Title Page

  • Building or Bay

  • Conducted on

  • Prepared by

  • Location
  • Are all employees wearing safety boots with outer metatarsal guards - secured in place?

  • Are all employees wearing the required hearing protection? Note: If working inside a pole they should be wearing earplugs and earmuffs. Earbuds are not allowed.

  • Are all employees wearing company issued safety glasses? If employee does not have prescription safety glasses they are required to wear the yellow shade safety glasses with gaskets. If employees have prescription glasses they are required to have gaskets or shaded OTG protection.

  • Are all employees handling materials wearing approved gloves?

  • GRINDING: Are all employees who are grinding wearing the standard PPE, along with a face shield and approved material handling gloves?

  • WELDING and TACKING: Are all employees who are welding wearing the standard PPE, along with welding helmet, welding gloves, and welding jacket or sleeves?

  • AIR WAND USAGE: Is employee wearing standard PPE along with face shield and material handling gloves?

  • YARD: Are all employees in the yard wearing the standard PPE and reflective vest/clothing?

  • NOTES:

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