Title Page

  • Company

  • Work Area

  • Date

  • Supervisor/Lead

  • Location

I. GENERAL

  • Goldstrike Representative Assigned

  • All employees have Site Access Badge (Current Training Requirements)

  • Safe Work Permit Completed/Posted in area?

  • Area Familiarization walk through done

  • Barrick Emergency Phone #s available

  • FLRA/TRA complete

  • Process Site Training

II. Housekeeping (Clean and Orderly)

  • Work Place Exam completed and documented

  • Passageways clear

  • Fire Stations clear and ready

  • Storage areas clear (Materials, Equipment & Flammables)

III. Container Storage & Labeling

  • Flammables, Hazardous Chemicals/Materials Properly Stored & labeled.

  • Oxygen, compressed or liquid Gas cylinders properly secured (Valves covered)

  • Solvents, Corrosives, Cleaning Agents Labeled/MSDS available/HMIS/ Approved Product

IV. Barricades & Warning Signs

  • Barricading in all areas where potential for hazards exist. (overhead hazards, electrical, falls, trips)

  • Adequate type of Barricade (hard, red tape, yellow tape etc.)

  • Entry to the area being controlled

  • Proper Warning Signs used (overhead hazard, electrical, falling etc)

V. Travel Ways & Escape Ways

  • Safe Access to all working areas

  • Cords are run overhead when possible or covered

  • There is an established escape route

  • All employees are aware of the muster area

  • Snow & Ice Walkways & Travel ways (ice melt, cleared)

  • High-Pressure Hoses Whip Checked and pinned

VI. Electrical

  • Guarding around lights.

  • Clear access to manual start/stop switches, breakers

  • Proper Electrical PPE

  • Electrical Conductors covered and free of cuts etc.

  • Grounding/Continuity checks in compliance.

VII. Machinery/Equipment/Mobile Equipment

  • Pre-Op Inspections complete and documented.

  • 5000-23 provided for Mobile Equipment

  • Proper Guarding on Moving Machine parts.

  • Hand-Held Power Tools inspected, guards, switch lock removed.

  • Fire Extinguisher nearby, Current Tag, Mounted properly

  • Horn &/or Back Up Alarm as required

  • Required Safety Items for vehicle/mobile equipment (Strobe, whip, etc.)

  • Seat Belt Usage

  • Proper Parking, Chocks etc

VIII. Personal Protective Equipment

  • Proper Basic PPE

  • Proper use of specific PPE (fall protection, respirator etc.)

  • Pre-inspect specific PPE

IX. Workplace Behavior Observation

  • Employees fit for duty (NOT tired, ill, etc.)

  • Proper Lifting Techniques used

  • Adherence to FRA/TRA

  • Proper Tool for the job. (no Modification, Damaged, Used beyond design)

  • Good communication system in place

Additional Details

  • General Comments/Recommendations

Completion

  • Contractor Supervisor/Lead Person : (Name & Signature)

  • Barrick Auditor : (Name & Signature)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.