Title Page
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Conducted on
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Prepared by
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Location
Working at height
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Working at height Observations
Observation
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<br>Working at height (scaffolds, ladders, lifts, roofs)<br>
Material Handling
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Material Handling
Observation
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Material Handling
Vehicles / Heavy Equipment / Human-Machine Interface
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Vehicles / Heavy Equipment / Human-Machine Interface
Observation
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Vehicles / Heavy Equipment / Human-Machine Interface
Cranes and Rigging
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Cranes and Rigging
Observation
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Cranes and Rigging
Hazardous Energy Control / Electrical Exposures / Line Breaks
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Hazardous Energy Control / Electrical Exposures / Line Breaks
Observation
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Hazardous Energy Control / Electrical Exposures / Line Breaks
Confined Space Entry
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Confined Space Entry
Observation
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Confined Space Entry
Trenches and Excavations
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Trenches and Excavations
Observation
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Trenches and Excavations
Housekeeping / Good Order / Storage of Materials
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Housekeeping / Good Order / Storage of Materials
Observation
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Housekeeping / Good Order / Storage of Materials
Work Planning / Safe Systems
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Work Planning / Safe Systems
Observation
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Work Planning / Safe Systems
Ergonomics
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Ergonomics
Observation
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Ergonomics
Environmental Health / Chemical Control
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Environmental Health / Chemical Control
Observation
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Environmental Health / Chemical Control
Environmental / Waste Management
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Environmental / Waste Management
Observation
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Environmental / Waste Management
Personal Protective Equipment
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Personal Protective Equipment
Observation
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Personal Protective Equipment
Other
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Other
Observation
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About Observation
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Safety Observations
Illness Prevention and Infection Control
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Are Illness Prevention best practices currently in place and being utilized? (Hand Wash Facilities and Provisions in close proximity, Hand Sanitizer available and used, Covering Mouth while coughing, Frequent Cleaning/disinfecting of common areas/touch-points, Avoiding Close Contact when possible, Avoid touching Face/eyes/Mouth area, Site Specific PPE and practices being followed (Face masks, 6' Social Distancing, etc))
Observation
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COVID-19 Observations
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