Triple T's Linings Site Reports

• Company Name

• Location Name

• county

• Conducted on

  Date
• Location
  Address

Triple T Linings Site Report

• Weather

  Select windy raining hot sunny cloudy

  • windy
  • raining
  • hot sunny
  • cloudy

• Traffic

  Select none little bit medium heavy

  • none
  • little bit
  • medium
  • heavy

• Number of guys in site

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14

• Type of Task

  Select Sandblasting backhoe services

  • Sandblasting
  • backhoe services

• JSA and Tailgate meeting were completed prior starting task<br>

  Yes

  No

  N/A

• all PPE require is being used and worn as require

  Yes

  No

  N/A

• All crew members were wearing FR as require

  Yes

  No

  N/A

• Confine space permit has pass all pre entry requirements

  Yes

  No

  N/A

• Fire Extinguishers and First Aid kits are available in company trucks

  Yes

  No

  N/A

• All PPE for confine space being present and used

  Yes

  No

  N/A

notes and photos

• photos

  Media

• Notes of site observations

• Hazards in site

• signature of Inspector

  Sign

personal protective equipment required for Mitigation

• safety glasses

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• FR Clothing

  Yes

  No

  N/A

• gloves

  Yes

  No

  N/A

• h2s monitor

  Yes

  No

  N/A

• respirators

  Yes

  No

  N/A

Practices ,Permits , Process

• hot work permit

  Yes

  No

  N/A

• Confine space permit

  Yes

  No

  N/A

• excavation

  Yes

  No

  N/A

• site orientation

  Yes

  No

  N/A

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