Job Safety Analysis / Tool Box Talk For Traffic Division

• Conducted on

  Date

• Project #

• Location
  Address

• Personnel

• Prepared by and Title

What are our daily goals?

What are our weekly goals?

Do we have all the materials, and tools we need? (If not, What arrangements have been made)?

Do we have proper warning signs out, and proper lane closure.

• Yes

  No

  N/A

Do employees have the proper training, and certification to operate any machinery to be used today?

• Yes

  No

  N/A

We're drivers told to never back up without a spotter?

• Yes

  No

  N/A

Are the flaggers to be used today trained, and certified?

• Yes

  No

  N/A

Are wheels chocked, and proper padding under outriggers?

• Yes

  No

  N/A

Did you make it clear employees are NOT allowed to ride in the bucket while the truck is moving?

• Yes

  No

  N/A

Did you tell the crew to tape off, covering up, or remove anything that could in anyway be a potential hazard to the public while on the job, or between shifts?

• Yes

  No

  N/A

Have we checked all equipment we are using today to make sure it is safe, and ready to use?

• Yes

  No

  N/A

Potential hazards associated with the work to be done). Write in your own specific hazard if it is not listed below. Check all that apply for the task to be completed today. Check marking the potential hazard below means you have discussed all safety measures to be taken that will eliminate, or control the potential hazard.

• Falls

• Lockout Tagout

• Electrical hot work

• Electrical Hazards

• Manual Lifting

• Ladders

• Cadweld

• Aerial/Scissor Lifts

• Dust/Fumes

• Asbestos

• Lead

• Forklift

• Confined Space

• Power Tools

• Chemical Hazards (SDS)

• Cranes

• Rigging

• Powder Actuated Tools

• Excavation/Trenching

• Underground Utilities

• New or Temporary Employees

Personal Protective Equipment (PPE) and safety measures necessary to eliminate or protect employees

• Hard Hat

• Safety Glasses

• Safety Goggles

• Face Shield

• Cut Resistant Gloves

• Hard Toe Work Boots

• Hi-Visibility shirt, or vest

• Confined Space Permits

• Excavation Permit

• Electrical Hot Work Permit

• Equipment Inspection Sheet

• Fall Protection

• Tool Inspection

• Monthly/Quarterly Color Code

• Work Permits

• Hearing Protection

List additional safety concerns within our work areas (Ex. Other trades, equipment operation, material storage, accessing work location, permit requirements, utility locates, etc)

List any unusual conditions or hazards that could affect today's work ( Ex. Heat, high winds, rain, crane operation, etc)

All PPE (gloves, hard hats, safety glasses, ear plugs, safety harnesses etc.) are in good repair and being utilized by everyone on site. It is understood that all fall protection measures are in place and this certifies that I understand and agree to follow Watson Electrical guidelines which state Conventional Fall Arrest and Fall Restraint Systems shall be utilized where the exposure to falls greater than 6 foot is reasonably foreseen.

• We're pictures taken before any type digging began in marked or risky spots?

  Yes

  No

  N/A

ALL WATSON ELECTRICAL EMPLOYEES ON SITE SHALL SIGN AND DATE BELOW

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