HSE Site Hazard List Report

• Prepared by

• Location
  Address

• 2 - Post government documents

  Yes

  No

  N/A

• 3 - Orient everyone before they go to the work site

  Yes

  No

  N/A

• 4 - Competent person lists developed

  Yes

  No

  N/A

• 5 - Conduct inspections / audits

  Yes

  No

  N/A

• 6 - Manage subcontractor HSE program

  Yes

  No

  N/A

• 7 - Develop/post/implement emergency response plan

  Yes

  No

  N/A

• 8 - Post signage to establish storage location(s)

  Yes

  No

  N/A

• 9 - Post signage to identify special activity areas

  Yes

  No

  N/A

• 10 - Post signage and identify restricted areas

  Yes

  No

  N/A

• 11 - Provide common area lighting

• 12 - Provide appropriate task lighting

  Yes

  No

  N/A

• 13 – Employee name and company on hard hat

  Yes

  No

  N/A

• 14 - Abate scratch / cut / impalement hazards

  Yes

  No

  N/A

• 15 - Project HSE plan is available to workers

  Yes

  No

  N/A

• 16 - Comply with project HSE plan/HSEOP requirements

  Yes

  No

  N/A

• 17 - Maintain project free of racist, sexist or hostile graffiti

  Yes

  No

  N/A

• 18 - Other

  Yes

  No

  N/A

2 - PUBLIC SAFETY / SECURITY / SIGNAGE

• 1 - Develop security plan

  Yes

  No

  N/A

• 2 - Visitor report to office signage

  Yes

  No

  N/A

• 3 - Post safety/PPE signage

  Yes

  No

  N/A

• 4 - Company contact information posted

  Yes

  No

  N/A

• 5 - Site security established

  Yes

  No

  N/A

• 6 - Maintain perimeter security

  Yes

  No

  N/A

• 7 - Post No Trespassing signage

  Yes

  No

  N/A

• 8 - Post emergency contact list

  Yes

  No

  N/A

• 9 - Maintain safe access and egress with exit signs if route is not obvious

  Yes

  No

  N/A

• 10 - Maintenance of Traffic (MOT) plan

  Yes

  No

  N/A

• 11 - MOT installed per plan & standards

  Yes

  No

  N/A

• 12 - MOT monitored / inspected per schedule

  Yes

  No

  N/A

• 13 - Flaggers face traffic

  Yes

  No

  N/A

• 14 - Monitor MOT devices

  Yes

  No

  N/A

• 15 - Implement vehicle site authorization process

  Yes

  No

  N/A

• 16 - Implement tool/equipment control plan

  Yes

  No

  N/A

• 17 - Implement material control plan

  Yes

  No

  N/A

• 18 - Implement key control plan

  Yes

  No

  N/A

• 20 - Other

  Yes

  No

  N/A

3 - OCCUPATIONAL HEALTH

• 1 - Appropriate first aid kits and log accessible with CPR mask and gloves 12 - Maintain worker awareness of hazardous materials and controls

  Yes

  No

  N/A

• 2 - Identify first aid stations

  Yes

  No

  N/A

• 3 - Label potable/non potable water sources

  Yes

  No

  N/A

• 4 - Provide drinking water, cups and a trash receptacle

  Yes

  No

  N/A

• 5 - Provide adequate toilets

  Yes

  No

  N/A

• 6 - Where contaminants may be harmful provide hand washing facilities

  Yes

  No

  N/A

• 7 - No eating or drinking can occur in a contaminated area

  Yes

  No

  N/A

• 8 - Maintain an effective vermin control program

  Yes

  No

  N/A

• 9 - Provide hearing protection where noise levels exceed 84 DBA

  Yes

  No

  N/A

• 10 - Post signs warning of laser in use

  Yes

  No

  N/A

• 11 - Protect workers from exposures exceeding PEL/TLVs

  Yes

  No

  N/A

• 13 - Identify MSDS location and inventory of hazardous material

  Yes

  No

  N/A

• 14 - Provide an MSDS for material on site

  Yes

  No

  N/A

• 15 - Label containers with material id, hazard warnings and controls

  Yes

  No

  N/A

• 16 - Provide adequate waste containers

  Yes

  No

  N/A

• 17 - Use proper lifting technique

  Yes

  No

  N/A

• 18 - Use material handling equipment for heavy loads

  Yes

  No

  N/A

• 19 - Control silica dust

  Yes

  No

  N/A

• 20 – Review MSDS for PPE requirements

  Yes

  No

  N/A

• 21 - Other

  Yes

  No

  N/A

4 - ENVIRONMENTAL

• 1 - Environmental checklists/scope of work completed

  Yes

  No

  N/A

• 2 - Develop / implement site specific environmental action plan

• 3 - Develop a storm water, erosion & sedimentation control plan

  Yes

  No

  N/A

• 4 - Implement / maintain the storm water, erosion and sedimentation control plan

  Yes

  No

  N/A

• 5 - Develop/implement a mold response procedure

  Yes

  No

  N/A

• 6 - Provide 110% secondary containment at fuel and hazardous liquid storage

  Yes

  No

  N/A

• 7 - Provide adequate spill cleanup kits

  Yes

  No

  N/A

• 8 - Develop/implement spill response procedure and team

  Yes

  No

  N/A

• 9 - Establish and contain concrete washout

  Yes

  No

  N/A

• 10 - Identify hazmat storage locations

  Yes

  No

  N/A

• 11 - Develop/implement the project HSE waste management plan

  Yes

  No

  N/A

• 12 - Separate hazardous materials by class

  Yes

  No

  N/A

• 13 - Recycle per the project HSE plan

  Yes

  No

  N/A

• 14 - Implement dust control plan

  Yes

  No

  N/A

• 15 - Maintain adjacent streets free of mud/site debris

  Yes

  No

  N/A

• 16 -Prevent rain/snow contamination at secondary containment vessels

  Yes

  No

  N/A

• 17 - Other

  Yes

  No

  N/A

5 - PERSONAL PROTECTIVE EQUIPMENT

• 1 - Wear appropriate eye protection

  Yes

  No

  N/A

• 2 - Wear a face shield

  Yes

  No

  N/A

• 3 - Wear a hard hat

• 4 - Wear hard hat with welding face shield

  Yes

  No

  N/A

• 5 - Provide appropriate hearing protection

  Yes

  No

  N/A

• 6 - Wear appropriate gloves

  Yes

  No

  N/A

• 7 - Wear appropriate footwear

  Yes

  No

  N/A

• 8 - Wear appropriate clothing

  Yes

  No

  N/A

• 9 - Wear fire retardant clothing

  Yes

  No

  N/A

• 10 - Wear appropriate properly adjusted flotation device

  Yes

  No

  N/A

• 11 - Wear fall protection harness/lanyard

  Yes

  No

  N/A

• 12 - Attach retractable device snap hook directly to harness d-ring

  Yes

  No

  N/A

• 13 - Wear harness d-ring centered in the back and at shoulder height

  Yes

  No

  N/A

• 14 - Inspect fall protection PPE before each use

  Yes

  No

  N/A

• 15 - Adjust PPE to fit for its intended use

  Yes

  No

  N/A

• 16 - Wear only manufacturer approved headgear under hard hat

  Yes

  No

  N/A

• 17 - Provide PPE training to workers

  Yes

  No

  N/A

• 18 - Eye wash & showers are required where workers handle acid batteries

  Yes

  No

  N/A

• 19 - Wear high VIZ vests/clothing when required

  Yes

  No

  N/A

• 20 - Other

  Yes

  No

  N/A

6 - FIRE PROTECTION / PREVENTION

• 1 - Firefighting equipment is in good condition & accessible

  Yes

  No

  N/A

• 2 - Personnel trained to use the equipment

  Yes

  No

  N/A

• 3 - FE size and class is appropriate for hazard

  Yes

  No

  N/A

• 4 - Travel distance to FE </= 100'

  Yes

  No

  N/A

• 5 - 1 FE / 3000' of protected building area

  Yes

  No

  N/A

• 6 - FE in offices/conexes

  Yes

  No

  N/A

• 7 - Perform FE annual inspection/service

  Yes

  No

  N/A

• 8 - Document monthly FE inspection

• 9 - FE located on each floor at the stairway landings

  Yes

  No

  N/A

• 10 - Install / energize permanent firefighting equipment ASAP

  Yes

  No

  N/A

• 11 - Smoke in designated areas

  Yes

  No

  N/A

• 12 - Post appropriate no smoking signs

  Yes

  No

  N/A

• 13 - Store flammables away from egress routes / exits

  Yes

  No

  N/A

• 14 - Clean up / dispose of combustible trash

  Yes

  No

  N/A

• 15 - Maintain access for fire department

  Yes

  No

  N/A

• 16 - Keep weeds and grass from becoming a fire hazard

  Yes

  No

  N/A

• 17 - Store flammable liquids in approved containers

  Yes

  No

  N/A

• 18 - Install 20# ABC FE @ >25' & <75' of outdoor flammable liquid storage

  Yes

  No

  N/A

• 19 - Segregate non compatible materials which create a fire hazard

  Yes

  No

  N/A

• 20 - FE on vehicles/cranes/equipment

  Yes

  No

  N/A

• 21 - Implement hot work permit program

  Yes

  No

  N/A

• 22 -Store flammable wastes in fire resistant containers

  Yes

  No

  N/A

• 23 - Other

  Yes

  No

  N/A

7 - MATERIAL HANDLING / STORAGE

• 1 -Post signs/barriers when dropping waste through holes in deck

  Yes

  No

  N/A

• 2 - Clean-up scrap and waste as work progresses

  Yes

  No

  N/A

• 3 - Equipment/material is stored in a stable/secure condition

  Yes

  No

  N/A

• 4 - Post safe load limits on storage racks, elevated floors and decks

  Yes

  No

  N/A

• 5 - Keep route clear for movement of materials/people

  Yes

  No

  N/A

• 6 - Store material far enough back from the edge (6' min) so it can't fall off

  Yes

  No

  N/A

• 7 - Remove nails from used lumber before stacking

  Yes

  No

  N/A

• 8 - Store cylindrical materials in racks or blocked to prevent rolling

  Yes

  No

  N/A

• 9 - Storage areas are free of trip, slip, fire, explosion and vermin hazards

  Yes

  No

  N/A

• 10 - Establish a CAZ with monitor when dropping material outside a building

  Yes

  No

  N/A

• 11 - Other

  Yes

  No

  N/A

8 - HAND & POWER TOOLS

• 1 - Maintain hand and power tools in a safe condition

  Yes

  No

  N/A

• 2 - Use guards provided by manufacturer

  Yes

  No

  N/A

• 3 - Guard moving or rotating parts

  Yes

  No

  N/A

• 4 - Point of operation guarding keeps the operator safe

  Yes

  No

  N/A

• 5 - Keep wooden handles of tools free of splinters and tight in the tool

  Yes

  No

  N/A

• 6 - Electric power tools shall be double insulated or grounded

  Yes

  No

  N/A

• 7 - Secure air supply at hose and tool connections

  Yes

  No

  N/A

• 8 - Install safety device to reduce air pressure in case of hose failure

  Yes

  No

  N/A

• 9 - Shut off equipment when refueling, servicing or maintaining

  Yes

  No

  N/A

• 10 - Properly dispose of unused powder actuated tool charges

  Yes

  No

  N/A

• 11 - Loaded powder actuated tools shall not be left unattended

  Yes

  No

  N/A

• 12 - Crib or block a load immediately after jacking it up

  Yes

  No

  N/A

• 13 - Use tools and equipment as the manufacturer intended

  Yes

  No

  N/A

• 14 - Tools and equipment will be inspected daily and prior to use

  Yes

  No

  N/A

• 15 - Tag defective tools / equipment and return them for repairs

  Yes

  No

  N/A

• 16 - Store tools/equipment per project standard

  Yes

  No

  N/A

• 17 - Other

  Yes

  No

  N/A

9 - WELDING AND CUTTING

• 1 - Transport/store cylinders upright with valve closed and cap on

  Yes

  No

  N/A

• 2 - Secure cylinders to keep them upright

  Yes

  No

  N/A

• 3 - Separate fuel and oxygen by 20' or a fire barrier per requirements

  Yes

  No

  N/A

• 4 - Do not store fuel gas cylinders in unventilated spaces

  Yes

  No

  N/A

• 5 - Protect cylinders from sparks, hot slag or flames

  Yes

  No

  N/A

• 6 - Train workers in the safe use of fuel gases

  Yes

  No

  N/A

• 7 - Inspect hoses, torches and regulators at the beginning of the shift

  Yes

  No

  N/A

• 8 - Within 10' of the stinger the cable will be free of nicks or repairs

  Yes

  No

  N/A

• 9 - Repair cable with exposed conductors before use

  Yes

  No

  N/A

• 10 - Erect arc welding shields to protect other workers

  Yes

  No

  N/A

• 11 - Move or protect flammables & combustibles from hot work

  Yes

  No

  N/A

• 12 - Prevent sparks and slag from falling onto combustibles or people

  Yes

  No

  N/A

• 13 - Provide a fire extinguisher dedicated to the hot work operation

  Yes

  No

  N/A

• 14 - Provide a fire watch long enough to ensure no fires occur

  Yes

  No

  N/A

• 15 - Shut off the gas at the cylinder when torch is unattended

  Yes

  No

  N/A

• 16 - Provide sufficient mechanical ventilation to exhaust fumes

  Yes

  No

  N/A

• 17 - Wear sufficient PPE for the hot work performed

  Yes

  No

  N/A

• 18 - Flashback arrestors are in place

  Yes

  No

  N/A

• 19 - Other

  Yes

  No

  N/A

10 - ELECTRICAL

• 1 - Enclose sparking / arcing electrical parts

  Yes

  No

  N/A

• 2 - Manufacturer label on electrical equipment is legible

  Yes

  No

  N/A

• 3 - Lock door to unattended electrical rooms with live panels

  Yes

  No

  N/A

• 4 - Post signs restricting access to qualified persons at electrical rooms

  Yes

  No

  N/A

• 5 - Maintain the polarity of cords & equipment

  Yes

  No

  N/A

• 6 - All circuits must include ground fault circuit interrupters

  Yes

  No

  N/A

• 7 - Portable electric generators more than 5KW shall have GFCI circuits

  Yes

  No

  N/A

• 8 - Site assured grounding conductor program is implemented/ records filed

  Yes

  No

  N/A

• 9 -Wires on poles will be at least 10' above grade or deck

  Yes

  No

  N/A

• 10 - The path to ground shall be permanent and continuous

  Yes

  No

  N/A

• 11 - Temporary lighting must be on a separate circuit and hard wired

  Yes

  No

  N/A

• 12 - Protect light bulbs with cages or sleeves

  Yes

  No

  N/A

• 13 - Don’t hang temporary lights from the electric cord

  Yes

  No

  N/A

• 14 - Protect cords/cables/hoses from pinch points/ equipment/ traffic

  Yes

  No

  N/A

• 15 - Extension cords will be three wire type and designed for hard usage

  Yes

  No

  N/A

• 16 - Don't run extension cords through holes or conceal cords in ceilings or walls

  Yes

  No

  N/A

• 17 - Energized extension cords will have a grounded plug in a plug receptacle

  Yes

  No

  N/A

• 18 - Don’t hang extension cords with staples, wires or nails

  Yes

  No

  N/A

• 19 - Keep walking/working areas clear of cords/cables/hoses

  Yes

  No

  N/A

• 20 - Extension cords shall be connected to plugs with strain relief

  Yes

  No

  N/A

• 21 - Nicked, worn or frayed cords/cables shall not be used

  Yes

  No

  N/A

• 22 - Electrical gear and accessories in wet locations will be weatherproof

  Yes

  No

  N/A

• 23 - In hazardous locations electrical gear must be rated for the hazard

  Yes

  No

  N/A

• 24 - Post warnings/wear FRP when arc flash hazards exist

  Yes

  No

  N/A

• 25 - Inspect temporary power per schedule

  Yes

  No

  N/A

• 26 - Maintain clear access to circuit breakers/service components at all times

  Yes

  No

  N/A

• 27 - Other

  Yes

  No

  N/A

11 - SCAFFOLD ERECTION

• 1 - Trained scaffold erectors will be supervised by a competent person

  Yes

  No

  N/A

• 2 - 100% fall protection is required for scaffold erectors @ > 6' exposure

  Yes

  No

  N/A

• 3 - Construct the scaffold as the manufacturer / designer intended

  Yes

  No

  N/A

• 4 - Scaffolding will be designed by a registered P. E. when required

  Yes

  No

  N/A

• 5 - Do not use damaged parts to erect a scaffold

  Yes

  No

  N/A

• 6 - Install access for the erection crew as the scaffold is erected

  Yes

  No

  N/A

• 7 - Erectors shall not stand on or climb cross braces

  Yes

  No

  N/A

• 8 - Provide scaffold platform access if the change in elevation is =/> 2'

• 9 - Provide cleats on ramps that are steeper than 1:8

  Yes

  No

  N/A

• 10 - The minimum scaffold platform or walkway surface is 18" (46 cm) wide

  Yes

  No

  N/A

• 11 - Use adequate mudsills and fasten base plates to them

  Yes

  No

  N/A

• 12 - Unstable objects shall not be used to support scaffolds

  Yes

  No

  N/A

• 13 - Scaffold uprights shall be plumb, level and braced to prevent swaying

  Yes

  No

  N/A

• 14 - Fully plank decks with no more than 1" gaps between planks

  Yes

  No

  N/A

• 15 - Wood planks overhang supports by 6" min

  Yes

  No

  N/A

• 16 - Do not cantilever planks over supports more than 12"

  Yes

  No

  N/A

• 17 - Brace scaffold with push/pull ties at the horizontal member closest to 4:1

  Yes

  No

  N/A

• 18 - Free standing towers height cannot exceed 3 times their width

  Yes

  No

  N/A

• 19 - Rolling scaffold height cannot exceed 3 times the width

  Yes

  No

  N/A

• 20 - Caster stems, screw jacks and wheel stems shall be secured

  Yes

  No

  N/A

• 21 - Rolling scaffolds shall be braced horizontally to prevent racking

  Yes

  No

  N/A

• 22 - Repair, brace or replace damaged scaffold components

  Yes

  No

  N/A

• 23 - Other

  Yes

  No

  N/A

12 - SCAFFOLD USE

• 1 - Workers will be trained to recognize scaffold hazards

  Yes

  No

  N/A

• 2 - Retrain workers when conditions change or they appear to need it

  Yes

  No

  N/A

• 3 - A competent person will inspect and tag the scaffold at the start of the shift

  Yes

  No

  N/A

• 4 - Cross braces shall not be used as a means of access

  Yes

  No

  N/A

• 5 - Do not overload scaffolds

  Yes

  No

  N/A

• 6 - Do not use unstable objects (i.e. buckets) as work platforms

  Yes

  No

  N/A

• 7 - Do not use ladders on a scaffold

  Yes

  No

  N/A

• 8 - Secure/support a scaffold equipped w/ screens against wind loads

  Yes

  No

  N/A

• 9 - Debris shall not be allowed to accumulate on scaffold/AWP decks

  Yes

  No

  N/A

• 10 - Scaffold planks should not deflect more than 1/60th of their span

  Yes

  No

  N/A

• 11 - Fall protection is required on scaffolds if workers could fall 6' or more

  Yes

  No

  N/A

• 12 - Fall protection will be in place before work starts

  Yes

  No

  N/A

• 13 - Do not remove guardrails w/o wearing fall protection PPE

  Yes

  No

  N/A

• 14 - Prevent objects from falling off scaffolds and striking workers below

  Yes

  No

  N/A

• 15 - Do not rest/hang equipment or material on guardrails

  Yes

  No

  N/A

• 16 - Lock the wheels when working on a mobile scaffold

  Yes

  No

  N/A

• 17 - Other

  Yes

  No

  N/A

13 - CRANES / HOISTS / LIFTS

• 1 - Annual inspection certificate on site

  Yes

  No

  N/A

• 2 - Crane operators shall possess a valid operating certificate

  Yes

  No

  N/A

• 3 - Authorize a signal person and post crane hand signals used

  Yes

  No

  N/A

• 4 - Operate/inspect/maintain crane per manufacturer instructions

  Yes

  No

  N/A

• 5 - Maintain the crane equipment log and crane operators log on the crane

  Yes

  No

  N/A

• 6 - Post warnings and load charts where operator can see them

  Yes

  No

  N/A

• 7 - Prevent worker access to the swing radius of the rear of the crane

  Yes

  No

  N/A

• 8 - If loads must fly over workers, effectively warn them

  Yes

  No

  N/A

• 9 - Maintain adequate distance from power lines

  Yes

  No

  N/A

• 10 - The entire crane is a continuous conductor and grounded

  Yes

  No

  N/A

• 11 - Do not hoist workers without an approved plan

  Yes

  No

  N/A

• 12 - The worker hoist plan must conform to the standard

  Yes

  No

  N/A

• 13 - Do not exert any horizontal pull at any angle to the crane jib

  Yes

  No

  N/A

• 14 - Loads will not be left suspended when the crane is not attended

  Yes

  No

  N/A

• 15 - Tag lines shall be used unless their use creates an unsafe condition

  Yes

  No

  N/A

• 16 - All containers that may be hoisted must have the capacity marked on them

  Yes

  No

  N/A

• 17 - Other

  Yes

  No

  N/A

14 - VEHICLES AND EQUIPMENT

• 1 - Develop/implement a preventive maintenance plan

  Yes

  No

  N/A

• 2 - Document the equipment inspection before use on each shift

  Yes

  No

  N/A

• 3 - Obtain the manufactures' approval before modifying equipment

  Yes

  No

  N/A

• 4 - Equipment manual/name plates/markings must be in place/legible

  Yes

  No

  N/A

• 11 - Do not move unstable loads with the fork truck

  Yes

  No

  N/A

• 12 - Vehicles must have service & parking brakes, brake lights & a horn

  Yes

  No

  N/A

• 13 - If visibility is low all vehicles must have 2 headlights & 2 tail lights

  Yes

  No

  N/A

• 14 - All vehicles must have a back-up alarm or only back up with an observer

  Yes

  No

  N/A

• 15 - Vehicles with cabs will have a distortion free view

  Yes

  No

  N/A

• 16 - The operator is authorized to operate the equipment on the site

  Yes

  No

  N/A

• 5 - Each equipment operator will be trained, evaluated & certified

  Yes

  No

  N/A

• 6 - Do not stand under the loaded or empty elevated forks

  Yes

  No

  N/A

• 7 - No passengers allowed on fork trucks unless there is a seat and seat belt

  Yes

  No

  N/A

• 8 - If leaving the fork truck, set brake, lower the forks, put it in neutral

  Yes

  No

  N/A

• 9 - Chock tires if on an incline/at dock/otherwise required

  Yes

  No

  N/A

• 10 - All traffic regulations shall be observed

  Yes

  No

  N/A

• 18 - Prevent workers from falling into/onto dangerous equipment

  Yes

  No

  N/A

• 19 - Inappropriate use of cell phone while operating vehicles/ equipment

  Yes

  No

  N/A

• 20 - Other

  Yes

  No

  N/A

15 - EXCAVATIONS

• 1 - Complete a JHA before starting underground work

  Yes

  No

  N/A

• 2 - Remove or support surface objects which may become unstable

  Yes

  No

  N/A

• 3 - Locate underground utilities before excavation starts

  Yes

  No

  N/A

• 4 - Locate utilities by hand when within 3' feet of estimated location

  Yes

  No

  N/A

• 5 - Underground utilities shall protected, supported or removed

  Yes

  No

  N/A

• 6 - Provide safe egress within 25' of workers in an excavation =/> 4'

  Yes

  No

  N/A

• 7 -The incline angle of an egress ramp must allow workers to walk out upright

  Yes

  No

  N/A

• 8 - Install barricades around excavations

  Yes

  No

  N/A

• 9 - Fall protection is required when exposed to a 6' or greater fall

  Yes

  No

  N/A

• 10 - Test the atmosphere when hazardous gases could be expected

  Yes

  No

  N/A

• 11 - Do not work in an excavation holding water

  Yes

  No

  N/A

• 12 - Prevent surface water from draining into the excavation w/ berms

  Yes

  No

  N/A

• 13 - Spoil piles, materials and equipment will be at least 3' back from edge

  Yes

  No

  N/A

• 14 - Protect workers from falling objects / sloughing dirt / stones

  Yes

  No

  N/A

• 15 - Excavation inspection checklist (HSEOP-05-04) completed before entry

  Yes

  No

  N/A

• 16 - Prevent cave-ins in excavations 5' deep or more

  Yes

  No

  N/A

• 17 - Soil analysis/HSEOP-05-02 & 03 documented

  Yes

  No

  N/A

• 18 - Class C soil sloped 1 1/2 to 1

  Yes

  No

  N/A

• 19 - Class B soil sloped at 1 to 1

  Yes

  No

  N/A

• 20 - Class a soil sloped at 3/4 to 1

  Yes

  No

  N/A

• 21 - No workers allowed under loads lifted by digging equipment

  Yes

  No

  N/A

• 22 - Other

  Yes

  No

  N/A

16 - CONCRETE & MASONRY

• 1 - Determine the structures load capacity and then don't exceed it

  Yes

  No

  N/A

• 2 - Prevent impalement from workers falling onto or into rebar

  Yes

  No

  N/A

• 3 - Engineered formwork/shoring drawings will be on site

  Yes

  No

  N/A

• 4 - Inspect shoring prior to, during and immediately after concrete pour

  Yes

  No

  N/A

• 5 - Properly install and secure shore posts

  Yes

  No

  N/A

• 6 - Install reshoring per engineered drawings

  Yes

  No

  N/A

• 7 - Brace or guy reinforcing steel to prevent overturning or collapse

  Yes

  No

  N/A

• 8 - Establish a CAZ before starting to lay block walls

  Yes

  No

  N/A

• 9 - Brace CMU walls over 8' high until support structures are installed

  Yes

  No

  N/A

• 10 - Other

  Yes

  No

  N/A

17 - STEEL ERECTION

• 1 - Implement written erection and hoisting sequence plan

  Yes

  No

  N/A

• 2 - Controlled access zone for erectors only

  Yes

  No

  N/A

• 3 - Erector fall protection required @ 6' (2M) or more

  Yes

  No

  N/A

• 4 - Falling object protection: Secure material and tools aloft

  Yes

  No

  N/A

• 5 - Provide overhead protection for workers active below erectors

  Yes

  No

  N/A

• 6 - Perimeter guarding inspected/accepted by GC

  Yes

  No

  N/A

• 7 - Connectors training records for procedures used are on site

  Yes

  No

  N/A

• 8 - Other

  Yes

  No

  N/A

18 Demolition

• 1 - Complete/implement a written demolition plan prior to starting work

  Yes

  No

  N/A

• 2 - Cut off or relocate and protect live utilities

  Yes

  No

  N/A

• 3 - Test for and remove hazardous materials before starting demo

  Yes

  No

  N/A

• 4 - Provide and secure covers on floor openings

  Yes

  No

  N/A

• 5 - Only workers essential to the demolition are allowed in the area

  Yes

  No

  N/A

• 6 - A competent person will inspect for hazards as work progresses

  Yes

  No

  N/A

• 7 - Post warning signs/provide PPE where live circuits may be hidden

  Yes

  No

  N/A

• 8 - Other

  Yes

  No

  N/A

19 - LADDERS

• 1 - Provide 2 ladders/25 workers when ladders are used for access/egress

  Yes

  No

  N/A

• 2 - Keep ladder access clear to permit free passage

  Yes

  No

  N/A

• 3 - Job built ladders conform to applicable standards

  Yes

  No

  N/A

• 4 - Ladder rungs shall be parallel and uniformly spaced

  Yes

  No

  N/A

• 5 - Use ladders for the purpose they were designed

  Yes

  No

  N/A

• 6 - Ladder side rails extend 3' (min) above the landing surface

  Yes

  No

  N/A

• 7 - Maintain ladders free of slip hazards

  Yes

  No

  N/A

• 8 - Set up angle for manufactured ladders 4:1 and job built 8:1

  Yes

  No

  N/A

• 9 - Set up ladders on stable, level surface

  Yes

  No

  N/A

• 10 - Secure (tie off) the ladder at top landing

  Yes

  No

  N/A

• 11 - Barricade the ladder in doorways and high traffic areas

  Yes

  No

  N/A

• 12 - Ladders shall not be moved, shifted or extended while occupied

  Yes

  No

  N/A

• 13 - Open stepladders and lock the spreaders before use

  Yes

  No

  N/A

• 14 - Do not stand or sit on the top or the top step of a step ladder

  Yes

  No

  N/A

• 15 - Inspect ladders before use and tag if in bad order

  Yes

  No

  N/A

• 16 - Face ladder and maintain 3 point contact when climbing ladder

  Yes

  No

  N/A

• 17 - Do not carry materials up or down a ladder

  Yes

  No

  N/A

• 18 - Train and retrain workers when necessary in ladder use

  Yes

  No

  N/A

• 19 - Store ladders per project standard

  Yes

  No

  N/A

• 20 - Other

  Yes

  No

  N/A

20 - CONFINED SPACE

• 14 - File records of the training on site

  Yes

  No

  N/A

• 15 - Training: authorized attendants know their duties

  Yes

  No

  N/A

• 16 - Training: authorized entrants know their duties

  Yes

  No

  N/A

• 17 - Training: entry supervisors know their duties

  Yes

  No

  N/A

• 18 - Provide one attendant outside while the permit space is occupied

  Yes

  No

  N/A

• 19 - Evaluate challenges and select an appropriate rescue team

  Yes

  No

  N/A

• 1 - Address project confined space hazards in orientation

  Yes

  No

  N/A

• 2 - Post danger signs at permit required confined spaces

  Yes

  No

  N/A

• 3 - Develop/implement a written confined space permit program

  Yes

  No

  N/A

• 4 - Document process determining non-permit required confined spaces

  Yes

  No

  N/A

• 5 - Implement continuous forced air ventilation

  Yes

  No

  N/A

• 6 - Provide proper equipment to entrants

  Yes

  No

  N/A

• 7 - Testing of permit space atmosphere witnessed by entrants before entry 20 - Provide training/practice for the rescue team

  Yes

  No

  N/A

• 21 - If feasible facilitate non-entry retrieval rescue

  Yes

  No

  N/A

• 8 - Supervisors / entrants are trained to use the gas monitor

  Yes

  No

  N/A

• 22 - Rescue teams conduct practice drills annually (min)

  Yes

  No

  N/A

• 9 - Complete & post the permit & pre entry checklist at the entry portal

  Yes

  No

  N/A

• 23 - Document the review of the annual site confined space program

  Yes

  No

  N/A

• 10 - Terminate and file the permit at the completion of the task

  Yes

  No

  N/A

• 24 - Shut off fuel gas source outside the confined space when not in use

  Yes

  No

  N/A

• 11 - Document problems on permit

• 12 - Monitor the space during the task

  Yes

  No

  N/A

• 25 - Remove torches and hoses at the end of the shift

  Yes

  No

  N/A

• 26 - Other

  Yes

  No

  N/A

• 13 - Train the team members to perform their duties

  Yes

  No

  N/A

21 - LOCKOUT TAGOUT

• 1 - Establish a LOTO plan for each piece of equipment

  Yes

  No

  N/A

• 2 - Conduct LOTO training for each piece of equipment

  Yes

  No

  N/A

• 3 - If a piece of equipment is capable of being locked out, it must be

  Yes

  No

  N/A

• 4 - An attendant must guard a piece of equipment that is only tagged out

  Yes

  No

  N/A

• 5 - LOTO devices will be provided by the employer

  Yes

  No

  N/A

• 6 - LOTO devices shall not be used for other purposes

  Yes

  No

  N/A

• 7 - LOTO devices: durable, standardized, substantial & identifiable

  Yes

  No

  N/A

• 8 - Audit LOTO procedures at least annually

  Yes

  No

  N/A

• 9 - Audit each employee using LOTO annually to verify training retention

  Yes

  No

  N/A

• 10 - Document annual audits of LOTO program and worker retention

  Yes

  No

  N/A

• 11 - Train authorized users of the LOTO program

  Yes

  No

  N/A

• 12 - Provided awareness training to workers affected by LOTO

  Yes

  No

  N/A

• 13 - Document LOTO training

• 14 - Review the LOTO procedure before each implementation

  Yes

  No

  N/A

• 15 - The LOTO sequence of equipment shutdown will be followed

  Yes

  No

  N/A

• 16 - Use LOTO device(s) to hold isolating devices in the safe position

  Yes

  No

  N/A

• 17 - Stored energy: relieve all potential or residual energy

  Yes

  No

  N/A

• 18 - Verify that isolation/release of stored energy has occurred

  Yes

  No

  N/A

• 19 - Inspect the equipment before restarting

  Yes

  No

  N/A

• 20 - Inform affected employees before machine startup

  Yes

  No

  N/A

• 21 - Each authorized worker removes his own lock

  Yes

  No

  N/A

• 22 - All employers shall inform each other of their respective LOTO programs

  Yes

  No

  N/A

• 23 - Group LOTO shall provide protection equal to individual LOTO

  Yes

  No

  N/A

• 24 - Other

  Yes

  No

  N/A

22 - PROCEDURES: PSI, JHA, INFECTION, ACCESS ZONES

• 1 - Develop construction hazard assessment

• 2 - Develop Job Hazard Analysis (JHA)

  Yes

  No

  N/A

• 3 - JHA communicated&signed off by project management and workers

  Yes

  No

  N/A

• 4 - Implement JHA/SWP/Construction plan

  Yes

  No

  N/A

• 5 - Workers and supervisors trained in the proper completion of PSI

  Yes

  No

  N/A

• 6 - Conduct PSI at the start of the shift and when tasks/conditions change

  Yes

  No

  N/A

• 7 - PSI is signed by workers

  Yes

  No

  N/A

• 8 - Review / initial PSI after breaks and lunch

  Yes

  No

  N/A

• 9 - Comply with asbestos abatement control procedures

  Yes

  No

  N/A

• 10 - Comply with lead based paint abatement procedures

  Yes

  No

  N/A

• 11 - Comply with biological/infection control procedures

  Yes

  No

  N/A

• 12 - Comply with cadmium control procedures

  Yes

  No

  N/A

• 13 - Limited access zones may only be occupied by authorized workers

  Yes

  No

  N/A

• 14 - Establish a limited access zone for falling object protection

  Yes

  No

  N/A

• 15 - Other

  Yes

  No

  N/A

23 - RIGGING

• 1 - Inspect rigging at start of shift and as used during the day

  Yes

  No

  N/A

• 2 - Defective rigging equipment shall be removed from service

  Yes

  No

  N/A

• 3 - Know the weight of the load and use adequate rigging

  Yes

  No

  N/A

• 4 - Remove rigging from work area and store properly when not in use

  Yes

  No

  N/A

• 5 - Capacity tags attached to all rigging

  Yes

  No

  N/A

• 6 - Makeshift rigging will not be used

  Yes

  No

  N/A

• 7 - Ends of wire rope will be covered or blunted

  Yes

  No

  N/A

• 8 - Use the right number/spacing of U-bolt wire rope clips

  Yes

  No

  N/A

• 9 - The U-bolt goes on the "dead end" of the cable

  Yes

  No

  N/A

• 10 - Rigging will be protected from kinks/sharp edges

  Yes

  No

  N/A

• 11 - Keep hands and fingers away from between the sling and the load

  Yes

  No

  N/A

• 12 - Rigging will be done by trained qualified workers

  Yes

  No

  N/A

• 13 - Other

  Yes

  No

  N/A

24 - STAIRWAYS

• 1 - Provide a stair or ladder at elevation breaks of 19" or more

  Yes

  No

  N/A

• 2 - Keep single stairway access and egress open or provide other access

  Yes

  No

  N/A

• 3 - Provide fall protection at stairways before opening for use

  Yes

  No

  N/A

• 4 - Temporary stairs: provide a landing 30" long and 20" wide every 12' of rise

  Yes

  No

  N/A

• 8 - Hand/stair rails are required at 4 rises or 30"

  Yes

  No

  N/A

• 9 - Handrails and stair rails must support 200# imposed down or outward

  Yes

  No

  N/A

• 10 - Handrail height is between 36" & 37" to the top of the rail

  Yes

  No

  N/A

• 11 - Handrails shall provide an adequate handhold that may be grasped

  Yes

  No

  N/A

• 5 - Stairways will be free of snag, puncture or laceration hazards

  Yes

  No

  N/A

• 6 - Eliminate slip/trip conditions on stairs

  Yes

  No

  N/A

• 7 - Temporarily fill pan stairs full width and depth before use

  Yes

  No

  N/A

• 12 - Unprotected sides of stair landings will have a guardrail system (42" +/- 3")

  Yes

  No

  N/A

• 13 - Other

  Yes

  No

  N/A

25 - FALL PROTECTION SYSTEMS

• 1 - Top of top rails shall be 42" +/- 3" from the deck

  Yes

  No

  N/A

• 2 - Top rails will support 200# with < 2" deflection

  Yes

  No

  N/A

• 3 - Top rails must be a minimum of 1/4" wire rope and every flagged 6'

  Yes

  No

  N/A

• 15 - Adjust harness with D ring above shoulder blades and centered

  Yes

  No

  N/A

• 16 - Personal fall protection: a harness, 2 lanyards and a 5000# anchorage

  Yes

  No

  N/A

• 17 - Snap hooks: 1/D-ring, not snapped directly to webbing, rope or wire rope

  Yes

  No

  N/A

• 18 - Lifelines are engineered/inspected/used per plan

  Yes

  No

  N/A

• 19 - Vertical lifelines: use softeners at sharp edges

  Yes

  No

  N/A

• 20 - Anchorages shall be capable of supporting 5000# (22.2 kN)

  Yes

  No

  N/A

• 4 - Midrails are 1/2 way between the top rail and the deck

  Yes

  No

  N/A

• 5 - Screens shall extend from the top rail to the deck

  Yes

  No

  N/A

• 6 - Screens/midrails will support 150# pressure down or out

  Yes

  No

  N/A

• 7 - 3 1/2" toe boards with no more than 1/4" gap below or 1" gap between 21 - Rig fall protection to prevent a free fall of > 6' or striking surface below

  Yes

  No

  N/A

• 8 - Toe boards will support 50# pressure down or out

  Yes

  No

  N/A

• 9 - Openings in screens will prevent anticipated material from falling

  Yes

  No

  N/A

• 10 - Guardrails are free of puncture, snag or laceration hazards

  Yes

  No

  N/A

• 11 - End guardrails at terminal post if projection is hazardous

  Yes

  No

  N/A

• 12 - Covers will support 2X the anticipated load

  Yes

  No

  N/A

• 13 - Holes are covered and covers are secured to prevent displacement

  Yes

  No

  N/A

• 14 - Covers are marked with a circle and an "X"

  Yes

  No

  N/A

• 15 - Use a lanyard with and rig positioning devices to prevent a fall >2'

  Yes

  No

  N/A

• 16 - Warning line systems must be at least 6' back from roof edge

  Yes

  No

  N/A

• 17 - Warning lines will be flagged and between 34" and 39" above deck

  Yes

  No

  N/A

• 18 - Leading edge warning line is between 6' and 25' back from leading edge

  Yes

  No

  N/A

• 19 - A warning line parallel to hazard ties to guard rails at both ends

  Yes

  No

  N/A

• 20 - A CAZ line is between 39" & 45" and flagged

  Yes

  No

  N/A

• 21 - Other

  Yes

  No

  N/A

26 - FALL PROTECTION

• 1 - Worker fall hazard recognitioncontrol training records filed

  Yes

  No

  N/A

• 2 - Conduct fall protection retraining when required

  Yes

  No

  N/A

• 3 - Confirm walking working surfaces will support imposed loads

  Yes

  No

  N/A

• 4 - Develop/implement fall protection plan when exposed to a 6' fall

  Yes

  No

  N/A

• 5 - Install fall protection where fall hazards exist before beginning work

  Yes

  No

  N/A

• 6 - Inspect PPE before each use

  Yes

  No

  N/A

• 7 - Document formal inspections of fall PPE

  Yes

  No

  N/A

• 8 - Store fall PPE properly

  Yes

  No

  N/A

• 9 - Do not tie off to guard rail systems

  Yes

  No

  N/A

• 10 - Wear fall protection when removing guardrails

  Yes

  No

  N/A

• 11 - Install fall restraint system at material landing zones

  Yes

  No

  N/A

• 12 - Provide fall protection at holes

  Yes

  No

  N/A

• 13 - Provide an offset guardrail or gate at ladder access

  Yes

  No

  N/A

• 14 - Fall protection required at wall openings (>30"x18") < 39" above deck

  Yes

  No

  N/A

• 15 - Precast erection & leading edge work qualify for fall protection plans

  Yes

  No

  N/A

• 16 - Provide/Implement a leading edge fall protection plan

  Yes

  No

  N/A

• 17 - Protect workers from falling objects

  Yes

  No

  N/A

• 18 - Plan and practice fall rescue plans

  Yes

  No

  N/A

• 19 - Abate slip / trip conditions

  Yes

  No

  N/A

• 20 - Other

  Yes

  No

  N/A

28 - RESPIRATOR PROGRAM

• 1 - A site specific respirator plan is required if workers use respirators

  Yes

  No

  N/A

• 2 - Review respirator hazards for the voluntary use of dust masks

  Yes

  No

  N/A

• 3 - Evaluate the extent of the respiratory hazard, the chemical state and its form

  Yes

  No

  N/A

• 4 - Select an appropriate respirator to control the hazard

  Yes

  No

  N/A

• 5 - Provide medical evaluation for workers wearing respirators and file clearance

  Yes

  No

  N/A

• 6 - Provide fit testing for negative air pressure respirators

  Yes

  No

  N/A

• 7 - Wear appropriate respirator

  Yes

  No

  N/A

• 8 - Facial hair is not allowed if it interferes with the respirator seal

  Yes

  No

  N/A

• 9 - Perform a user seal check each time the respirator is put on

  Yes

  No

  N/A

• 10 - Do not remove the respirator in the hazardous area

  Yes

  No

  N/A

• 11 - Clean and maintain the respirator as required

  Yes

  No

  N/A

• 12 - Do not share a respirator unless it has been cleaned

  Yes

  No

  N/A

• 13 - Store respirators to protect them from damage and deformation of face piece

  Yes

  No

  N/A

• 14 - Inspect the respirator before each use

  Yes

  No

  N/A

• 15 - Repair or discard damaged / defective respirators

  Yes

  No

  N/A

• 16 - Compressed (supplied air) respirator hoods will be supplied with Grade D air

  Yes

  No

  N/A

• 17 - Monitor the supplied air to ensure it meet Grade D standards

  Yes

  No

  N/A

• 18 - All filters, cartridges and canisters will be color coded and labeled

  Yes

  No

  N/A

• 19 - Provide initial training to users and annual refresher training

• 20 - Document the annual program evaluation for implementation and effectiveness

  Yes

  No

  N/A

• 21 - Recordkeeping: medical clearance, fit testing, respirator type, dates

  Yes

  No

  N/A

• 22 - The site specific respirator plan is filed on site

  Yes

  No

  N/A

• 23 - Other

  Yes

  No

  N/A

29 - AERIAL WORK PLATFORMS

• 1 - Obtain the manufacturers permission before modifying an aerial lift

  Yes

  No

  N/A

• 2 - Document AWP inspections prior to use with form HSEOP-26-01

  Yes

  No

  N/A

• 3 - AWP: Only authorized persons shall operate aerial lifts

  Yes

  No

  N/A

• 4 - AWP: Do not tie off to adjacent poles, structures or equipment

  Yes

  No

  N/A

• 5 - Keep your feet on the aerial work platform deck

  Yes

  No

  N/A

• 6 - Tie off to the attachment provided in the basket

  Yes

  No

  N/A

• 7 - Do not exceed the load limit while working in an aerial lift

  Yes

  No

  N/A

• 8 - Adhere to PCL Procedure HSEOP 26-02 to exit / access an elevated AWP

  Yes

  No

  N/A

• 9 - Establish a controlled access zone to protect workers from falling objects

  Yes

  No

  N/A

• 10 - Fall protection PPE must not allow worker to strike the ground

  Yes

  No

  N/A

• 11 - Lower / retract the AWP when traveling

  Yes

  No

  N/A

• 12 - A rescue plan must be in place when AWP are in use

  Yes

  No

  N/A

• 13 - Hook chain / latch access gate to AWP

  Yes

  No

  N/A

• 14 - Equipment operator’s manual / inspection checklist on AWP

  Yes

  No

  N/A

• 15 - Other

  Yes

  No

  N/A