SoCal Deck Release

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Signature

  Sign

• Has access been provided to each working floor?

  Yes

  No

  N/A

• Is proper housekeeping being maintained by Southland, General Contractor, or other trades?

  Yes

  No

  N/A

• Has the new decking been properly secured to the floor?

  Yes

  No

  N/A

• Are the guardrails installed completely around the perimeter of the building?

  Yes

  No

  N/A

• Are all floor holes larger than 2 inches properly covered?

  Yes

  No

  N/A

• Is the deck above the working floor completely covered?

  Yes

  No

  N/A

• Are shaft openings properly protected?

  Yes

  No

  N/A

• Is adequate (natural or supplemental) illumination being provided?

  Yes

  No

  N/A

• Does any part of the deck need to be barricaded?

  Yes

  No

  N/A

• Is there any hazardous work (welding, etc.) taking place on the working floor?

  Yes

  No

  N/A

• Are there any sparks or other hazards falling through the floor from above?

  Yes

  No

  N/A

Tasks / Activities

• Layout

• Inserting

• Cutting or Drilling

Equipment

• Ladders

• Scissors-Lifts / Boom-Lifts

• Scaffolding

Tools

• Power Tools

• HILTI Tools

• Lasers - Trimble

Fall Hazards

• Roof Top

• Other Fall Hazards

Safety Precuations

• Fire Extinguisher

• Supplemental Ventialtion

• Hole Covers

• Task Lighting

• Material Handling Aids

• Shade / Water (Heat Illness Prevention)

• Other

Personal Protective Equipment

• Goggles - Faceshield

• Personal Fall Arrest System

• Fire-Resistant Clothing / Gloves

• Disposable Respirator

• Hearing Protection

• Other

• Review applicable JHAs before starting work (Inserting, Roof Work, etc.)

  Yes

  No

  N/A

• Gang boxes should be set on plywood and blocked to prevent movement/tipping while on the deck.

  Yes

  No

  N/A

• Trip hazards should be properly marked to the extent possible.

  Yes

  No

  N/A

• Extra caution must be used on the uneven deck, mesh, around the inserts and other trip hazards.

  Yes

  No

  N/A

• Don't run. Do not walk backwards. Avoid carrying items that block your view.

  Yes

  No

  N/A

Signature of Safety Representative

• Add signature

  Sign