Information

  • Daily Safety Meeting

  • Job #

  • Job Foreman

  • Customer

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Hazards

  • Fall Hazards

  • Has a Fall Hazard been identified, by a competent person, through a Fall Hazard Assessment?

  • Can the Fall Hazard be eliminated or engineered out?

  • If the Fall Hazard can not be eliminated or engineered out, is Personal Protection available to provide protection?

  • Ladders

  • Has the Ladder, being used, been thoroughly inspected and documented by an authorized person?

  • Scaffolding

  • Has the Scaffolding, being used, been thoroughly inspected and documented by an competent person?

  • Platformlift

  • Has the Platformlift, being used, been thoroughly inspected and documented by an authorized person?

  • Forklift

  • Has the Forklift, being used, been thoroughly inspected and documented by an authorized person?

  • Rough Terrain Forklift

  • Has the Rough Terrain Forklift, being used, been thoroughly inspected and documented by an authorized person?

  • Mobile Crane

  • Has the Mobile Crane, being used, been thoroughly inspected and documented by a qualified person?

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  • Has the Mobile Crane, being used, had an annual, third party inspection?

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  • Is the crane operator certified by an OSHA recognized certification program?

  • What certification does the crane operator possess?

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  • Industrial Crane (carry deck, shuttle lift)

  • Has the Industrial Crane (carry deck, shuttle lift), being used, been inspected and documented by an authorized person?

  • Is the crane operator certified by an OSHA recognized certification program?

  • Overhead Crane

  • Has the Overhead Crane, being used, been inspected and documented by an authorized person?

  • Has the Overhead Crane, being used, had an annual, third party inspection?

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  • What is the Overhead Crane's Duty Cycle?

  • Underhung Hoist

  • Has the Underhung Hoist, being used, been, thoroughly inspected and documented by an authorized person?

  • Hydraulic Gantries

  • Have the Hydraulic Gantries, being used, been ,thoroughly inspected by an authorized person?

  • Have the Hydraulic Gantries, being used, been set-up according to the manufacturer's specifications.

  • Critical Lift

  • Is a Critical Lift Plan Required

  • Hydraulic Jacking System

  • Has the Hydraulic Jacking System, being used, been thoroughly inspected by an authorized person?

  • Jack & Slide System

  • Has the Jack & Slide System, being used, been thoroughly inspected by an authorized person?

  • Hydraulic Trailer

  • Has the Hydraulic Trailer, being used, been thoroughly inspected by an authorized person?

  • Line Breaking (exposure to released energy e.g. pneumatics, fluid)

  • Will a Line Breaking permit be required?

  • Will Lock-Out/Tag-Out be required?

  • Confined Space Entry

  • Will a Confined Space Entry permit be required?

  • Will Lock-Out/Tag-Out be required?

  • Electrical Hazard

  • Will Lock-Out/Tag-Out be required?

  • Hot Work

  • Will a Hot Work permit be required?

  • Traffic

  • Barricades/Signs

  • Is the construction area safely barricade with visible signage alerting and restricting non-Valley Group, Inc. employees of the surrounding hazards within the occupying area.

Power Tools

  • Bandsaw

  • Is the Bandsaw, being used, safe to operate?

  • Are all guards in place on the Bandsaw?

  • Circular Saw

  • Is the Circular Saw, being used, safe to operate?

  • Are all guards in place on the Circular Saw?

  • Reciprocating Saw

  • Is the Reciprocating Saw, being used, safe to operate?

  • Are all guards in place on the Reciprocating Saw?

  • Chain Saw

  • Is the Chain Saw, being used, safe to operate?

  • Are all guards in place on the Chain Saw?

  • Drill

  • Is the Drill, being used, safe to operate?

  • Are all guards in place on the Drill?

  • Magnetic Drill

  • Is the Magnetic Drill, being used, safe to operate?

  • Are all guards in place on the Magnetic Drill?

  • Core Drill

  • Is the Core Drill, being used, safe to operate?

  • Are all guards in place on the Core Drill?

  • Nut Turner

  • Is the Nut Turner , being used, safe to operate?

  • Are all guards in place on the Nut Turner?

  • Impact Wrench

  • Is the Impact Wrench, being used, safe to operate?

  • Are all guards in place on the Impact Wrench?

  • Hydraulic Torque Wrench

  • Is the Hydraulic Torque Wrench, being used, safe to operate?

  • Are all guards in place on the Hydraulic Torque Wrench?

  • Grinder

  • Is the Grinder, being used, safe to operate?

  • Are all guards in place on the Grinder?

  • Jacking System (electric pump)

  • Is the Jacking System (electric pump), being used, safe to operate?

  • Are all guards in place on the Jacking System (electric pump)?

  • Steel Jacketed Heater (cow rod)

  • Is the Steel Jacketed Heater (cow rod) , being used, safe to operate?

  • Are all guards in place on the Steel Jacketed Heater (cow rod)?

  • Pressure Washer

  • Is the Pressure Washer , being used, safe to operate?

  • Are all guards in place on the Pressure Washer?

  • Cement Mixer

  • Is the Cement Mixer, being used, safe to operate?

  • Are all guards in place on the Cement Mixer?

Personal Protective Equipment

  • Safety Shoes

  • Safety Glasses

  • Googles

  • Burn Googles

  • Welding Shield

  • Safety Shoes

  • Hard Hat

  • High Visibility Vest/Shirt/Coat

  • Hearing Protection

  • Decibel Reading:

  • Hand Protection

  • Laynard/Harness

  • Additional Fall Protection (list below)

  • Ground Fault Circuit Interrupter

  • Fire Extinguisher

Give a brief description of the today's task.

Emergency Information

  • In case of an emergency contact Emergency Services by dialing 911

  • List below the physical address of the nearest emergency room:

  • Are personnel aware of that job foreman has access to MSDS?

  • Are personnel aware that if an injury occurs, they are to report it, immediately, to their job foreman?

Weather

  • List below, today's, weather conditions, e.g., temperature, windy, sunny, cloudy, fog, rain, snow, etc..

  • Could the weather have an affect on today's operation? If so, list concerns below.

Pre-Shift Safe Work Acknowledgement

  • I understand the hazards associated with the work I am performing today. I have discussed and reviewed the safety plan for today with my co-workers and job foreman. I understand that working safely is my top priority.

  • Job Foreman:

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Post- Shift Safe Work Acknowledgment

  • I have completed work today safely. I have discussed and documented any concerns, I may have, with my job foreman

  • Job Foreman:

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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.