Job Safety Hazard Checklist

• Site Name

• Conducted on

  Date
• Location
  Address

Think through the Job Task

• Do you know the proper safety method to execute job start to finish?

  Yes

  No

  N/A

• Review hazardous warehouse and MSDS before starting work.

• Do you know and understand the scope of work and how to do it safely?

  Yes

  No

  N/A

• Communicate with supervisor before starting work.

• Do you have all the necessary PPE?

  Yes

  No

  N/A

• Do not start work until you have all the required PPE.

• Is this a standard working procedure/activity?

  Yes

  No

  N/A

• Review process before starting work.

• Validaed if a "Work Permit(s)" required?

  Yes

  No

  N/A

• Review permit requirements before starting work.

• Validated an action plan in case of fire or tornado?

  Yes

  No

  N/A

• Find and review site emergancy action plan before starting work.

Spot the Hazard

• Validated if LOTO be performed?

  Yes

  No

  N/A

• Review your LOTO procedure card before starting work.

• Validated the task is not working over 4 feet?

  Yes

  No

  N/A

• Review requirements for fall prevention before you start work.

• Validated exposure to 50 volts or greater?

  Yes

  No

  N/A

• Review Trane NFPA-70E requirements before starting work.

• Validated you will not have long term stooping, bending or awkward positions?

  Yes

  No

  N/A

• Review technician ergonomics before starting work.

• Validated you will not be lifting over 50lbs?

  Yes

  No

  N/A

• Review material handling before starting work.

• Validated there is no liquid, ice, loose or fixed items in work area?

  Yes

  No

  N/A

• Review slip, trips and falls before starting work.

• Validated if step or extension ladder needed to perform task?

  Yes

  No

  N/A

• Review ladder useage before starting work.

• Validated if you will be using chemicals?

  Yes

  No

  N/A

• Review HazCom before starting work.

• Is this job "Safe" or "At Risk"?

  Safe

  At Risk

  N/A

• DO NOT start work until safty hazard is cleared. Take piture of hazard.

• Use cameria phone.

  Media

Site Information