Information

  • Document No.

  • Project Name

  • Project Number

  • Conducted on

  • Prepared by

Emergency Action Plan

  • Emergency Action Plan is in place and being used

  • Emergency Action Plan reviewed by Owners, 911, Police, Fire, and Others

  • Emergency Action Drills are being conducted

  • Public participation during job drills OR job participation during public drills

  • Emergency Routes in place for EMT Personnel and vehicles throughout the site

  • Media and public areas maintained and/ or set up for emergencies

  • Media and public areas are manned and reportable to Supervisor

  • Emergency Action Procedures are being reviewed during Jobsite Safety Meetings

  • Designated project spokesperson met with Owner, 911, Fire, emergency response personnel

  • Emergency contact information is part of EAP and is updated regularly

Public Hazard Control

  • Signage and warning devices in-place for overhead work

  • Arc flash precautions are being taken to eliminate pedestrian exposure

  • Public access to job site is restricted or eliminated

  • After hours security or other means assuring "no job site admittance"

  • List of authorized personnel for job site admittance after hours is on file

  • Public is made aware of all pollutants, gases, fumes, and all other hazardous materials being used in their immediate area

  • All public utilities are marked and located prior to public exposure or project construction

  • Prior inspection of structures, utilities, trenches, and other hazards before public access to areas

  • Public injury, accident reporting, victim assistance, and hazard elimination procedures are in-place

  • Job site traffic plan introduced to public

  • Public traffic addressed to job site workers

  • Proper protection at sidewalks being used (cones, fencing, barricades, closures, and tunnels)

  • All pedestrian paths are open for traffic and clear of obstacles

  • Good safe walking surfaces in place and maintained (no mud or water)

  • Pedestrian entry not interfered with by emergency vehicles or personnel entry or exit

  • Falling or flying debris hazard control devices in places

  • Dust walls or work area enclosures in place to isolate public

  • Proper lighting for pedestrian traffic after dark

  • Equipment set-up or operation is inaccessible to pedestrian traffic

  • Falling objects or objects blown by wind have been addressed

  • Dust, debris, noise, smoke, fumes, arc flash, and mists are addressed and if possible, eliminated

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.