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• <br /> Kennedy/Jenks Consultants <br /> DAILY TAILGATE SAFETY BRIEFING <br /> Project Name: Date: <br /> Project No.: Conducted By: Contractor(s): <br /> Check the Topics/Information Reviewed: <br /> 0 emergency procedures&evacuation route 0 insects/snakes/biological hazards 0 scaffolding <br /> 0 site-specific safety plan,review,and location 0 daily scope of work 0 cell phone usage/prohibitions <br /> 0 fire prevention/safety/fire extinguishers 0 directions to hospital O personal protective equipment <br /> O training/certification O stop work authority 0 hard hats,safety vest,steel-toe boots <br /> 0 equipment and machinery familiarization 0 pinch points 0 strains and sprains <br /> O sharp objects,rebar,and scrap metals 0 lifting techniques 0 buddy system <br /> 0 slips,trips,and falls 0 site housekeeping 0 tool safety <br /> 0 vehicle safety and driving/road conditions 0 parking and lay down areas 0 public safety <br /> 0 overhead utility locations and clearances 0 backing-up hazards 0 traffic safety <br /> O open pits and excavations 0 location of utilities 0 hearing&eyewear protection <br /> 0 drinking water and restroom locations 0 noise hazards O flying debris hazards <br /> 0 smoking in designated areas only 0 equipment movement 0 fire extinguisher locations <br /> O eye wash station locations 0 decontamination procedures 0 heavy equipment hazards <br /> 0 Hazard Communication//MSDS locations O first aid O dust and/or vapor control <br /> 0 site control/security O no horseplay 0 drug and alcohol policy <br /> 0 heat and cold stress 0 visitors/media/passers-by 0 weather hazards <br /> 0 confined spaces 0 lockout/tagout 0 electrical hazards <br /> O fall protection 0 ladders safety 0 other <br /> Discussion/Comments/Questions/Near Misses/Follow-up Actions: <br /> List Any Special Site Conditions/H&S Precautions Reviewed <br /> By signing below, 1 acknowledge that I have participated in this safety briefing. 1 am aware that a site- <br /> specific safety plan exists for this ro'ect and that it is available to me u on request. <br /> NAME SIGNATURE COMPANY <br />