Job Site Safety Plan

• Prepared by

• Job Number

• Group:

  Select PTS BSG BHD CSS BSG FSG UCS Other

  • PTS
  • BSG
  • BHD
  • CSS
  • BSG
  • FSG
  • UCS
  • Other

• Project Manager/Project Manager Phone

• Site Lead/Site Lead phone

• Technical Operations Director/Tech OPS Phone

• Job Site address
  Address

• Job Site Contact Ph. Number

Checklist

• Project Manager OSHA 30 certified?

  Yes

  No

  N/A

  Notes

• Equipment safety checks completed?

  Yes

  No

  N/A

  Notes

• Hard hats required?

  Yes

  No

  N/A

  Notes

• High visibility clothing required?

  Yes

  No

  N/A

  Notes

• Emergency facilities identified?

  Yes

  No

  N/A

  Notes

• Safety harnesses / lanyards required

  Yes

  No

  N/A

  Notes

• Briefed on housekeeping?

  Yes

  No

  N/A

  Notes

• Rally point identified?

  Yes

  No

  N/A

  Notes

• Will people be in a confined space?

  Yes

  No

  N/A

  Notes

• Installation technicians OSHA 10 certified?

  Pass

  Fail

  N/A

  Notes

• Faulty equipment tagged and removed from site?

  Pass

  Fail

  N/A

  Notes

• Safety glasses required?

  Yes

  No

  N/A

  Notes

• Gloves required?

  Yes

  No

  N/A

  Notes

• First aid supplies readily available?

  Yes

  No

  N/A

  Notes

• Workers dressed properly for the job?

  Yes

  No

  N/A

  Notes

• Briefed on Fire Protection?

  Yes

  No

  N/A

  Notes

• All power tools in good condition?

  Yes

  No

  N/A

  Notes

• First aid numbers provided to all workers?

  Yes

  No

  N/A

  Notes

• Local Treatment Facility Name/Phone

• Local Treatment Facility Address
  Address

• Technical Innovation Human Resources: Suzanna Boylan PH: 770-441-5105
  Technical Innovation Safety Officer: Gregory Haines PH: 770-441-5283 Cell 770-866-3105

• Note: This safety inspection checklist is not designed to supersede existing safety inspection checklists, rather it should be used only as a general guideline.