Element Steel - Pre Task Planning

• Project name

• Date

  Date

• Prepared by

• Controlling Contractor

• Weather Conditions

Daily Activities and Goals (Safety, Quality, Production)

• Description:

General Hazards

• Select all that apply

  Select Pinch Points Flammables Electrical Shock Other Trades Weather Heavy Lifting Hot/Cold Surfaces Airborn Particulates Chemicals Ingestion/inhalation Slips/ Trips/ Falls Inadequate Lighting Noise Heavy Equipment Sharp objects Fire/Burns Heat/Cold Stress

  • Pinch Points
  • Flammables
  • Electrical Shock
  • Other Trades
  • Weather
  • Heavy Lifting
  • Hot/Cold Surfaces
  • Airborn Particulates
  • Chemicals
  • Ingestion/inhalation
  • Slips/ Trips/ Falls
  • Inadequate Lighting
  • Noise
  • Heavy Equipment
  • Sharp objects
  • Fire/Burns
  • Heat/Cold Stress
Additional Hazards

• Specify

PPE Requirements

• PPE available and in use:

  Select Hard hat Safety Glasses Work gloves Safety toed boots High vis work vest Hearing protection Face Shield Welding Protection Fall protection Respirators Other:

  • Hard hat
  • Safety Glasses
  • Work gloves
  • Safety toed boots
  • High vis work vest
  • Hearing protection
  • Face Shield
  • Welding Protection
  • Fall protection
  • Respirators
  • Other:

• Ensure all equipment in use is inspected prior to each use and after any event which may affect the integrity of the equipment.

• Confirm with Element Steel site management that all elements of Respiratory protection program are in effect. Inspect equipment prior to each use. Follow user protocol (fit checks, cleaning and storage, filter replacement, etc.)

• Specify additional PPE:

Check And Review

• Work Area - Barricade in place

  Yes

  No

• Equipment inspections conducted

  Yes

  No

• Fire extinguishers present and inspected

  Yes

  No

• Ladders inspected prior to each use

  Yes

  No

• Rigging inspected before and after each use

  Yes

  No

Permit Requirements

• Applicable permits required

  Select Lock-Out-Tag-Out Hot work (attach permit) Critical Lift (attach permit) Confined Space (if Permit Required attach Permit)

  • Lock-Out-Tag-Out
  • Hot work (attach permit)
  • Critical Lift (attach permit)
  • Confined Space (if Permit Required attach Permit)

• Confirm with Element Steel site management that all confined space policy requirements are implemented.

• Assess space for permit requirements.

  Select Permit Required Confined Space Non-Permit Required Confined Space

  • Permit Required Confined Space
  • Non-Permit Required Confined Space
Additional Permit Requirements

• Additional permitting requirements

Rescue Operations

Rescue Scenario

• Scenario

  Suspended employee

  Confined space rescue

  Other:

• Specify:

• Rescue Personnel

• Rescue Equipment

• Rescue plan and procedure

Job Hazard Analysis

Task: (template option 1)

• Task Description

• Identified Hazards

• Controls in place to mitigate hazard

Task (template option 2)

• Task Description

  Hot-work at ground level

  Hot-work at heights

  Connecting from ladders

  Use of personal lift platform

  Other:

• Specify:

• Identified Hazards

  Select Fire/burns Fall from height Struck by falling object Equipment Tip-over Other:

  • Fire/burns
  • Fall from height
  • Struck by falling object
  • Equipment Tip-over
  • Other:

• Specify:

• Controls in place to mitigate hazards

  Select Restricted access with cones/ tape Notfiy affected contractors Fall protection in place Ladders inspected and used as intended Other:

  • Restricted access with cones/ tape
  • Notfiy affected contractors
  • Fall protection in place
  • Ladders inspected and used as intended
  • Other:

• Specify:

Attendance Record

• By signing below, I acknowledge that I participated in this job safety analysis. I understand the work I have been assigned and confirm I am reporting to work injury free.

Employee name and signature

• Employee Name

• Signature:

  Sign

Additional Notes:

• Identify any safety hazards or problems with the jobsite that affected the work.