Safety Meeting

• B.Rocke Landscaping

• Safety Meeting

• Client / Site

• Conducted on

  Date

• Prepared by

• Safety Representative

• First Aid Attendant(s)

• Muster Point

• Construction Site Sinage

  OK

  Fix

• Contact numbers

  OK

  Fix

• MSDS Sheets

  OK

  Fix

• First Aid Kit

  OK

  Fix

• Fire Extinguisher

  OK

  Fix

• Emergency Plan

  OK

  Fix

• Communication Device

  OK

  Fix

• Excavation permit/Utility locate

  OK

  Fix

• Public Protection

  OK

  Fix

• Workplace Safety & Health Act & Registration

  OK

  Fix

Inspection

People

• Unsafe acts

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Unsafe work procedures

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Improper tool use

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Improper equipment use

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Not using PPE

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Not Following Safety Rules

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Operator Authorization

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

Equipment

• Ladders

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Heavy machinery

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

  Select Skidsteer 1,000lb Plate Compactor Other

  • Skidsteer
  • 1,000lb Plate Compactor
  • Other

• Other Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Power tools

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

  Select Cut-Off Saw Plate Packer Sod Cutter Power Broom Pressure Washer Other

  • Cut-Off Saw
  • Plate Packer
  • Sod Cutter
  • Power Broom
  • Pressure Washer
  • Other

• Other Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Adequate supply of PPE

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Fire Extinguisher

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Electrical

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

Materials

• Housekeeping

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Controlled products

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazards: Controlled Products

  Select Ansul Fire Extinguisher Aquascape Foam Cleaner Aquascape Waterfall Foam Cat Hydo Advanced 10 Chevron Automatic Transmission Fluid Clear Coat Sealer Diesel Kleen Diesel EPDM Tape Primer Excel Marking Paint Exide Battery Fire Rock Adhesive Mortar Fish Safe Black Silicone Gasoline Krylon Marking Paint Motomaster Automatic transmission fluid NCA 740 Debonding Agent PL Premium Plews Multi-Purpose Grease Polybind Block Bond Polybind Sand Quickcrete Masonry Mortars Quickcrete Readymix Removall Rustoleum Marking Paint Stihl Two Stroke Engine Oil Univar Xylene WD-40 (aerosol) Other

  • Ansul Fire Extinguisher
  • Aquascape Foam Cleaner
  • Aquascape Waterfall Foam
  • Cat Hydo Advanced 10
  • Chevron Automatic Transmission Fluid
  • Clear Coat Sealer
  • Diesel Kleen
  • Diesel
  • EPDM Tape Primer
  • Excel Marking Paint
  • Exide Battery
  • Fire Rock Adhesive Mortar
  • Fish Safe Black Silicone
  • Gasoline
  • Krylon Marking Paint
  • Motomaster Automatic transmission fluid
  • NCA 740 Debonding Agent
  • PL Premium
  • Plews Multi-Purpose Grease
  • Polybind Block Bond
  • Polybind Sand
  • Quickcrete Masonry Mortars
  • Quickcrete Readymix
  • Removall
  • Rustoleum Marking Paint
  • Stihl Two Stroke Engine Oil
  • Univar Xylene
  • WD-40 (aerosol)
  • Other

• Other Controlled Products

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Controls: Employee Training, MSDS Sheets, Product Labels

• Other Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• MSDS Sheets

  OK

  Fix

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Storage / Stacking

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Rough Edges

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Heavy materials

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Safety manual

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

Environment

• Noise

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Ventilation

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Lighting

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Temperature

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Ice / snow

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Slip / trip hazards

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

• Fall hazards

  Safe

  At Risk

  N/A

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

Additional Hazards

• Hazard Assessment

Hazard

• Hazard

• Severity

  1-Immediate

  2-Serious

  3-Minor

  4-Negligable

  5 - Not applicable

• Probability

  A-Probable

  B-Reasonably Probable

  C-Remote

  D-Extremely Remote

• Control

• Resolved

  Yes

  No

  N/A

• To be resolved by

  Date

• Person(s) responsible

Attendance

Person

• Personnel type

  Employee

  Sub-contractor

  Client

  Supplier

  Inspector

• Add signature

  Sign

• PPE is present and in good working order

  Select Dress Code Protective Footwear Hearing Protection Protective Headwear Protective Eyewear High Visibility Apparel Protective Gloves Other

  • Dress Code
  • Protective Footwear
  • Hearing Protection
  • Protective Headwear
  • Protective Eyewear
  • High Visibility Apparel
  • Protective Gloves
  • Other

• Describe other

• Reviewed emergency plan

• Company

• Add signature

  Sign

• PPE is present and in good working order

  Select Dress Code Protective Footwear Hearing Protection Protective Headwear Protective Eyewear High Visibility Apparel Protective Gloves Other

  • Dress Code
  • Protective Footwear
  • Hearing Protection
  • Protective Headwear
  • Protective Eyewear
  • High Visibility Apparel
  • Protective Gloves
  • Other

• Describe other

• Reviewed emergency plan

Toolbox Talk

• Discussion topic

Topic Discussed

• Topic Discussed

• Worker comments

• Corrective action taken