Title Page
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Date:
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Superintendent / Foreman:
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Operation:
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Conducted by:
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Location:
HAZARD ASSESSMENTS / PLANS:
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Does the crew have a current and relevant JHA?
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Is the JHA specific to the work being done?
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Is everyone signed off on the JHA?
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Has hand injury potential been captured on the JHA?
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Has the Superintendent signed off on the JHA?
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Is the work plan available at the operation and does it have adequate information?<br>(Silica plans, fall protection plans, engineered drawings, GDP permits)
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Has changed been identified and managed?
EMERGENCY RESPONSE AND PREPAREDNESS:
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Is an emergency rescue plan in place?
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Has the crew performed a mock drill or rescue?<br>(For long term operations eg: 1627, south demo)
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Is the rescue plan understood and available to the crew?
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Are there enough fire extinguishers available for the operation?
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Are fire extinguisher inspections up to date?
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Is the first aid and medical information posted or available with the operation?
PERSONAL PROTECTIVE EQUIPMENT:
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Is everyone wearing the appropriate PPE?
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Is specific PPE covered on JHA (if required)?
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Are the proper gloves being used for the work being done?
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Are respirators in good working order?<br>(Not damaged, clean and maintained)
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Are workers clean shaven when using respirators?
HOUSEKEEPING AND ACCESS
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Does the stair tower have weekly inspection tag and checklist complete?<br>(Inspection binder must be in area with stair tower)
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Is the worksite clean and organized?<br>(material on dunnage, square to the world, clear from paths of travel)
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Are garbage cans or skip boxes available and/or being maintained?
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Have tripping hazards been removed or managed from the work area?<br>(Rocks and debris, cords and hoses, dunnage)
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Ladders secure from inadvertent movement?
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Does the trench/excavation have an access of 4:1 or a safe means of entry?
POWER/HAND TOOLS
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Are the guards and handles being used on power tools?<br>
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Are blades and grinding discs being removed and stored properly?
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Are trigger locks removed from power tools?
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Are damaged tools taken out of service?
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Have electrical cords and power tool cords been inspected, tested and taped as per the quarterly inspections?
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Are the right hand tools being used for the task being performed?
FALL PROTECTION:
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Have harnesses been inspected and documented prior to use?
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Are harnesses worn properly?<br>(D-ring between shoulder blades, chest strap at chest height, leg straps snug)
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All retractables and life lines in good working condition and stored in a clean, dry location?
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Proper signage in place for working at heights?
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Handrail in place and maintained?
HUMAN EQUIPMENT INTERFACE:
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Has two way communication been established between operator and ground personnel?
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Are active work area signs in place to minimize traffic passing through the operation?<br>(Where applicable)
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Does JHA cover specific crush points between workers and equipment?
CRANES AND RIGGING:
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Is the on the spot lift plan completed and accurate?
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Are swing radius guards in place?
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Is there a designated rigger and/or signalman?
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Has the rigging been inspected as per the project policy?
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Is the rigging being used in good condition?
Who is the first Aider for your operation and what's the contact number?
Who is your CVIS Representative?
General Comments:
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Supervisor sign off:
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Foreman sign off:
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Email inspection to PMH1safety@pmh1.ca and your supervisor in order to receive credit for your weekly inspection.