Title Page

  • Site conducted

  • Conducted on

  • Observation Prepared by

  • Location

Behavior

  • Behavior

PPE

  • Task Specific PPE Requirements

  • HEAD

  • EYES/FACE

  • HEARING

  • HAND

  • FOOT

  • PERSONAL FALL PROTECTION ( PFAS ) & GUARDRAILL SYSTEMS

  • SCAFFOLDING

  • LADDERS

  • EQUIPMENT( bobcat, excavator, MWEPS, etc.)

  • Fire Safety (fire extinguisher)

  • Electrical Safety ( extension cords, GFCI)

TOOLS ( Hand and Power tools )

  • CORRECT FOR THE TASK

  • PROPER USE

  • CONDITION

BODY POSITION/PROTECTION

  • LIFTING/BENDING

  • REACHING/TWISTING

  • PUSHING/PULLING

  • LINE OF PINCH POINTS/FIRE

HOUSEKEEPING

  • SLIP TRIP HAZARDS

  • ORDERLY STORAGE

  • CLEAR AISLES

  • Holes and Floor openings

PROCEDURES

  • SAFETY HUDDLE/DJB

  • TOOLBOX TALK

  • PACE OF WORK

  • VISUAL FOCUS

  • COMMUNICATIONS

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