Mid-American Group, Safety Observations

• Daily Safety Observation Tour

• Client / Site / Contractor

• Conducted on

  Date

• Prepared by

• Craft being Observed

Employee Daily Interview Questions

• Did the worker attend at least 1 DTE job-briefing prior to starting work?

  Yes

  No

  N/A

• Take a picture of the sign-in sheet.

  Media

• Is worker following the work instructions?

  Yes

  No

  N/A

• Has the MAG Safety Pre-Job Brief been conducted and available for review?

  Yes

  No

  N/A

• Is the Green Job Packet at the work location?

  Yes

  No

  N/A

• Work Order #

  Yes

  No

  N/A

• Can the worker explain the potential hazards?

  Yes

  No

  N/A

• What step or steps are being completed?

  Yes

  No

  N/A

• S.T.A.R. (Stop, Think, Act, Review)?

  Yes

  No

  N/A

• Did this discussion create changes to the process, JSA and/or job packet?

  Yes

  No

  N/A

Job Site Safety & Communication Board

• Job Site Safety Org. chart updated, current and posted

  Yes

  No

  N/A

• Responsible people identified on the org. chart

  Yes

  No

  N/A

• Emergency phone numbers posted

  Yes

  No

  N/A

• Any safety postings?

  Yes

  No

  N/A

Personal Protective Equipment

• Safety Glasses, Hard Hats, Gloves and Kevlar Sleeves (if required)

  Yes

  No

  N/A

• Proper shoes, trousers and shirts

  Yes

  No

  N/A

• Other PPE as per Job Packet or Site Specific

  Yes

  No

  N/A

Housekeeping and Sanitation

• General neatness of the working areas

  Yes

  No

  N/A

• Drill dust cleaned up as it is generated

  Yes

  No

  N/A

• Passageways and walkways clear

  Yes

  No

  N/A

• Proper barricading in-place as required

  Yes

  No

  N/A

• Waste containers provided

  Yes

  No

  N/A

• Adequate lighting provided

  Yes

  No

  N/A

Fire Prevention

• Fire extinguishers adequate/identified and correct

  Yes

  No

  N/A

• Storage use and handling of flammable and combustible liquids in accordance with standards

  Yes

  No

  N/A

• Hot Work permit posted at work area

  Yes

  No

  N/A

• Clearance, proper mounting/ventilation for temporary heat

  Yes

  No

  N/A

• Proper use and storage of gas cylinders

  Yes

  No

  N/A

Hand Tools

• Proper tool for each job

  Yes

  No

  N/A

• Neat and secure storage area

  Yes

  No

  N/A

• Are all tools in good repair

  Yes

  No

  N/A

Power Tools

• Are all tools in good repair

  Yes

  No

  N/A

• All power tools properly guarded

  Yes

  No

  N/A

• GFCI's used on all 120V power tools

  Yes

  No

  N/A

Ladders

• Ladders are inspected and in good condition

  Yes

  No

  N/A

• Step Ladders fully opened when in use

  Yes

  No

  N/A

• 4ft rule being utilized

  Yes

  No

  N/A

• Ladders are equipped with safety footings

  Yes

  No

  N/A

Cranes

• Annual certification on-site along with daily inspection log

  Yes

  No

  N/A

• Approved slings, chains, hooks and eyes

  Yes

  No

  N/A

• Outriggers down and matted/pads. Cranes properly set-up w/swing radius controlled.

  Yes

  No

  N/A

• Power lines or other hazards identified and controlled

  Yes

  No

  N/A

• Adequate communication

  Yes

  No

  N/A

• Work area is properly barricaded where the crane is being utilized

  Yes

  No

  N/A

Mobile Equipment

• Inspection log in use and current

  Yes

  No

  N/A

• All Personnel transported in safe manner

  Yes

  No

  N/A

• Work area is properly barricaded where the aerial lift is being utilized

  Yes

  No

  N/A

• Ground person has visual contact with aerial lift operator

  Yes

  No

  N/A

Fall Protection

• All at risk personnel properly using Full Body Harness

  Yes

  No

  N/A

• Proper lanyard used for the task

  Yes

  No

  N/A

• Proper anchor point and attachment device used

  Yes

  No

  N/A

• Properly tied off in the man lift

  Yes

  No

  N/A

LockOut/TagOut

• One lock per person

  Yes

  No

  N/A

• All Electrical power LO/TO

  Yes

  No

  N/A

• All compressed air lines LO/TO

  Yes

  No

  N/A

• All locks tagged with Name and Phone #

  Yes

  No

  N/A

• Pictures

  Media

• Signature

  Sign