ITSTL - Safety Orientation Checklist

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ITS Technologies & Logistics - Safety Orientation Checklist

• Division

  In-Terminal

  AAW

  CGI

  ACS

• Location / Site

• GPS - Location
  Address

• Conducted on

  Date

• Prepared/Discussed by - Full Name

• Employee Number

• Employee being Orientated - Full Name

• Employee Number

• Note: This checklist is set-up for New Hires, Transferred Employees, Visiting Employees, and Vendor Working at Location.

ITS Technologies & Logistics - Safety Orientation Checklist

Terminal Report Checklist

• Guidelines: Mark each item with a check for completion - If any items do not apply leave item unchecked.
  Make commits if needed.

Safety Orientation Checklist

• 1. General Safety Rules - Company Policies

• 1a. General Safety Rules - Seatbelts

• 1b. Safety Rules - Stop at Crossings [All Tracks Are Live – Flagged or Not]

• 1c. Safety Rules - Location Command Structure

• 1d. Other Items Specific to Job or Department Safety

• 1e. Safety Rules - E-Rail Badges

• 2. Departmental Safety Rules [Yard Rules]

• 2a Unique to the Department - Location RR/Port Safety Rules

• 2b. Dealing Directly With Individual Exposure

• 3. Emergency Procedures

• 3a. Action Plans

  Yes

  No

  N/A

• 3b. Fire Alarms (if applicable)

• 3c. Evacuation Process

• 4. Personal Protective Equipment [PPE]

• 4a. .Safety Glasses

• 4b. Safety Boots - (Anyone Visiting should include a Boot Inspection)

• 4c. Hard Hats / Bump Caps

• 4d. Hearing Protection

• 4e. Safety Vests

• 4f. Safety Belts/Lifelines (Fall Protection) If Needed

• 4g. Clothing Needed for Special Operations

• 4h. Respiratory Protection Equipment - If Needed

• 4ha. Use

• 4hb. Care and Cleaning

• 4hc. Medical Requirements

• 5. Equipment Lock-Out/Tag-Out Procedures

• 6. Equipment Operations - Hostler/Fork Truck/Crane/Side loader

• 6a. Training [OJT/Phase] Qualifications

• 6b. Equipment Inspection [VCR’s]

• 7. . Fire Extinguisher Location and Use [P A S S] Method

• 8. Safety/Committee Meetings

• 8a. Pre-Shift Meetings

• 9. Medical Requirements

• 9a. First Aid Kits

• 9b. Injury Reporting - Immediate

• 9c. Locations 1st Responders - (Names)

• 9d. Hospital Route (911)

• 10. Location Maps - Driving and Parking

• 10a. Personal Vehicle

• 10b. Company Vehicle

• 11. Job Hazards - Carcinogenic Potential, Toxic, Burn and Irritation Potential , Flammability Potential

• 11a. Hazardous Chemicals Orientation (Right-To-Know)

• 11b. Particular Job Hazards (Physical and Chemical)

• 11c. Material Safety Data Sheets [SDS’s]

• 12. Damage/Accidents Reporting - Process/Procedures

• 12a. Company Equipment

• 12b. Customer Equipment

• 13. Securement Procedures

• 13a. Track Securement [Flags- Derails- Lights- Gates]

• 13b. Verifiers must be qualified [Location Specific]

• 13c. Railcar securement (Auto -handbrakes, chocks, gap) - (Intermodal -IBC's, Hitches, Bolsters)

• 13d. Auto Facilities - Ramp Flag and Bridge Plates

• 14. Switching Operations

• 14a. Locomotive Daily Inspection [VCR] - Safety devices operational

• 14b. 92 Day Inspection [FRA]

• 14c. Tracks & Switches [Yard Map]

• 14d. Hours of Services (DOT)

• 15. Clean-Up Rules [Housekeeping]

• 15a. Housekeeping - Equipment

• 15b. Housekeeping - Lunchroom's & Restroom's

• 16. Anything Not Noted on This Checklist - But Employee or Visit should be made aware of items

Comments - Corrective Action: