PRSI Daily Hazard Analysis & Safety Talk

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

• Communicate With Your Crew About Today's Scope of Work

Identify & Verbalize Known Risks for Today

• Underground Utilities/Locates

  Safe

  At Risk

  N/A

• Pedestrian Hazards/Bike Lane

  Safe

  At Risk

  N/A

• Trucking Operations

  Safe

  At Risk

  N/A

• Grade Obstructions

  Safe

  At Risk

  N/A

• High Heat/Heat Illness

  Safe

  At Risk

  N/A

• Lack of Pre-Planning

  Safe

  At Risk

  N/A

• Overhead Power Lines

  Safe

  At Risk

  N/A

• Traffic Controls

  Safe

  At Risk

  N/A

• Other Contractors

  Safe

  At Risk

  N/A

• Traffic Volume

  Safe

  At Risk

  N/A

• Blind Spots

  Safe

  At Risk

  N/A

• 4 Factors - Rushing, Distraction, Complacency, Frustration

  Safe

  At Risk

  N/A

• Dusty Conditions

  Safe

  At Risk

  N/A

• Night Work - Low Light Conditions

  Safe

  At Risk

  N/A

• Weather

  Safe

  At Risk

  N/A

• Equipment Issues

  Safe

  At Risk

  N/A

• Back Up Alarm

  Safe

  At Risk

  N/A

• Use Of Cell Phones

  Safe

  At Risk

  N/A

• Any Other Risks

  Yes

  No

  N/A

Discuss at Least One Important Safety Message & Summarize Below:

• Type in Your Safety Topic Here

• Add Any Jobsite Photos Here

  Media

• Have Everyone Sign in Here:

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