Title Page
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What is the Job Site
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What is the new job site name?
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Conducted on
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Prepared by
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How many crew members total?
Job activities
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Job activities
- Bolting Up
- Bridging
- Decking
- Fueling
- Gantry Picks
- Hot Work
- Lifts or machinery movement
- Multi lift rigging
- Other steel installations
- Precast
- Precast Demo
- Rebar layout
- Rebar tying
- Rebar other
- Scaffold
- Unloading trucks
Pre task checklist
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First aid kit available and stocked
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Is there any damage reported or observed on any rented equipment?
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Proper tools for the job
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Do you have material and equipment to perform the days tasks? Add note to what is needed
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Communicated work with others trades working in the area
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Areas of hot work barricaded or taped off
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Are fire extinguishers installed in aerial booms and inspection tag current
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Is there a dedicated 20 lb minimum sized fire extinguishers located so they are readily available.
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Has the rigging been pre use inspected (data tag, general condition)
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Are there any planned crane lifts occurring by Northwest employees?
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Check that oil and fuel levels in welder(s), generator(s), Aerial booms, lifts, forklifts and other site equipment has been done and service if needed.
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Welding leads free of damage within 10 feet of stinger?
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Is there adequate quantities of ear plugs, safety glasses, face shields and other PPE. If items are needed list in note section.
Identify potential hazzards
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Discuss any utilities on the job site with locations to be aware of (electrical, plumbing, communications)
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Remind crew of Daily Pre-Use inspections of fall protection devices (harness, pigtail, anchor point, TYPE 2 retractables) . Require a 3-bang check.
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Confined spaces being worked on?
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Has the Safety Department been notified?
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STOP. Contact DSM Safety, then proceed to Confined Space Permit Template. Fill, screen save, add to pictures and upload.
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Any other hazards identified? List hazards in notes
Identify hazard elimination and discussion
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Safety glasses worn and face shields being used for cutting, grinding, sanding activities
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Type 2 Hardhats discussed, reminded for Turner, Weitz jobs by Northwest. No exceptions.
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Identify heavy lifts, allow for 2 person lift or other way of lifting
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Erect barricades (red rope, red danger tape, or hard barriers to reduce overhead falling hazards.
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Pinch points discussed and addressed
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Fall Protection required 100% - no exceptions.
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Extension ladders - 3 rungs above the surface level, 4 to 1 rule, get permit if needed.
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Ladders - Inspect before use, get permit if needed.
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Plenty of fluids/ dress for the weather
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Good housekeeping of site before leaving for the day
List additional hazards
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Additional hazards
JHA's
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Bolting Up
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Bridging
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Chain Fall Come-a-long
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Compressed Gas Storage
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Connecting
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Crane Assembly
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Decking
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Edge Angles
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Forklift Picks
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Forklift Picks Door Frames
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Fueling
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Gantry Picks
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Grinding
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Luffer Recovery
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Mobilization
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Multi Lift Rigging
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Precast Demo
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Precast Erection
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Rebar Installation
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Scaffold
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Steel Erection
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Unloading Trucks
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Welding/ Hot Work
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Working at heights
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*****Electronic Signature of Foreman
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Crane Setup