TVA - FLAGGER'S PRE-JOB CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Before leaving for the job site, check the following:

STOP/SLOW Paddle

• Clean

  Yes

  No

  N/A

• Sign at least 18" x 18"?

  Yes

  No

  N/A

• Rigid Handle at least 5 ft. High.

  Yes

  No

  N/A

• Retroreflective if used at night

  Yes

  No

  N/A

Flag

• Good Grade Red/Orange Material?

  Yes

  No

  N/A

• Flag at least 18" x 18"?

  Yes

  No

  N/A

• Staff at least 3 ft. Long?

  Yes

  No

  N/A

• Retroreflective if used at night?

  Yes

  No

  N/A

• Weighted?

  Yes

  No

  N/A

• Used for Emergencies Only?

  Yes

  No

  N/A

High-Visibility Safety Apparel

• ANSI Class 2 apparel for daytime work?

  Yes

  No

  N/A

• ANSI Class 3 apparel for nighttime work?

  Yes

  No

  N/A

• Proper Colors?

  Yes

  No

  N/A

• Clean?

  Yes

  No

  N/A

• Hard Hat?

  Yes

  No

  N/A

• Does it protect you from the elements?

  Yes

  No

  N/A

Communication Devices

• Two-Way Radio?

  Yes

  No

  N/A

• Flag for token method?

  Yes

  No

  N/A

• Extra Batteries?

  Yes

  No

  N/A

Other

• Air Horn?

  Yes

  No

  N/A

• Whistle?

  Yes

  No

  N/A

• Water?

  Yes

  No

  N/A

• Snacks?

  Yes

  No

  N/A

• Pencil and Paper?

  Yes

  No

  N/A

• Comfortable shoes?

  Yes

  No

  N/A

• Sun protection?

  Yes

  No

  N/A

• Gloves?

  Yes

  No

  N/A

• Bug spray?

  Yes

  No

  N/A

• First-Aid Kit

  Yes

  No

  N/A

• Flagger Handbook?

  Yes

  No

  N/A

• Have you asked your Supervisor all your questions?

  Yes

  No

  N/A

• Do you have a way of contacting your Supervosor?

  Yes

  No

  N/A

• Have you received the proper training to perform this job?

  Yes

  No

  N/A

At the job site, before starting the flagging operation, if applicable:

• Are you wearing your at least ANSI 107 Class 2 high-visibility safety apparel and hard hat?

  Yes

  No

  N/A

• Is your Air Horn easily accessible?

  Yes

  No

  N/A

• Have you told your fellow workers how you plan to warn them?

  Yes

  No

  N/A

• Is there at least a FLAGGER AHEAD sign ahead of you?

  Yes

  No

  N/A

• If in rural area, is the sign at least 500 feet ahead of you?

  Yes

  No

  N/A

• Can you effectively communicate with the other flagger(s)?

  Yes

  No

  N/A

• Is your radio working properly?

  Yes

  No

  N/A

• Are you clearly visible to oncoming traffic?

  Yes

  No

  N/A

• Are you on the shoulder and away from moving traffic?

  Yes

  No

  N/A

• Are you giving the proper signals to oncoming drivers?

  Yes

  No

  N/A

• STOP

• RELEASE

• SLOW

• Have you expressed any concerns to your Supervisor?

  Yes

  No

  N/A

• Have you identified your escape route?

  Yes

  No

  N/A

• Are there a transition (taper) and a buffer space between you and the work space?

  Yes

  No

  N/A

• Proper devices (such as cones).

  Yes

  No

  N/A

• Taper should be no longer than 100 feet long.

  Yes

  No

  N/A

• Buffer should be between 200 and 500 feet (check with the supervisor).

  Yes

  No

  N/A

• Do not leave your post.

  Yes

  No

  N/A

In case of a violation:

• Protect yourself FIRST!

  Yes

  No

  N/A

• Alert other workers (air horn).

  Yes

  No

  N/A

• Maintain your post.

  Yes

  No

  N/A

• Note information about the violator, if possible.

  Yes

  No

  N/A

• Notify your Supervisor.

  Yes

  No

  N/A