Title Page

  • Date:

  • Superintendent / Foreman:

  • Operation:

  • Conducted by:

  • Location:

HAZARD ASSESSMENTS / PLANS:

  • Does the crew have a current and relevant JHA?

  • Is the JHA specific to the work being done?

  • Is everyone signed off on the JHA?

  • Has hand injury potential been captured on the JHA?

  • Has the Superintendent signed off on the JHA?

  • Is the work plan available at the operation and does it have adequate information?<br>(Silica plans, fall protection plans, engineered drawings, GDP permits)

  • Has changed been identified and managed?

EMERGENCY RESPONSE AND PREPAREDNESS:

  • Is an emergency rescue plan in place?

  • Has the crew performed a mock drill or rescue?<br>(For long term operations eg: 1627, south demo)

  • Is the rescue plan understood and available to the crew?

  • Are there enough fire extinguishers available for the operation?

  • Are fire extinguisher inspections up to date?

  • Is the first aid and medical information posted or available with the operation?

PERSONAL PROTECTIVE EQUIPMENT:

  • Is everyone wearing the appropriate PPE?

  • Is specific PPE covered on JHA (if required)?

  • Are the proper gloves being used for the work being done?

  • Are respirators in good working order?<br>(Not damaged, clean and maintained)

  • Are workers clean shaven when using respirators?

HOUSEKEEPING AND ACCESS

  • Does the stair tower have weekly inspection tag and checklist complete?<br>(Inspection binder must be in area with stair tower)

  • Is the worksite clean and organized?<br>(material on dunnage, square to the world, clear from paths of travel)

  • Are garbage cans or skip boxes available and/or being maintained?

  • Have tripping hazards been removed or managed from the work area?<br>(Rocks and debris, cords and hoses, dunnage)

  • Ladders secure from inadvertent movement?

  • Does the trench/excavation have an access of 4:1 or a safe means of entry?

POWER/HAND TOOLS

  • Are the guards and handles being used on power tools?<br>

  • Are blades and grinding discs being removed and stored properly?

  • Are trigger locks removed from power tools?

  • Are damaged tools taken out of service?

  • Have electrical cords and power tool cords been inspected, tested and taped as per the quarterly inspections?

  • Are the right hand tools being used for the task being performed?

FALL PROTECTION:

  • Have harnesses been inspected and documented prior to use?

  • Are harnesses worn properly?<br>(D-ring between shoulder blades, chest strap at chest height, leg straps snug)

  • All retractables and life lines in good working condition and stored in a clean, dry location?

  • Proper signage in place for working at heights?

  • Handrail in place and maintained?

HUMAN EQUIPMENT INTERFACE:

  • Has two way communication been established between operator and ground personnel?

  • Are active work area signs in place to minimize traffic passing through the operation?<br>(Where applicable)

  • Does JHA cover specific crush points between workers and equipment?

CRANES AND RIGGING:

  • Is the on the spot lift plan completed and accurate?

  • Are swing radius guards in place?

  • Is there a designated rigger and/or signalman?

  • Has the rigging been inspected as per the project policy?

  • 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:

  • Supervisor sign off:

  • Foreman sign off:

  • Email inspection to PMH1safety@pmh1.ca and your supervisor in order to receive credit for your weekly inspection.

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