Title Page

  • CONTRACTOR Name

  • Job task(s) deign performed

  • Conducted on

  • Completed by

  • Sevier
  • Is proper PPE being worn for the task, i.e. safety glasses, goggles, hearing protection, faceshield, gloves, etc?

  • All required permits are completed and posted ( i.e., hot work, line breaking, confined space, live electrical, crane)?

  • Contractor employee(s) following proper LOTO?

  • Are hand tools and portable power tools are in good, safe condition?

  • Is fall protection being worn and tied off properly (required when working above 4 feet, unguarded)?

  • Each contractor has signed in log and is properly badged<br> <br>

  • Is contractor using a fixed blade knife?

  • If flammable liquids are being used are they in approved containers and kept closed?

  • Are compressed gas e properly secured to keep from tipping?

  • Work area is properly barricaded, zoned off, etc. to isolate area.

  • Have chemicals brought on site have been properly approved by EHS

  • Contractor following all appropriate procedues to prevent spills or other environmental issues?

  • Overall, employee(s) are exhibiting good, safe behaviors in the tasks that they <br>

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.