Information
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Contract ID#:
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Week Ending
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Work Package(s) or Work Document(s)
Walkdown
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Checklist
Checklist
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Yes= Safe and Compliant; No= Deficiency or Non-Compliance; N/A= Not applicable
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Date:
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Location:
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Pre-job planning documents at worksite are up to date and cover activities
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Housekeeping
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Drinking Water/ Sanitation Requirements/ First Aid Kit
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Electrical (proper grounding and GFCI)
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Lock and Tag
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Hand and Power Tools (guards in place, good cords/ plugs, etc.)
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Walking/ working surfaces (including ladders, floor openings, aisle ways, and stairs)
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Proper PPE
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Vehicles (Parking/ Fire Extinguisher)
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Heavy Equipment/ Crane & Rigging equipment
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Excavation (inspection by competent person)
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Fire Extinguishers
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Permits (hot work, excavation, fall protection, etc.)
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Chemical/Storage SDSs on site with containers labeled
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Scaffold System (competent person)
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Radiological Work
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General area barricading/ Warning signs
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Weekly Focus/ Safety Tailgate
Comments/Corrective Action
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• Note all deficiencies or non-compliance in comment section
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• Note all items corrected on the spot and also any that need follow up resolution. (Consider initiating a Condition Report)
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• DOCUMENT safety and health inspection results, including results that identify existing and potential safety and health hazards and non-compliances, as well as general observations of unsafe acts or behaviors.
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• COMMUNICATE results of the safety and health inspection performance to Project Management.
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Work Performed:
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Comments:
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Craft Person(s) if applicable:
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FWS/Superintendent:
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Follow up resolution required?
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Safety Signature
Work Week Completion
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Week End Sign off