Information
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Client / Site
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Conducted on
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Prepared by
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Location
Ensure that the jobsite is safe in accordance with the PREVENT Safety Guide:
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All Sub-contractors have a current AWAIR Program on site
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Right To Know / GHS / SDS
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Lead, asbestos, silica exposures
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Respiratory Protection (Voluntary & Required Use)
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Fall Protection (6'trigger height)
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Steel Erection (15'& 30'Trigger Heights, Controlled Decking Area, Controlled Access Below)
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Ladders (Proper Use)
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Stairways (Handrails, Steps, etc.)
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Scaffolding (10'Trigger Height for Fall Protection, decking, mud sills, safe access, secured)
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Cranes (Operator License, Inspections, Lifting Calculations, Critical Lifts)
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Hoisting & Rigging, Signalers (Must be trained/certified)
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Electrical Wiring & Equipment (Cords, Panels, Covers, Protect from Damage, Overhead Power Lines)
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Forklift Operators trained & certified 3 years, inspections, seatbelts)
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Aerial Work Platforms (PFAS, Guardrails, Secured)
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Excavations (2,4,5 rules - A,B,C Soil Types)
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First Aid & CPR (EMS Response within 4 minutes)
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Woodworking Machines (Guards in place, Push Sticks)
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Power Tools (Cords, Guards/Shields, Proper Use)
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Fire Extinguishers
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Demolition (Stability, Dust Control, Safe Access/Egress, Holes)
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Personal Protective Equipment - Proper Use
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To the Best of Your Knowledge All Other Jobsite Hazards are Controlled?
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Please Sign Here When Your Safety Inspection is Complete