ISI S.T.A.R. - Safety Task Analysis & Review

• Document No.

• Audit Title

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• Personnel

COMPANY MISSION

• To maintain the highest standards of safety while providing superior quality construction products and services which exceed customer expectations with on-time delivery and value.

SAFETY TASK ANALYSIS & REVIEW The Safety Task Analysis & Review (S.T.A.R.) plan should be completed daily for each task. Post the S.T.A.R. Plan in a visible location for the duration of the task. If conditions should change (I.e. Weather chAnges, soil conditions) or if deviation from safe work practices occurs, this plan is no longer valid. Each crew member involved in the task should sign this plan. When the task is completed, this S.T.A.R. plan should be turned in to project management.

• Supervisor

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  Date

Location of Task:

Description of Task:

Steps taken to eliminate known hazards:

Competent person Required?

• Fall Protection

• Excavation

• Scaffolding

• Ladders

• Hoisting Equipment

• Hot Work

• Demolition

• LOCATION OF NEAREST CLINIC / EMERGENCY ROOM KNOWN?

• EMERGENCY PHONE NUMBER(s)

Personal Protective Equipment Required?

• Fall Protection

• Eye/Face

• Respiratory

• Hand

• Foot

• Head

• Hearing

• Clothing

• Other

Permits/Procedures Required

• Excavation

• Signs / Barricades

• Confined Space

• Critical Lift

• Fall Protection

• Other

ANSWER ALL OF THE FOLLOWING

• Should the Safety Department be involved in the planning of this task?

  Yes

  No

  N/A

• What are the hazards associated with this task?

• Have the hazards been explained to all involved employees?

  Yes

  No

  N/A

• Have all tools, ladders, electrical cords, rigging, and safety equipment been inspected prior to starting this task?

  Yes

  No

  N/A

• Are barricades necessary for this task?

  Yes

  No

  N/A

• If yes, who is responsible for erecting, maintaining and removing?

• Is a fire watch or hole watch required?

  Yes

  No

  N/A

• If yes, list names

• Is elevated work required to complete this task?

  Yes

  No

  N/A

• If yes, list fall protection systems to be used

• Have all fall protection components been inspected prior to use

  Yes

  No

  N/A

• Have all scaffolds/ladders been inspected prior to use?

  Yes

  No

  N/A

• Is any subcontractors services necessary for this task?

  Yes

  No

  N/A

• If yes, who is their primary contact?

• If yes, do they understand the requirements of this plan?

• Are there new employees present with less than three month of employment with the company? If so please list them below. Also list who this employee is assigned to for training.

  Yes

  No

  N/A

I am aware of and understand all information contained in this document

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Supervisors Signature

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  Date

Housekeeping

• Is area clean / secure?

  Yes

  No

  N/A

• What hazards are remaining as a result of the work

  Safe

  At Risk

  N/A

• Are all openings, holes, excavations, or other hazards barricaded/secured?

  Yes

  No

  N/A

• Have barricades that are no longer necessary been removed?

  Yes

  No

  N/A

What problems or unplanned events created additional hazards with today's assignment

Incidents

• Was anyone injured or did an incident occur today?

  Yes

  No

  N/A

• If yes, has all paperwork been completed?

  Yes

  No

  N/A

Employees signature certifying there were no injuries or incidents on the job:

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YOUR ISI CRM SAFETY RESPONSIBILITIES INCLUDE:

• Plan every job task

• Perform your work in a safe and healthful manner

• Attend scheduled safety and health training meetings

• Communicate to supervisors any unsafe conditions or events

• Immediately notify supervisors of any injuries, accidents, or near misses

• Conform to established safety procedures and requirements

• Assist fellow workers to insure safe and healthful work practices

• Respect your co-workers

• Respect and protect the environment