PRE-JOB BRIEF DISCUSSION

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• A job brief must be conducted by any multi-person crew before the start of each job, shift or when conditions change

• Work Location/Address:
  Address

• City/Town:

• Date:

  Date

• Gas Control Notified:

• Nearest Landmark/Crossroad:

• Dig Safe Ticket #:

• Effective Date:

  Date

• Expiration Date:

  Date

• Emergency Permit(s):

  Yes

  No

  N/A

• Permit Number(s):

• AED Location:

• Fire Extinguisher Available:

  Yes

  No

  N/A

• Monthly Inspection Conducted:

  Yes

  No

  N/A

• Cable Avoidance Tool used to sweep the area for underground electric cables:

  Yes

  No

  N/A

• Are you working within 200 feet of a regulator or gate station?

  Yes

  No

  N/A

• If yes, notify Gas Control

• Have emergency valves been located:

  Yes

  No

  N/A

• Location:

• Accessible:

  Yes

  No

  N/A

• Supervisor has been contacted if working more than 14 consecutive hours:

  Yes

  No

  N/A

Topics of Discussion: Understanding of Job and Potential Risks

• Examples of Potential Hazards:
  Slippery/Uneven Surfaces
  High Voltage
  Vertical Workspace
  Machinery: Pinch Points
  Flamm/Combust/Chemicals (SDS)
  Flying Particles
  Heat/Cold Stress / Weather Issues
  Power & Hand Tools - Noise
  Ladders, Scaffolds, Stairs, Falls
  Pressurized Systems.
  - Hydraulics / Gasses
  Members of the Public
  Lifting: Manual/Mechanical
  Awkward Posture, Force, Repetition
  Identify Potential to impact Env
  and planned response to release.

• Job Description

• Specific Hazards Associated with Job Tasks:

• Additional Notes:

Personal Protective Equipment:

• Standard PPE-HH, Safety glasses/shoes, hi vis

• Cut/Puncture Resistant Gloves

• Slip Resistant Footwear Required

• Controlled Live Gas < 10’

• Uncontrolled Live Gas < 25’

• Refer to PPE Matrix

Rigging/Securement Inspections

• Visual Inspection of slings, chains, hooks, and eye bolts for damage, kinks, corrosion, cuts

• undefined

• Load capacity of lifting equipment sufficient for task

• All loads secured for transport

• Atmospheric Testing

• Dust Control (Silica)

• Asbestos (Coal Tar Wrap)

• Adequate illumination

• IF YOU SEE SOMETHING, SAY SOMETHING, AND DO SOMETHING – REPORT NEAR MISSES

Abnormal Operating Conditions

• Atmospheric Changes in a Confined Space

• Component Failure

• Damage to Facilities, Environmental, Incident

• Escaping Gas

• Excessive Pressure

• Fire or Explosion

• Improper Odorization

• Inadequate Pressure

• No gas

• Ignition Sources

EXCAVATION LOG

• All Excavations are to be evaluated by the competent person at least once per day, prior to entry, and as needed.

• Excavation will be entered

  Yes

  No

  N/A

• If yes, excavation log required

• Excavation Competent Person:

Soil Classification

• All soil types are classified as Type C soil (least stable)
  Benching Type C soils not permitted

NOTES:

• Surface water present

• Excavation exposed to vibration

• Previously distributed soils

• Excavation contains layered solid

• Adjacent structures

• Excavation Assess/Egress compliance

• Protective System Required

  Yes

  No

  N/A

• Supervisor Notified:

  Date

• Shoring

• Trench Box (Modular)

• Timber Shoring

• Sloping

• Other

• Type C soil does not permit benching

• Estimate excavation details during the main job brief based on prints and update prior to entry

• Excavation estimated to be:

• Depth FT’ In''

• Length FT In"

• Excavation prior to entry (actual)

• Estimated Actual Depth FT’ in”

• 

Stretch & Flex

• To proactively reduce strains and sprains use * flex” Exercise
  Arm Swings – Hold arms at shoulder height, swing around front of body
  Windmills - Hold arms straight and make backward circular motions
  Head Circles – Hands on hips. Drop head forward, circle right, move left.
  Leg Stretch – Grasp leg in back of body with opposite hand. Don’t pull hard.
  Repeat Arms Swings, Windmills, and Jumping Jacks

Soft Tissue Injury Prevention

• Assess loads and job tasks

• Use proper body position

• Avoid twisting

• Use mechanical means

• Describe volunteer stretches

Work Zone Requirements

• Work Zone Set up per MUTCD

• # of Signs

• # of Cones

• Correct Signage

• Pedestrian traffic Routing

• Sidewalk Closed Yes No

  Yes

  No

  N/A

• Flagger(s)/Police Detail

• Obstacles/Terrain (slips,trips,falls)

• Swing radius of mechanical equip.

• PJB DEVLOPED/DELIVERED BY:

  Sign

• Qualified Observer Assigned for those Not Qualified on tasks being performed.
Employee Name

• Employee Name, Initials

  Sign

Post Job Brief Discussion

• 1. Were there any near misses in your work environment today? (Supervisor must take immediate action if warranted and report to Safety

  Yes

  No

  N/A

• 2. Do you have any specific pain or perceived health issues as a result of your work today? (If Yes, contact supervisor and EHS)

  Yes

  No

  N/A

• 3. Did anyone speak to you today about the safety of your work practices?

  Yes

  No

  N/A

• 4. Did you speak to anyone about the safety of their work practices?

  Yes

  No

  N/A

• ALL VISITORS TO THE JOBSITE MUST BE BRIEFED ON HAZARDS AND SIGN DOCUMENT. Signature verifies understanding of job brief and my stop work authority role.

Signature

• Name and Signature

  Sign

• After lunch and/or significant delay or shift change, job review conducted by:

  Sign

• Time:

  Date

Coordination with Adjacent Work

• Crew Leaders have reviewed scope and Sequence of work with adjacent work crew(s) to ensure Process Safety and eliminate AOC potential.

Crew

• Name and Signature

  Sign

• Supervisor Quality Review (Name, Signature, Date)

  Sign