Information
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Document No.
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Project Name
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Project Number
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Conducted on
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Prepared by
Emergency Action Plan
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Emergency Action Plan is in place and being used
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Emergency Action Plan reviewed by Owners, 911, Police, Fire, and Others
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Emergency Action Drills are being conducted
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Public participation during job drills OR job participation during public drills
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Emergency Routes in place for EMT Personnel and vehicles throughout the site
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Media and public areas maintained and/ or set up for emergencies
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Media and public areas are manned and reportable to Supervisor
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Emergency Action Procedures are being reviewed during Jobsite Safety Meetings
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Designated project spokesperson met with Owner, 911, Fire, emergency response personnel
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Emergency contact information is part of EAP and is updated regularly
Public Hazard Control
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Signage and warning devices in-place for overhead work
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Arc flash precautions are being taken to eliminate pedestrian exposure
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Public access to job site is restricted or eliminated
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After hours security or other means assuring "no job site admittance"
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List of authorized personnel for job site admittance after hours is on file
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Public is made aware of all pollutants, gases, fumes, and all other hazardous materials being used in their immediate area
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All public utilities are marked and located prior to public exposure or project construction
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Prior inspection of structures, utilities, trenches, and other hazards before public access to areas
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Public injury, accident reporting, victim assistance, and hazard elimination procedures are in-place
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Job site traffic plan introduced to public
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Public traffic addressed to job site workers
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Proper protection at sidewalks being used (cones, fencing, barricades, closures, and tunnels)
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All pedestrian paths are open for traffic and clear of obstacles
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Good safe walking surfaces in place and maintained (no mud or water)
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Pedestrian entry not interfered with by emergency vehicles or personnel entry or exit
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Falling or flying debris hazard control devices in places
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Dust walls or work area enclosures in place to isolate public
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Proper lighting for pedestrian traffic after dark
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Equipment set-up or operation is inaccessible to pedestrian traffic
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Falling objects or objects blown by wind have been addressed
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Dust, debris, noise, smoke, fumes, arc flash, and mists are addressed and if possible, eliminated