Information
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Branch Office
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Project Number
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Project Name
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Project Manager
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Foreman
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Foreman Signature
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Conducted on
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Location
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Crew Member Signature
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Crew Member Signature
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Crew Member Signature
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Crew Member Signature
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Weekly Toolbox Talk Complete
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Toolbox Topic
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Did the crew stretch before work began?
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Did all Employees show up injury free?
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Does everyone have all necessary PPE?
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Have all equipment inspections been documented?
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Aerial Lift (Boom Lift / Scissor Lift)
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Forklifts
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WSFP Vehicles
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Yesterdays goals achieved?
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Goals for today?
Safety Hazards:
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Struck By
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Slips / Trips / Falls
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Strains / Sprains
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Cuts / Lacerations
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Flying Paricles
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Lifts
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Electrical
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Fire
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Water
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Other Hazards:
Materials, Tools or Equipment Needed:
Hazard Controls:
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PPE
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Gloves
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Earplugs
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Lockout / Tag-out
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GFCI
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Fire Extinguisher
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Fall Protection (Personal Fall Arrest System / Harness)
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MSDS / SDS
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Barricade
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Sure-off Tester
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Air Testing
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Aerial Lift
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Shoring / Shielding
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Proper Lifting Technique
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Isolation
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Eye Protection above minimum requirements of Safety Glasses (Goggles, Face Shield, etc.)
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Other Hazard Controls:
Production:
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Impacts to Schedule (Design, Fabrication, Deliveries, Other Trades Issues)
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Were there any injuries today?
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Were there any Near Misses or Saves?