Title Page
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Elite Branch Inspected
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Conducted on
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Prepared by
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Supervisor Responsible
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Location
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JOBSITE (General)
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Are safety meetings held periodically?
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Is a first-aid kit available and adequately stocked?
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Has job-related safety training been completed?
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Has an accident reporting procedure been established?
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Are traffic routes identified?
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Are emergency telephone numbers posted?
HOUSEKEEPING AND SANITATION
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Are work area(s) generally neat and clean?
HAZARD COMMUNICATION
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Are employees trained?
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Are safety data sheets on file and readily available?
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Are material(s) properly stored and labeled?
HEAT ILLNESS
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Is The Temperature Over 80F
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Is The Temperature Over 95F
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Have Employees Been Trained in Heat Illness
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Do Employees Have Water (1quart per, or four 8 ounce glasses, of water per hour, and encourage them to do so)
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Do Employees Have Access to Shade (They should not wait until they feel sick to cool down)
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Is There a Plan set in place if anyone gets sick
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If Temperature is over 95F has the buddy system or Regular communication have been implemented.
FIRE PREVENTION
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Are an adequate number and types of fire extinguisher(s)available?
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Is a fire evacuation plan established?
PERSONAL PROTECTIVE EQUIPMENT (PPE)
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Hard Hats
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Safety Glasses with Side Shields
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Face Shield / Goggles (If Required)
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Respiratory Protection (If Required)
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Hearing Protection (If Required)
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High Visibility Clothing
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Gloves
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Foot Protection
FALL PROTECTION
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Trained Personnel (Competent Person)
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Worn Properly
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Suitable Anchorage Points
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Inspected
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Stored Properly
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Emergency Rescue Plan
LADDERS
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Base/Footing/Set Up
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Ladder Inspected
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Proper Type for Task
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In Good Condition
TOOLS & EQUIPMENT
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Seat belts being used?
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All Equipment Has Been Inspected
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Employees Have The Proper Tools
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Operator Qualified and Certified
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Operator Manuals
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Flagger with Vest