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Y <br /> r <br /> �4 <br /> .� ATTACHMENT C <br /> BROWN AND CALDWELL <br /> SITE SAFETY AND IIEALTFI PLAN <br /> FIELD CHECKLIST FOR IMPLEMENTATION <br /> Fill in blanks and circle yes or no as appropriate for each. If an item does not apply <br /> write NIA after question. <br /> Site Safety Officer Date <br /> Project <br /> Location <br /> (City) (State) <br /> Job No. Weather Conditions <br /> 4 <br /> a <br /> ? WORK ACITVTI'ES <br /> j <br /> --� 1. Is a copy of the site safety and health plan(SSHp)on site? <br /> a YES NO . <br /> 2. Is the personal protective equipment required by the SSHP <br /> available and being used correctly? YES NO <br /> 3. Have the work zones been delineated? <br /> YES NO <br /> 4. Has a decontamination station been set up as required by <br /> the SSHP7 YES NO <br /> 5. Are the decontamination procedures being followed? <br /> YES NO <br /> 6. Is access to the exclusion zone being controlled? <br /> YES NO <br /> 7. Has the site activities briefing snd tailgate safety <br /> F <br /> meeting been provided? YES- NO <br /> 8. Is the list of emergency telephone numbers posted at the <br /> support zone? YES NO <br /> ----9. Are the directions to the nearest cn c-agency medical assistance _..__... _.- - --.-- ----- ------- - <br /> - -- -;--- - postod at the support zone? - .----- <br /> YES NO . <br /> 10. Is emergency equipment,as identified in the SSHP reaL: y <br /> available and funaional7 <br /> YES NO <br /> April 1988 <br />