Daily Huddle / Pre-Task For Traffic Signal

• Conducted on

  Date

• Project Number

• Location
  Address

• Personnel on Job

• Prepared By

• Foreman Signature

  Sign

• Was this daily huddle done with your crew before work began?

  Yes

  No

  N/A

• What did you discuss in your daily huddle?

• Have you done a JSA “Job Safety Analysis” for this job?

  Yes

  No

  N/A

• Have you observed the site to determine lane closures, sign placement, flagger placement, and positioning of equipment?

  Yes

  No

  N/A

• Do we have proper taper, warning signs out, and proper lane closure?

  Yes

  No

  N/A

• Do employees have proper PPE?

  Yes

  No

  N/A

• Do employees have the proper training, and certification to operate any machinery to be used today?

  Yes

  No

  N/A

• Is the truck loaded so there is NO chance of material OR trash falling out?<br>This also means NOTHING is loaded above the work bins.

  Yes

  No

  N/A

Please check off the potential hazards associated with the work to be done. Write in your own specific hazard if it is not listed below. Check all that apply for the task to be completed today. Checking off the potential hazard below means you have discussed all safety measures to be taken that will eliminate or control the potential hazard.

• Excavation/Trenching

• Underground Utilities

• Working Above Traffic

• Manual Lifting

• Falls

• Lockout Tagout

• Power Tools

• Chemical Hazards

• Rigging

• Electrical Hot Work

• Electrical Hazards

• Ladders

• Cadweld

• Aerial/Scissor Lifts

• Dust/Fumes

• Forklift

• Cranes

• Powder Actuated Tools

• New or Temporary Employees

• List additional safety concerns within our work areas (other trades, equipment operation, material storage, accessing work location, permit requirements, utility locates...)

• List any unusual conditions or hazards that could affect today's work (heat,, cold, high winds, rain, heavy traffic...)

Personal Protective Equipment (PPE) and safety measures necessary to eliminate or protect employees

• Hard Hat

• Proper Class 2 or Class 3 Hi-Visibility Vest

• Safety Glasses

• Safety Goggles

• Cut Resistant Gloves

• Hard Toe Work Boots

• Hearing Protection

• Fall Protection

• Excavation Permit

• Equipment Inspection Sheet

• Tool Inspection

• Monthly/Quarterly Color Code

• Work Permits

• Face Shield

• Confined Space Permits

• Electrical Hot Work Permit

SIGNATURE REQUIRED BELOW: All PPE (gloves, hard hats, safety glasses, ear plugs, safety harnesses etc.) are in good repair and being utilized by everyone on site. It is understood that all fall protection measures are in place and this certifies that I understand and agree to follow Watson Electrical guidelines which states Conventional Fall Arrest and Fall Restraint Systems shall be utilized where the exposure to falls greater than 6 foot is reasonably foreseen. I also am agreeing to follow the Watson Electrical safety guidelines in all aspects of this job! If this all understood then please print everyone's name from the crew and have all individuals sign it.

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Instruction and other notes:

• Before work begins, send this Daily Huddle to your safety contact!

• As of July 2018, speed zones of 55 or greater require all personnel helping set up lane closure must be certified to do so.