Daily Start Card - FSSW- version 3.0

• Daily Start Card

• Client:
  
  CALTRANS

• Site:

  Select Segment 1 Segment 2 Segment 3 Segment 4 Segment 5 Segment 6 Segment 7 Segment 8

  • Segment 1
  • Segment 2
  • Segment 3
  • Segment 4
  • Segment 5
  • Segment 6
  • Segment 7
  • Segment 8

• Prepared by

• Conducted on:

  Date
• Location:
  Address

• Superintendent:

  Select Roland Sarimento (619) 719-7993 Jim Baxter (760) 600-1543 Barney Stenlake (951) 830-0324 Mike Strachota (760) 497-4505 Luis Ruiz (909) 721-9775

  • Roland Sarimento (619) 719-7993
  • Jim Baxter (760) 600-1543
  • Barney Stenlake (951) 830-0324
  • Mike Strachota (760) 497-4505
  • Luis Ruiz (909) 721-9775

Access / Egress / Parking:

• In the event of an emergency, where should someone meet first responders?

Heat:

• If the temperature is expected to reach 80 degrees, specify controls for heat.

Tasks:

• What are Today's Tasks?

Task

Environmental:

• Will you be clearing, grubbing, mowing or disturbing any previously undisturbed vegetation?

  Yes

  No

• Before work can begin call the appropriate contact below.
  Segment 1 call Shane Landry (619) 206-1890
  Segment 6 call Paul Walsh (619) 972-0651

• If equipment will be idle onsite during shift a drip pan needs to be placed under equipment.

Required PPE:

• What tools are being used?

  Select Power drill Impact drill Punch drill Cut off saw Skill saw Chain saw Saw zaw Table saw Chop saw Jack hammer Rivet buster Impact wrench Grinder Percussion hammer Router Welding machine Cutting torch Wacker Vibrator compactor Vacuum truck Vibrator Pressure Washer Power broom Leaf blower Weed eater Post pounder Electrical cords Chipping gun Shovel None

  • Power drill
  • Impact drill
  • Punch drill
  • Cut off saw
  • Skill saw
  • Chain saw
  • Saw zaw
  • Table saw
  • Chop saw
  • Jack hammer
  • Rivet buster
  • Impact wrench
  • Grinder
  • Percussion hammer
  • Router
  • Welding machine
  • Cutting torch
  • Wacker
  • Vibrator compactor
  • Vacuum truck
  • Vibrator
  • Pressure Washer
  • Power broom
  • Leaf blower
  • Weed eater
  • Post pounder
  • Electrical cords
  • Chipping gun
  • Shovel
  • None

• Power drill

  

• Impact drill

  

• Punch drill

  

• Cut off saw

  

• Chain saw

  

• Skill saw

  

• Saw zaw

  

• Table saw

  

• Chop saw

  

• Jack hammer

  

• Chipping gun

  

• Rivet Buster

  

• Impact wrench

  

• Grinder

  

• Percussion hammer

  

• Router

  

• Welding machine

  

• Cutting torch

  

• Wacker

• Vibrator Plate

  

• Vacuum truck

  

• Vibrator

  

• Pressure washer

  

• Power broom

  

• Leaf Eater

  

• Weed eater

  

• Post pounder

  

• Electrical cords

  

• What additional PPE may be required?

  Select Abrasive Blast Hood Beam Walkers Chain Saw Chaps Chin Straps Cutting Goggles Face Shields Fire Extinguisher Full Body Harness Gas Monitor Gloves (Specify Types) Hard Hats Hearing Protection Ladder Climbing Devices Lanyard Life Vests Metatarsal Guards Reflective Vest Respirators Rubber Boots Safety Goggles Self-Retracting Lifeline Stop Paddles Traffic Control Signage Water Welding hood Welding Leathers Welding Screens

  • Abrasive Blast Hood
  • Beam Walkers
  • Chain Saw Chaps
  • Chin Straps
  • Cutting Goggles
  • Face Shields
  • Fire Extinguisher
  • Full Body Harness
  • Gas Monitor
  • Gloves (Specify Types)
  • Hard Hats
  • Hearing Protection
  • Ladder Climbing Devices
  • Lanyard
  • Life Vests
  • Metatarsal Guards
  • Reflective Vest
  • Respirators
  • Rubber Boots
  • Safety Goggles
  • Self-Retracting Lifeline
  • Stop Paddles
  • Traffic Control Signage
  • Water
  • Welding hood
  • Welding Leathers
  • Welding Screens

• If any other PPE is required, please Specify

Forms:

• What are the forms required for today's task?

  Select Hot Work Permit Confined Space Permit Equipment Inspection Pile Driving Inspection Traffic Control Inspector Weekly Inspection Critical Pick Checklist Job Hazard Analysis Falsework Lowering Trench & Excavation Pre-Construction Checklist Trench & Excavation Daily Visual Inspection Scaffold / Stair Tower Inspection Other Silica Control Plan

  • Hot Work Permit
  • Confined Space Permit
  • Equipment Inspection
  • Pile Driving Inspection
  • Traffic Control Inspector
  • Weekly Inspection
  • Critical Pick Checklist
  • Job Hazard Analysis
  • Falsework Lowering
  • Trench & Excavation Pre-Construction Checklist
  • Trench & Excavation Daily Visual Inspection
  • Scaffold / Stair Tower Inspection
  • Other
  • Silica Control Plan

• Specify:

• Does your task require reviewing a Safety Data Sheet (SDS)?

  Yes

  No

• All SDS's are available on the SDS Mobile app.

• Do we have a Utility Ticket?

  Yes

  No

• Utility Tickets are available on PlanGrid

• Does this task require special coordination with other trades

  Yes

  No

• Please explain the required coordination with other trades

• Please take a photo

  Media

• Do we need a job briefing from a crew that worked in the area prior?

  Yes

  No

• What information is needed to work in this area?

• Please take a photo

  Media

Task / Hazard / Corrective Measures:

• What are today's Hazards?

  Select Fall from heights Slips, Trips, and Falls Strains and Pulled Muscles Power / Hand Tools Injuries Struck by / Caught Between Foreign Materials in the Face Rigging Failure Noise Exposure Silica Dust Exposure Pickup Trucks / Flat Trucks Electrocution / Shock Confined Space Aerial Boom Lift / Scissor Lift Hotwork Lead Exposure Trenching and Excavation Cave-in Spill / Leaks Inadequate Illumination Heat Stress Compressor / Air Pnuematic Tools Hazardous Soils / Materials Scaffolds Stairways / Ladders Lifting Equipment Train / Subway Tracks Rebar Lock Out - Tag Out Impalement Hazards Other

  • Fall from heights
  • Slips, Trips, and Falls
  • Strains and Pulled Muscles
  • Power / Hand Tools Injuries
  • Struck by / Caught Between
  • Foreign Materials in the Face
  • Rigging Failure
  • Noise Exposure
  • Silica Dust Exposure
  • Pickup Trucks / Flat Trucks
  • Electrocution / Shock
  • Confined Space
  • Aerial Boom Lift / Scissor Lift
  • Hotwork
  • Lead Exposure
  • Trenching and Excavation Cave-in
  • Spill / Leaks
  • Inadequate Illumination
  • Heat Stress
  • Compressor / Air Pnuematic Tools
  • Hazardous Soils / Materials
  • Scaffolds
  • Stairways / Ladders
  • Lifting Equipment
  • Train / Subway Tracks
  • Rebar
  • Lock Out - Tag Out
  • Impalement Hazards
  • Other

• Hazard:

• Controls:

• See CWP for controls. Specify site specific considerations and/or controls for the above listed Hazards for today's operation:

• If any of the above Hazards are not listed on your CWP, please contact the plan creator so it can be revised.

Equipment

• What Equipment will be used for today's operation

  Select Asphalt Paver Articulated Dump Truck Skid Steers Backhoe Loader (other) Roller / Compactor Dozer Pile Driver Excavator Material Handler/Forklift Motor Grader Scraper Crane Boring Machine Other Attachments

  • Asphalt Paver
  • Articulated Dump Truck
  • Skid Steers
  • Backhoe
  • Loader (other)
  • Roller / Compactor
  • Dozer
  • Pile Driver
  • Excavator
  • Material Handler/Forklift
  • Motor Grader
  • Scraper
  • Crane
  • Boring Machine
  • Other
  • Attachments

• Specify Equipment

• Specify Attachments

• Before beginning work:
  All equipment must be inspected before use.
  Check the work area for obstacles on the ground and overhead - Mark out when possible.
  Check area of unsuitable ground stability.
  
  During use: Operator must have proper training for equipment.
  When climbing in and out of equipment, use three points of contact.
  Wear a seatbelt at all times.
  Use a spotter when blind spots limit your view.
  Have everyone entering the work site check in.
  Use eye contact and hand signals to move around equipment.
  
  After Use:
  Park out of the way and on level ground

• Any Additional considerations for today's equipment?

Silica Control Plan

• Will you be performing work that will generate silica dust?

  Yes

  No

  N/A

• Please specify what task(s) you will be performing

• What methods will be used to control silica dust based on approved OSHA requirements? (table 1: see below)

  Yes

  No

  N/A

• Table 1 link
  https://www.osha.gov/silica/Table1sect1926.1153.pdf

• List methods used here

• Will respiratory protection be required?

  Yes

  No

  N/A

• Housekeeping

• Will others be exposed to silica dust?

  Yes

  No

  N/A

• List additional exposure control methods

Potential Pinch Points:

• Are there potential pinch points in today's operation?

  Yes

  No

• Please describe the potential pinch points?

Crew Signatures:

• Is there a new crew member?

  Yes

  No

• Has CWP been reviewed?

  Yes

  No

• CWP must be reviewed with crew member before beginning work

• New Crew Members sign here to indicate you have reviewed the CWP

Crew

• Sign:

  Sign

• Crew Signatures - Each Crew member must sign to acknowledge that they participated in the meeting

Person

• Add signature

  Sign

Visitors

• If any visitors come to your site throughout the day, review the hazards with them and have them sign in here.

• Visitor sign in

Person

• Add signature

  Sign

Audit

• Was this Daily Start Card Reviewed by Project Management?

  Yes

  No

• Does the Daily Start Card adequately address hazards present?

  Yes

  No

• Please list additional Hazards and corrective actions

• Auditors

Person

• Add signature

  Sign

Safety end-of-shift review:

• Were there any work related injuries?

  Yes

  No

• Please describe below

• Add media

  Media

• Any equipment / property damage reported?

  Yes

  No

• Please describe below

• Please take a photo

  Media

• Any near misses reported?

  Yes

  No

• Please describe below

• Please take a photo

  Media

• Does the Construction Work Plan Adequately Address the work being performed?

  Yes

  No

• Please cc your Engineer on the Daily Start Card Email

• Please specify:

• Equipment Inspections

Equipment

• Does this equipment require attention from the equipment department?

  Yes

  No

• Please cc Ted Dexheimer on your Daily Start Card Email.

Environmental:

• Is there any equipment on site?

  Yes

  No

• Place drip pan under equipment.

• Please take photo.

  Media

Foreman's Signature:

• End of shift picture

  Media
Signature

• Add signature

  Sign