Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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What is on todays schedule?
What sorts of hazards are we dealing with today?
General Hazard Assesment
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Extreme Hot/Cold weather conditions?
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Are we handling or moving livestock?
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Is everyone involved aware of the hazards of handling the livestock?
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Is everyone competent in working with cattle?
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Does everyone have all required PPE?
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Will we be amongst dangerous livestock?
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What steps will you take to mediate and minimize this hazard?
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Is anyone using machinery?
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Is the person operating machinery competent in the task?
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Are you using a spotter?
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Are you both competent in communication while spotting?
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Will you ensure all guards are in place and will remain in place?
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Please explain:
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What implements will be used?
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Have you dicussed the hazards associated with that implement?
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Is anyone working alone?
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Do they know the working alone policy? Will they follow the policy?
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Is anyone using UTV/ATV?
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Are they competent in using ATV/UTV?
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Are they aware of the hazards associated with operating a UTV/ATV on the farm/around cattle?
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Are we riding horses today?
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Is all personnel on horse back competent in riding horses?
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Is all personnel aware of the hazards associated with when riding around cattle?
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Will there be any machinery maintenance being done?
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Will the maintenance be recorded for record purposes?
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Will the personnel performing the maintenance follow manufacturer's specifications?
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Do we have volunteers or visitors coming today?
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Have they been informed of all farm policies and safety requirements as well as ERP?
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Will they have or be provided PPE?
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Will they have a supervisor with them at all times?
Safety Features to Check
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Have any guards been removed and not replaced?
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Please explain:
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Is all unsafe/unoperatable equipment been locked out?
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Please explain:
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Is everyone aware of locked out equipment?
Emergency Procedure/Contacts
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Assess the situation/ Call the emergency
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Call manager/supervisor and/or 911
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Evacuate/Rescue when safe
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Assist in reporting incident
PPE Needed Today. Please check all that apply
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Hat
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Gloves
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Work boots
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Cowboy/roper boot
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Safety glasses
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Dusk mask
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Sunscreen
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Cotton/Denim full body covered clothing
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Coveralls
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Rain coat
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Winter Wear/ Inusulted gear, toque, insulated mitts, face mask etc.
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Helmet
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Hearing protection
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Other:
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Please explain:
Comments, Suggestions, Things to know for today.
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Is there any more information to mention in todays meeting?
All those in attendance: (Please check boxes)
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Werner Skappel
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Becky Skappel
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Additional Worker 2
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Name of additional worker 2:
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Additional Worker 1
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Name of additional worker 1
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Name of submitter
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Please Sign Off