Management Job Site Interaction

• Job Site Name/Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Company

  Select HJ Foundation EB Construction

  • HJ Foundation
  • EB Construction

General Job Site Safety

• Has the Daily Task Analysis/Toolbox Talk & Equipment Inspections been properly filled out and signed?

  Yes

  No

  N/A

• Do all employees have the proper PPE for the task being preformed? Do all employees have gloves on their person?

  Yes

  No

  N/A

HJ Foundation [Focus 4]

• Is the working level and stable?

  Yes

  No

  N/A

• Is the correct rigging being used for the task? Is the rigging in good working condition?

  Yes

  No

  N/A

• Are all necessary precautions being employed for working at heights? Are open holes properly marked and/or covered?

  Yes

  No

  N/A

• Are all necessary precautions being employed to prevent struck by/caught in-between hazards?

  Yes

  No

  N/A

Quality

• Is the job site clean [trash, excess spoils, etc.]?

  Yes

  No

  N/A

• Is the Conex/Truck clean and orderly? Are all tools stored properly and shelves labeled?

  Yes

  No

  N/A

Discussion Topics

• Do all employees know the HJ Way for the week? Do all employees know the Weekly Safety Focus? Do all employees know the Keller Safety Principals [M.A.N.]?

  Yes

  No

  N/A

• Are employees aware of the Stop Work Authority program? Do all employees know what S.A.F.E. stands for?

  Yes

  No

  N/A

Feedback/Opportunities For Improvement

• Add media

  Media

• Management employee

  Sign

• Superintendent/Foreman

  Sign

General Safety

• Has the Daily Task Analysis/Toolbox Talk & Equipment Inspections been properly filled out and signed?

  Yes

  No

  N/A

• Do all employees have the proper PPE for the task being preformed? Do all employees have gloves on their person?

  Yes

  No

  N/A

EB Construction [Focus 4]

• Does the excavation meet OSHA standards? Was an excavation inspection completed?

  Yes

  No

  N/A

• Is the correct rigging being used for the task? Is the rigging in good working condition?

  Yes

  No

  N/A

• Are all necessary precautions being employed to prevent struck by/caught in-between hazards?

  Yes

  No

  N/A

• Was Stretch and Flex completed? Are all employees using proper lifting techniques?

  Yes

  No

  N/A

Quality

• Is the job site clean [trash, excess spoils, etc.]?

  Yes

  No

  N/A

• Is the working area secured and proper signage posted?

  Yes

  No

  N/A

Discussion Topics

• Do all employees know the HJ Way for the week? Do all employees know the Weekly Safety Focus? Do all employees know the Keller Safety Principals [M.A.N.]?

  Yes

  No

  N/A

• Are employees aware of the Stop Work Authority program? Do all employees know what S.A.F.E. stands for?

  Yes

  No

  N/A

Feedback/Opportunities For Improvement

• Add media

  Media

• Management Employee

  Sign

• Superintendent/Foreman

  Sign