Teb builders ltd

• Pre construction plan

• Client / Site

• Prepared by

Information

• Describe task to be accomplished

• Number of workers

• Housekeeping plan (trash removal, clean up, person responsible, frequency)

• Material storage & handling plan

Pre-task questions

• Does every crew member know how to use assigned tools & equipment?

  Yes

  No

  N/A

• Does this task require special training?

  Yes

  No

  N/A

• Are additional or specialty personnel needed for task?

  Yes

  No

  N/A

• Are additional or specialty tools/materials needed to complete task?

  Yes

  No

  N/A

• Adequate lighting and access?

  Safe

  At Risk

  N/A

• Does task require shutdown of systems or equipment?

  Yes

  No

  N/A

• Does task have any potential to disrupt DOA or tenant activities?

  Yes

  No

  N/A

• Will weather affect safety or quality of work?

  Yes

  No

  N/A

• Are there occupied spaces adjacent or below?

  Yes

  No

  N/A

• Have shop drawings, contract drawings or as-builds been reviewed?

  Yes

  No

  N/A

• Any discharge of fluids anticipated?

  Yes

  No

  N/A

• Any special permits/procedures required for task?

  Yes

  No

  N/A

• Crew knows location of fire extinguishers, eyewash, phone?

  Yes

  No

  N/A

• Does task require awkward positions, or heavy/repetitive lifting?

  Yes

  No

  N/A

Special conditions

• Public exposure

• Barricades/signage

• Confined space entry

• Chemical exposure

• Electrical hazards

• Lockout/tagout

• Hot work

• Critical lift plan

• MSDS/Hazcom

• Fall protection

• Hand or arm protection

• Full body protective suit

• Respirator

• Hearing protection

• Eye/face protection

• Other considerations/PPE

• Covid-19 PPE to be used

• Is policy holder vulnerable

  Yes

  No

  N/A

• Is the policy holder allowing works to proceed

  Yes

  No

  N/A

• Is there an alternative route to works area

  Yes

  No

  N/A

• Are there any access issue or restrictions

  Yes

  No

  N/A

Work activity

• Additional information

  Yes

  No

  N/A

Personnel

• Surveyor name

  Sign

• Date & time

  Date

• IF WORK CONDITIONS CHANGE, WORK MUST CEASE, AND A NEW PLAN MUST BE COMPLETED.