Title Page
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Company
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Work Area
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Date
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Supervisor/Lead
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Location
I. GENERAL
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Goldstrike Representative Assigned
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All employees have Site Access Badge (Current Training Requirements)
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Safe Work Permit Completed/Posted in area?
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Area Familiarization walk through done
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Barrick Emergency Phone #s available
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FLRA/TRA complete
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Process Site Training
II. Housekeeping (Clean and Orderly)
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Work Place Exam completed and documented
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Passageways clear
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Fire Stations clear and ready
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Storage areas clear (Materials, Equipment & Flammables)
III. Container Storage & Labeling
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Flammables, Hazardous Chemicals/Materials Properly Stored & labeled.
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Oxygen, compressed or liquid Gas cylinders properly secured (Valves covered)
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Solvents, Corrosives, Cleaning Agents Labeled/MSDS available/HMIS/ Approved Product
IV. Barricades & Warning Signs
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Barricading in all areas where potential for hazards exist. (overhead hazards, electrical, falls, trips)
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Adequate type of Barricade (hard, red tape, yellow tape etc.)
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Entry to the area being controlled
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Proper Warning Signs used (overhead hazard, electrical, falling etc)
V. Travel Ways & Escape Ways
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Safe Access to all working areas
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Cords are run overhead when possible or covered
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There is an established escape route
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All employees are aware of the muster area
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Snow & Ice Walkways & Travel ways (ice melt, cleared)
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High-Pressure Hoses Whip Checked and pinned
VI. Electrical
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Guarding around lights.
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Clear access to manual start/stop switches, breakers
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Proper Electrical PPE
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Electrical Conductors covered and free of cuts etc.
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Grounding/Continuity checks in compliance.
VII. Machinery/Equipment/Mobile Equipment
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Pre-Op Inspections complete and documented.
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5000-23 provided for Mobile Equipment
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Proper Guarding on Moving Machine parts.
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Hand-Held Power Tools inspected, guards, switch lock removed.
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Fire Extinguisher nearby, Current Tag, Mounted properly
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Horn &/or Back Up Alarm as required
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Required Safety Items for vehicle/mobile equipment (Strobe, whip, etc.)
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Seat Belt Usage
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Proper Parking, Chocks etc
VIII. Personal Protective Equipment
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Proper Basic PPE
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Proper use of specific PPE (fall protection, respirator etc.)
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Pre-inspect specific PPE
IX. Workplace Behavior Observation
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Employees fit for duty (NOT tired, ill, etc.)
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Proper Lifting Techniques used
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Adherence to FRA/TRA
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Proper Tool for the job. (no Modification, Damaged, Used beyond design)
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Good communication system in place
Additional Details
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General Comments/Recommendations
Completion
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Contractor Supervisor/Lead Person : (Name & Signature)
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Barrick Auditor : (Name & Signature)