/GHS?

  Yes

  No

  N/A

• Did employees receive site specific HAZCOM training?

  Yes

  No

  N/A

• SDS provided to Contractor, and a copy easy to obtain at job site?

  Yes

  No

  N/A

• Storage and use meets all Contractor, NFPA, Fed and State Regulations?

  Yes

  No

  N/A

FALL PROTECTION

• Will fall protection be required?

  Yes

  No

  N/A

• Are employees trained on the Corning requirement to use fall protection at four (4) feet?

  Yes

  No

  N/A

• Competent/qualified person to perform system and equipment inspections, identify hazards, and anchor points as needed?

  Yes

  No

  N/A

• Are employees trained on how to recognize fall hazards?

  Yes

  No

  N/A

• Has a fall protection rescue plan been accomplished?

  Yes

  No

  N/A

BARRICADES

• Will barricades be used to protect employees from fall hazards?

  Yes

  No

  N/A

• Who will be responsible for ensuring barricades are properly installed and remain effective

  Yes

  No

  N/A

• Are employees trained in the use of Yellow Caution tape and Red Danger tape?

  Yes

  No

  N/A

• Are employees trained on the use and hazards associated with the placement of Radiation Danger tape?

  Yes

  No

  N/A

ELEVATED WORKING PLATFORMS

• Are employees trained in the use of elevated working platforms?

  Yes

  No

  N/A

• Do employees know the 4 foot or shorter length requirement for lanyards?

  Yes

  No

  N/A

• Are employees trained on fall protection use?

  Yes

  No

  N/A

• Do employees know the requirement to use PFAS when working from a scissor lift?

  Yes

  No

  N/A

LADDERS

• Will ladders be required?

  Yes

  No

  N/A

• Are employees trend on the proper use of ladders?

  Yes

  No

  N/A

• Are employees trained on the Corning 10foot max working height for steep ladders?

  Yes

  No

  N/A

• Will scaffolding be required?

  Yes

  No

  N/A

• Who will perfume the daily inspection of scaffolding?

  Yes

  No

  N/A

Vehicles

• Are employees trained on the proper use of vehicles and mobile equipment?

  Yes

  No

  N/A

• Do employees know how to complete the daily inspection sheet

  Yes

  No

  N/A

OVERHEAD LIFTING, RIGGING, & MOBILE CRANES

• Do employees have Signal Person training?

  Yes

  No

  N/A

• Do employees have the required rigging training from a third party certifier?

  Yes

  No

  N/A

• Are crane inspections current and a copy filed with the PM?

  Yes

  No

  N/A

• Are operators trained and licensed?

  Yes

  No

  N/A

• will rigging plans be accomplished before the lift?

  Yes

  No

  N/A

• Are rigging plans submitted to Corning at least five (5) days before the lift

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• PPE to be utilized on this project? What type?

  Yes

  No

  N/A

• Will any special PPE be required?

  Yes

  No

  N/A

• Have employees received training for special PPE requirements? (high visibility clothing, safety glasses, hard hat, safety toe boots)

  Yes

  No

  N/A

• Will respirators be worn on a voluntary use? (Half mask, paper, etc.)

  Yes

  No

  N/A

WORK PERMITS:

• Will Hot Work permits be required?

  Yes

  No

  N/A

• Will any excavation permits be required?

  Yes

  No

  N/A

• Will any Confined Space Entry permits be required?

  Yes

  No

  N/A

• Will any Fire System Sprinkler/Alarm Out-of-Service Permits be required?

  Yes

  No

  N/A

LOCKOUT/TAG OUT (LOTO)

• Will LOTO be conducted?

  Yes

  No

  N/A

• Are LOTO procedures available?

  Yes

  No

  N/A

• Has a responsible person been assigned for overseeing LOTO requirements?

  Yes

  No

  N/A

EXCAVATIONS

• Will any work activities involve excavations greater than four feet?

  Yes

  No

  N/A

• Will a trench box/shoring be needed?

  Yes

  No

  N/A

• Does fencing/barricade need to be installed?

  Yes

  No

  N/A

• Type of equipment to be brought onsite? (Gas, diesel, etc.)

  Yes

  No

  N/A

CONFINED SPACES

• Will any confined space work be performed

  Yes

  No

  N/A

• Have affected personnel been trained

  Yes

  No

  N/A

• how will confined space recuse be conducted

  Yes

  No

  N/A

• If the space is identified as permit required, will a permit be issued?

  Yes

  No

  N/A

• Are employees trained on permit required confined space?

  Yes

  No

  N/A

LADDERS/SCAFFOLDING

HOT WORK

• Are hot work activities to be performed? (Any flame or spark producing task.)

  Yes

  No

  N/A

• Will any special PPE be required?

  Yes

  No

  N/A

• Will fire blankets/protective shields/screens be required?

  Yes

  No

  N/A

• Fire watch personnel have received the required training?

  Yes

  No

  N/A

POWDER ACTUATED TOOLS

• Operators trained in operations?

  Yes

  No

  N/A

PAINTING, ADHESIVES, EPOXIES

• Quantity and job type of sealant to be applied on this job?

  Yes

  No

  N/A

• Will this require off-hours application?

  Yes

  No

  N/A

• Additional exhaust or fans needed during application/curing time?

  Yes

  No

  N/A

• Special PPE/precautions for this job?

  Yes

  No

  N/A

COMPRESSED GAS:

• Will cylinders be brought on site?

  Yes

  No

  N/A

• Plan for safe use and storage on site?

  Yes

  No

  N/A

FLAMMABLE GASES/LIQUID

• Will any flammable gases and/or liquids be used?

  Yes

  No

  N/A

• Provisions for their storage have been made?

  Yes

  No

  N/A

• Appropriate containers utilized? (Safety can, original container)

  Yes

  No

  N/A

• Secondary containment and spill kits required?

  Yes

  No

  N/A

SIGNS, SIGNALS, AND BARRICADES

• Will yellow or red barricade tape be used? (Barricades will be built in accordance with Contractor policy)

  Yes

  No

  N/A

• Will perimeter barricades be used?

  Yes

  No

  N/A

• Will any caution/danger signs be needed?

  Yes

  No

  N/A

• Will flammable gas/liquid labels be needed?

  Yes

  No

  N/A

• Will material labels be needed? HMIS or NFPA

  Yes

  No

  N/A

FALL PROTECTION, LEADING EDGE

POWERED INDUSTRIAL FORK TRUCKS/MAN LIFTS/BOOMS:

• Will any mobile powered equipment be required? Type to be brought on site?

  Yes

  No

  N/A

• Operators trained/certified for operations of equipment?

  Yes

  No

  N/A

• Plan for fuel transfer/storage or battery changes?

  Yes

  No

  N/A

ROOF WORK

• Will roof access be required?

  Yes

  No

  N/A

• Materials on roof will be secured to prevent "blow offs"?

  Yes

  No

  N/A

• Chemicals or flammable/combustible materials going on roof?

  Yes

  No

  N/A

CRANES & RIGGING

• Will crane operations be required?

  Yes

  No

  N/A

• Will any special lifting devices be needed?

  Yes

  No

  N/A

• Will any special lifting devices be needed?

  Yes

  No

  N/A

• Will any Critical Lifts take place?

  Yes

  No

  N/A

• Has all rigging equipment been inspected?

  Yes

  No

  N/A

• Equipment is appropriate for the task(s)?

  Yes

  No

  N/A

• Have all required safety inspections been completed?

  Yes

  No

  N/A

• Will traffic control be provided (pedestrian & vehicular)?

  Yes

  No

  N/A

WASTE MANAGEMENT

• Plan for waste disposal in place?

  Yes

  No

  N/A

• Characterization, containerization, segregation, storage and disposal requirements understood?

  Yes

  No

  N/A

• Plan for water/wastewater discharges in place? (Describe or attach plan)

  Yes

  No

  N/A

• Spill plan in place?

  Yes

  No

  N/A

• Special permit(s) needed? Type?

  Yes

  No

  N/A