Information
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Job Name and Number
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Plan Number and Creator
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Activity
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Conducted on
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Prepared by
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Location
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Foreman
Crew Review
SHEMS MMR
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Check box if you participated in the job sites SHEMS Monthly Management Review as part of your ESSV
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Comments regarding the review meeting.
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Photo of sign in sheet
Crew review / ESSV
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1. Are all Crew members present, signed off on the DJB and engaged as part of the review process?
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2. What Environmental, Health & Safety (EH&S) issues did you discuss today during your DJB?
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3. Are all the relevant inspections/permits completed for the current activity? (Hot works, confined space, excavation, AWP, Etc.)
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4. Did the crew participate in stretch and Flex today?
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5. What ongoing EH&S issues will you encounter while you are performed your work?
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6. What are some of the risks associated with upcoming tasks in this activity? How does the crew plan to address them and is this indicated on the Construction Plan?
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7. Are there any conditions being created that need to be addressed in order to lower our impact on the environment or the community in which work is taking place?
Observations
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PPE
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Housekeeping
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Scaffold and ladders
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Power/Hand tools:
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Vehicle/Equipment inspection
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Eye Wash Stations
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Rebar Exposure
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HazCom (Labels, Containment, SDS)
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Fire/Hot work safety
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Electrical
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Rigging
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Excavation
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Demolition
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Confined space
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Lock out/Tag out
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MPT
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Fall Protection/Fall Arrest systems
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Cell Phone policy
Sign Off
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Foreman's Signature
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Auditor's signature
