Red Tail Towers JSA

• Job Number

• Tower Site ID

• Longitude

• Latitude

• Date

  Date
• Site Address
  Address

• Supervisor / Competent Person

• Check Work Being Performed

• Line and Antennas

• Tower Erection

• Civil

• Electrical

• Maintenance

• Other

• Describe elevation/site terrain/environmental concerns of hazards

• Name

• Company

  Select

• Compentent Climber/Rescue

  Yes

  No

  N/A

• CPR/First Aid Certified

  Yes

  No

  N/A

• List telephone numbers and attach directions to the site:

  Drawing

• Are 911 systems functional with cell phone use?

  Yes

  No

  N/A

• Rescue Procedures to be used:

• Fire Department

• Internal Crew (crew has to be properly trained in tower rescue)

• Other

• Site Specific Rescue Plan (use separate sheet of paper, if necessary)

• Ambulance

• Fire

• Police

• Local ER/Hospital

• Local Occupational Clinic

• Telephone Company

• Utility Company

• Evacuation Point

• Communication Point

Physical Hazards

• Falls from Elevations

• Slips, Trips, or Falls

• Vehicle Traffic

• Electrical Cut-Overs

• Electrical

• Underground Utilities

• Elevation/Site Terrain

• Intrusive Activity (Circle)

• Drilling

• Soil Excavation

• Material Handling

• Heavy Equipment

• Overhead Utilities

• Permit Required

• Confined Space

• Night Work

• Hot Work

• Fire Hazards (Circle)

• Combustible Materials

• Fuel/Gas Containers

• Other

Health Hazards

• Heat Stress

• Cold Stress

• High Noise (<85 dBA)

• Silica Exposure (concrete cutting)

• Lifting Hazards

• Chemical Exposure

• EME/RF

• Other:

PPE/Monitoring Equipment

• Hard Hats

• Safety Glasses

• Hearing

• Fall Protection

• RF Suits

• RF Monitors

• Face Shields

• Apron

• High Viz Vest/Clothing

• Safety Toed Shoes

• Electrical Gloves

• Insulated Tools

• Gloves (i.e. leather, mechanical, cut resistant)

• Other

• Notify your HSE Manager before entering a trench/excavation that is great than 5' deep

• Notify your HSE Manager before entering a Permit Required Confined Space

• Notify your HSE Manager prior to performing night work (periods of darkness change with the seasons)

Inspections

• Tools/Equipment

• Housekeeping

• Ground Fault Protection

• Hoists

• PPE

• Ladders

• Rigging

• Tag Lines

• Gin Poles

• Ropes

• PFAS

• Other

• Notify your HSE Manager before entering a trench/excavation that is greater than 5' deep

• Notify your HSE Manager before entering a Permit Required Confined Space

• Notify your HSE Manager prior to performing night work (periods of darkness change with the seasons)

Safety Program/Training

• Tailgate Meeting

• Site Signage

• Lockout/Tagout

• Excavation Log

• Permit System (hoisting personnel)

• Notify your Health and Safety Manager before entering a trench/excavation that is greater than 5' deep.

• Notify your Health and Safety Manager before entering a Permit Required Confined Space

• Notify your Health and Safety Manager before performing night work (periods of darkness change with the seasons)

• Task 1

• Task 2

• Task 3

• Task 4

• Task 5

• Task 6

• Task 7

• Task 8

• Task 9

• Task 10

• Hazard 1

• Hazard 2

• Hazard 3

• Hazard 4

• Hazard 5

• Hazard 6

• Hazard 7

• Hazard 8

• Hazard 9

• Hazard 10

• Control 1

• Control 2

• Control 3

• Control 4

• Control 5

• Control 6

• Control 7

• Control 8

• Control 9

• Control 10

General RF Site Requirements

• All employees or subcontractors entering into an environment that meets the criteria of the FCC/OET Bulletin 65, as a Controlled Environment, must adhere to the following requirements:

• All personnel must have annual RF site safety awareness training

• All personnel must be able to read and understand RF site signage

• All personnel must have authorized access to the RF site

• Personnel must have means of determining Maximum Permissible Exposure (MPE) levels at each work location

• Personnel must monitor MPE level requirements of the OET Bulletin 65 and other transmitting frequencies they may be exposed to

Site Specific RF Requirements

• MPE Data will be determined by the use of an RF monitor

• S/N:

• MPE %:

• S/N:

• MPE %:

• Maximum MPE level recorded at work location

• If MPE readings are 100% or above, all personnel must remove themselves from the RF field and contact their safety representative for further guidance

Controlling Methods for Limiting RF Exposure (Check all that apply)

• Reduce power levels of transmitting antenna

• Full removal of power from transmitting antenna/sector

• Administer Lock-out/Tag-out procedures

• Personnel Protective Equipment (RF Suit)

• Type of Tower/Rooftop

• Type of Equipment Mount

• Fall protection to be used

• Full Body Harness

• Double Leg or Two Lanyards

• Rope Grab

• Cable Grab

• Retractable Lifeline

• Anchorage Straps

• Ropes

• Descenders

• 1. Has each employee inspected his or her fall protection equipment?

  Yes

  No

  N/A

• 2. Describe the fall protection system to be used when accessing antenna booms or performing tower erection:

• Hoisting Equipment to be used:

• Personnel Platform/Manbasket

• Crane/Boom Truck

• Capstan Hoist

• Gin Pole

• Winch

Onsite Personnel

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign