Title Page
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Conducted on
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Prepared by
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Location
MP DHA (Individual)
Daily Hazard Analysis Checklist
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Site: MPM Mountain Pass
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Date:
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Inspected by:
Administrative Procedures
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JHA is readily available and posted
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JHA is filled out and signed
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Safety Data Sheet available for all chemicals in the general working area
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Tool box talk conducted and recorded
Medical Services
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Are emergency phone numbers relavent to the site posted/available
Housekeeping
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Are walking and working surfaces clear and free of debris
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Are waste and trash containers provided, and used
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Are waste materials properly disposed of
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Are temporary storage of materials and supplies done in an organized fashion
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Are materials properly stacked, stored, or blocked to prevent falling
Sanitation
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Are potable (drinking) water and adequate toilet facilities available
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Are washing facilities available
Personal Protective Equipment (PPE)
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Are personnel wearing hard hats and are they in good working order
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Are personnel wearing safety glasses and are they in good working order
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Is hearing protection available for personnel that may be exposed to noisy conditions
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Are steel or carbine toed boots being worn
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Are personnel using gloves when handling sharp or rough material
Fire Protection
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Extinguisher locations known and are extinguishers compliant
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Evacuation routes clearly marked
Tools (Hand and Power)
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Are tools free of any obvious physical damage
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Are power tools free of frayed or damaged cords and marked with appropriate tape
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Are power tools and cords properly grounded (ground pins are in good condition)
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Are double insulated tools in use and in good condition
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Are the handles on all tools in good condition (not bent, splintered or broken)
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Are all hoses on air or hydraulic tools in good condition
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Are all shields and guards in place on the tools and in good condition
Ladders
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Are nonconductive ladders being used
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Is the proper ladder for the job being used
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Are ladders in good condition (no missing or broken rungs)
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Are there safety shoes/cleats on the bottom of ladders
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Are ladders tied off at top or otherwise secured
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Do side rails extend 36 inches above top of landing
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Rungs or cleats uniformly spaced 10 14 inches apart
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Are step ladders fully open when in use
Scaffolding
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Are scaffold components visibly free of any physical damage? (no bent supports or bracing)
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Is scaffold properly erected with all pins and braces in place and locked
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Is scaffold erected on a firm and substantial surface
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Are scaffolds plumb and level
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Are toe boards, midrails and guardrails in place on scaffolds over 10 feet
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Ladder provided for access to scaffold work platform
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Is scaffold fall protection properly installed
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Are scaffolds provided with outriggers when the height exceeds four (4) times the minimum width
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Are scaffold grade planks being used, in good condition and properly installed
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Are rolling scaffolds equipped with locking wheels
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Are wheels locked when scaffold is in use
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When rolling scaffolds are moved, have employees removed or secured tools and materials from scaffold
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Are workers on scaffolding protected from falling objects if overhead hazards exist
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Is good housekeeping being maintained on scaffolds
Electrical
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Are all switch gear, panels, and devices that are energized marked and/or guarded
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Are employees working near electric power and protected against shock
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Lockout devices available/used on circuits that could become energized while being worked on (LOTOTO)
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Are all temporary circuits properly guarded and grounded
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Does the project have GFCI’s on temporary service
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Is there a sufficient number of temporary outlets on the job site
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Are electrical lines strung overhead to prevent tripping and electrical hazards
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Are extension cords in continuous lengths without splice, in good condition, rated appropriately for use and are not connected in series excessively
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Are GFCI's and/or Assured Equipment Grounding Conductor Program being used
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Are working surfaces clear of cords so as not to create a tripping hazard
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Are electrical components in damp or wet areas waterproof
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There are no visual signs of outlet overloading
General Lighting
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There is adequate illumination in working areas
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No additional temporary lighting needed
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If temporary lighting is provided, are bulbs protected against accidental breakage
Floor and Walk Openings
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Walkways are clear of obstructions
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Stairs not blocked and are in good condition
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Floor and roof openings guarded by guardrails and toe boards or a secured cover
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Opensided floors/platforms six feet or higher guarded with railing, toe boards or equivalent
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Are wall openings properly guarded
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Are open sided floors or elevated platforms properly guarded
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Are direction signs used to inform the public of upcoming construction work
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Is the sidewalk protection effective
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Are open excavation, road drop offs, manholes, uneven surfaces barricaded
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Are stairs with four or more risers equipped with standard hand rail protection
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Runways four feet or more above ground properly guarded
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Anchor posts and framing capable of withstanding 200lb. load in any direction
Motor Vehicles
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Are vehicles parked, with parking brake set and chock blocks in place
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Are vehicles checked before the shift, to insure safe operating conditions
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Are seat belts available and used by all riders/drivers
Additional comments, actions required or near miss reports
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Additional information
Signed: Copies sent to: Jesse.Kozik@Thermosystems.com
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Signature