Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Is all Personal protective equipment required for the task available?
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Has hand and power tools been inspected for frayed cords, missing ground plugs and overall serviceability?
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Does work require the control of hazardous energy?
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Has lockout/tagout procedures been implemented?
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Will this work require traffic or pedestrians disruptions?
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Are signs/flagmen posted?
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Are employees wearing hi vis vest?
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Will work require cutting into, chip into, or making any penetrations into floors deeper than 1 5/8 inch?
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Are holes in floors covered to prevent falls?
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Will elevated work platforms (scaffold, aerial lift, scissor lift, baker scaffold) be used?
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Has work platform been inspected for the shift?
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Are all employees on jobsites aware of location of fire extinguishers?
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Have extinguishers received monthly inspection?
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Will hazardous chemicals be used?
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Are employees aware of SDS (MSDS) locations for hazardous chemicals they use?
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Are there eyewash units available?
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Has fall protection required for this job been inspected before use?
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Are cords and hoses strung to prevent tripping?
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Is job site clean and free of debris?
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Will work involve welding or hot work?
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Has hot work permit been obtained and copy sent to safety specialist?
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Are respirators required for this job?
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Are employees authorized to wear a respirator (medical surveillance, respirator training, fit test)
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Will this operations require the demolition of concrete, or working with dry motar?
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Are employees in respirators?