Title Page
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Daily Start Card
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Client:
CALTRANS -
Site:
- Segment 1
- Segment 2
- Segment 3
- Segment 4
- Segment 5
- Segment 6
- Segment 7
- Segment 8
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Prepared by
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Conducted on:
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Location:
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Superintendent:
- 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
Daily Start Card
Access / Egress / Parking:
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In the event of an emergency, where should someone meet first responders?
Heat:
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If the temperature is expected to reach 80 degrees, specify controls for heat.
Tasks:
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What are Today's Tasks?
Task
Environmental:
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Will you be clearing, grubbing, mowing or disturbing any previously undisturbed vegetation?
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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:
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What tools are being used?
- 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
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Power drill
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Impact drill
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Punch drill
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Cut off saw
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Chain saw
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Skill saw
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Saw zaw
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Table saw
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Chop saw
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Jack hammer
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Chipping gun
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Rivet Buster
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Impact wrench
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Grinder
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Percussion hammer
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Router
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Welding machine
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Cutting torch
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Wacker
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Vibrator Plate
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Vacuum truck
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Vibrator
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Pressure washer
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Power broom
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Leaf Eater
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Weed eater
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Post pounder
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Electrical cords
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What additional PPE may be required?
- 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
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If any other PPE is required, please Specify
Forms:
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What are the forms required for today's task?
- 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
- None
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Specify:
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Does your task require reviewing a Safety Data Sheet (SDS)?
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All SDS's are available on the SDS Mobile app.
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Do we have a Utility Ticket?
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Utility Tickets are available on PlanGrid
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Does this task require special coordination with other trades
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Please explain the required coordination with other trades
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Please take a photo
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Do we need a job briefing from a crew that worked in the area prior?
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What information is needed to work in this area?
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Please take a photo
Task / Hazard / Corrective Measures:
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What are today's Hazards?
- 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
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Hazard:
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Controls:
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See CWP for controls. Specify site specific considerations and/or controls for the above listed Hazards for today's operation:
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If any of the above Hazards are not listed on your CWP, please contact the plan creator so it can be revised.
Equipment
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What Equipment will be used for today's operation
- 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
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Specify Equipment
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Specify Attachments
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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?
Potential Pinch Points:
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Are there potential pinch points in today's operation?
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Please describe the potential pinch points?
Crew Signatures:
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Is there a new crew member?
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Has CWP been reviewed?
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CWP must be reviewed with crew member before beginning work
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New Crew Members sign here to indicate you have reviewed the CWP
Crew
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Sign:
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Crew Signatures - Each Crew member must sign to acknowledge that they participated in the meeting
Person
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Add signature
During Shift and Post Shift Reviews
Visitors
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If any visitors come to your site throughout the day, review the hazards with them and have them sign in here.
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Visitor sign in
Person
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Add signature
Audit
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Was this Daily Start Card Reviewed by Project Management?
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Does the Daily Start Card adequately address hazards present?
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Please list additional Hazards and corrective actions
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Auditors
Person
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Add signature
Safety end-of-shift review:
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Were there any work related injuries?
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Please describe below
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Add media
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Any equipment / property damage reported?
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Please describe below
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Please take a photo
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Any near misses reported?
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Please describe below
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Please take a photo
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Does the Construction Work Plan Adequately Address the work being performed?
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Please cc your Engineer on the Daily Start Card Email
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Please specify:
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Equipment Inspections
Equipment
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Does this equipment require attention from the equipment department?
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Please cc Ted Dexheimer on your Daily Start Card Email.
Environmental:
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Is there any equipment on site?
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Place drip pan under equipment.
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Please take photo.
Foreman's Signature:
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End of shift picture
Signature
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Add signature