Information
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Job Site
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Project Description
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Conducted on
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Prepared by
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Foreman
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Crew Members
Cuts, Scraps and Abrasions (PPE)
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Safety Glasses
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Face Shield
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Hearing Protection
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Safety Shoes
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Hard Hat
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Respiratory Protection
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Safety Vest
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Correct Gloves For The Task
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Jewelry Standard Being Followed
Slips, Trips and Falls
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No Tripping Hazards
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No Slippery Working Surfaces
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No Unprotected Head Knockers
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Proper Lighting
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Cords Properly Taped and Routed Overhead
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GFCI Circuits In Use
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Ladders Used Properly & In Good Working Condition
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Scaffolding Erected Properly
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Fall Protection Properly Inspected
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Full Body Harness In Use - Post Fall Rescue Plan Complete
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Proper Tie Off - Aerial Lift OSHA Compliant
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Safety/Ground Watch Required and In Place
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Signs And Barricades In Place
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Area Clutter Free / Good Housekeeping Standards
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Materials Stored Properly
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MSDS On Site And Available
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Equipment And Tools Properly Stored After Use
Lock Out / Tag Out
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Gang Box In Use
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Individual Locks In Use
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Confined Space Entry Permit(s) Required
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Line Breaking Permit Issued
Fire Prevention
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Hot Work Permit(s) Completed
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Fire Watch In Place
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Proper Extinguisher Readily Available
Sign Off
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Foreman On Site
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Inspector