Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
General Office And Paperwork
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Emergency Numbers Posted
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Zone Maps Posted
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SDS Information Posted
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Emergency services notified
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Evacuation Plan Posted
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Weekly Safety Toolbox Talk
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Legal Id And Quarterly Reports Last 4 Required
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Review Of Recent Incidents, Accidents
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Daily T-5 Safety Meeting
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Site Specific Documentation
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MSHA Notification Posted
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Hearing Conservation Plan
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Annual Refresher Certification For All Miners
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Daily Work Place Exams For The Last Year
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All New Miner Paperwork Is Correct
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Task Training Documentation For All On Site
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Ground Check Sheets Current
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Storm Shelter Inspection Sheet
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First Aid Cabinet Stocked And No Expired Products
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Ladder, Gfi, And Fire Extinguisher Check sheet
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Air Compressor Monthly inspection
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Lock Out Log Present and Current
HOUSEKEEPING
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Tool Area Clean And Organized Free From Hazards
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Long Handled Brush For Cleaning Loaders
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Lids On All Metal Only Trash Cans\Dumpsters
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Restrooms\ Kybo's Are Clean And Sanitized
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QC Labs Are Maintained And Free From Hazards
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Any Storage Areas Have A Clear, Organized Path
FIRE PREVENTION
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Fire Extinguishers Checked Monthly
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Fire Extinguishers Have Current Annual Inspections
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Monthly Fire Inspection Report Signed Off
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All Flammables Are Stored Properly
HAND AND POWER TOOLS
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Any Damaged Tools Are Tagged Out And Fixed Or Disposed
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No Trigger Locks
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Current Color Tape For Cord Inspections
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Come Alongs In Good Working Order Including Safety Latch
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Pin Bars And Chisels Are Free From Burrs And Cracks
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No Modified tools Including Sockets And Wrenches
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All Lifting Chains and Straps In Good Condition And Tagged
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Tow Strap Present And In Good Condition
LADDERS
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Weight Limit And Info Tags Are Legible
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No Cracks In Fiberglass And Smooth To The Touch
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Used Properly And On Stable Ground
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Top Step Is Not Being Used
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Monthly Inspection Punch Tag
WALKWAYS & PLATFORMS
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Walk Ways Are Clear Of Hazards And Materials
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Toe Kicks On All Elevated Platforms
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Hand Rails At Proper Height
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Double Chains Or Swing Gates At All Ladder Openings
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Chains And Gates Are Locked While Plant Is Running
ELECTRICAL
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All Equipment Cords Are In Good Condition
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All Power Cabinets Are Locked
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All LOTO Has Been Reviewed And Trained By An Approved Electrician For the Portable Plants
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Extension Cords Are Checked And Marked For Annual Continuity
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All Cords On The Ground Are Protected From Travel Areas
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3' Clearance In Front Of All Electrical Cabinets And Transformers
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No Vegetation Around Any Outside Transformers
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Strain Relief Used Where Needed
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Current And Legible Arc Flash Stickers
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Voltage Marked On All Cabinets
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All Lighting Has Been Guarded
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All Breakers And Panels Are Correctly Labeled
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GFI Breakers In Place Where Needed
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Power Supply Lock Outs Can Not Be Locked In The On Position
MOBILE EQUIPMENT
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Loaders, SkidLoaders Are Free Of Debris In The Cabs And Exterior Is Clean.
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Company Vehicles Are Clean Chocked And Have Daily Inspections Done
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All Equipment Is Inspected Prior To Use And Defects Are Noted
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Back Up Alarms Can Be Heard Over The Surrounding Area
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Wheels Are Chocked And Brake Set On All Loaders, Pickups, Trailers
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Fire Extinguishers Are Properly Mounted and not Loose
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Operator Sounds Warning Device Before Moving
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Tires On Conveyors And Plants Are In Good Condition
WELDING AND CUTTING EQP
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Screen or Shield are in use
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Work area is clear and Fire Protection Equipment is accessible
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Cables, hoses, connections, gauges, and tools are inspected
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Gas cylinders are properly stored and secured
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Equipment is chocked or secured when parked
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Guards over valves where required
EMPLOYEE VEHICLES
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Vehicles are parked in a designated areas away from traffic
MATERIALS AND STORAGE
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Storage area is kept clear and free of hazards
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Spill prevention and control is in place and fully stocked
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Proper fire extinguisher is available and inspected
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Proper labeling of contents for all containers
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Flammable materials cabinet is available and in use
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All ignition sources are kept clear of combustibles
PERSONAL PROTECTIVE EQP
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Hard hats, proper safety boots, eye protection and gloves worn
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Hearing protection when needed, Double protection With Gensets
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Personnel are wearing proper protective clothing when needed
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CPR and first aid personnel are available for each shift
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Fall protection equipment is used and inspected and documented
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Respiratory protection is used when needed
OVERALL SITE
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Site Landscaping (mowing, weeds ect.) Is Up To Company Standards
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Safe and efficient traffic patterns for mobile equipment is established and posted
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Sufficient berms at all locations with 5 ft minimum height
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Storm Shelters Are Clean And Have Required Radios, Blankets, And Water Available
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All moving parts are correctly guarded and secured from 7 ft and below
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Warning and/or danger signs are in used where needed
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First aid, eye wash, back board and blanket is available
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Equipment conveyors are supported and secured correctly
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All single level concrete blocks flagged for visibility
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Dust control present and used when needed
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An alarm sounds and all employees are accounted for prior to start up
DREDGE
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Free of Over Soaked Oil Rags
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Hydraulic Lines In Good Condition
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Guards Over Pump Parts
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Fire Extinguishers, GFI's & Ladders Checked And Punched
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Work And Travel Boat Daily Inspection Sheets
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Good General Organization And Tools
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Flammables Stored Correctly And Cabinet Labled
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Lock Out Log Present and Current
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Ladder Cable Condition
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Pontoon Confined Space Labels on Hatches
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Ladder Safety Cables
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Hoist Condition, Power Cord, Remote
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Hand Rails Intact
Sign Off
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Name and Signature