Title Page
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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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Have tasks, jobs, and job-sites been evaluated for potential exposure to cold?
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Have workers been trained on the proper use of protective clothing and equipment, and the precautions to take during cold-weather construction?
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Have workers been trained to recognize the signs of frost nip, frostbite, and hypothermia?
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Do workers understand that alcohol and drugs may increase the risk of hypothermia?
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Are first aid supplies and equipment readily available?
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Are emergency telephone numbers for medical help kept in a suitable place?
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Are area weather reports monitored on a regular basis?
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Are tool and equipment areas kept clear of snow, ice or mud accumulations to allow ready access to workers?
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During inclement weather, are all access roads kept clear and opened?
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Are temperature and wind controls used as much as possible?
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Are portable heaters used, where feasible?
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Do workers wear the required protective clothing and equipment for the job?
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Do workers wear waterproof boots during wet conditions?
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Do workers periodically check their extremities (fingers, toes, ears, nose tip and cheeks) to detect numb or hard areas that might indicate frostbite?
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Do workers use the “buddy system” to recognize signs of frostbite and hypothermia in each other?
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Are job assignments rotated during cold weather to lessen worker exposure to the cold?
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Are heated sheds, trailers or vans provided so workers can take breaks and warm up?
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Are there plenty of warm liquids (soup, coffee or tea) readily available for workers on the job site to avoid dehydration?