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AECOM <br /> Americas <br /> Daily Tailgate Meeting S3AM-209-FM5 <br /> Instructions:Conduct meeting prior to sending crews to individual tasks. Require AECOM Supervisor Name: <br /> attendance of all AECOM employees and subcontractors. Invite personnel from Phone Number: <br /> simultaneous operations for coordination purposes. Review scope of work and <br /> briefly discuss required and applicable topics.This meeting is a daily refresher, AECOM SH&E Rep. Name: <br /> not a full orientation.Task-specific discussions associated with Task Hazard Phone Number: <br /> Assessment(THA)follow this meeting at the task location immediately before Meeting Leader: <br /> individual task is started. <br /> Date: Project Name/Location: Project Number: <br /> Today's Scope of Work: <br /> Muster Point Location: First Aid Kit Location: Fire Extinguisher Location: Spill Kit Location: <br /> 1. Required Topics 2. Discuss if Applicable to Today's Work <br /> ❑ Fitness for Duty requirements, all sign in/sign out ✓❑ ❑■ Check Q as reviewed or mark[E as not applicable <br /> ❑ Required training (incl. task specific)completed and current ❑ ❑ Biological/Chemical/Electrical Hazards <br /> ❑ SH&E Plan onsite-understood, reviewed, signed by all ❑ ❑ Ergonomics-Lifting, Body Position <br /> (incl. scope, preplanning hazard assessments/risk ❑ ❑ Lock Out/Tag Out <br /> registers, controls, procedures, requirements, etc.) Short Service Employees-visual identifier and mentor/ <br /> ❑ Task Hazard Assessments (THAs)are to be reviewed and oversight assignment <br /> completed for each task immediately prior to conducting <br /> STOP WORK Right& Responsibility-all task ❑ Simultaneous/Neighbouring Operations <br /> ❑ <br /> changes/changed conditions re-assess with THA ❑ ❑ Slip/Trip/Fall Hazards <br /> Requirement to report to supervisor any injury, illness, ❑ Specialized PPE Needs <br /> ❑ <br /> damage, near miss, unsafe act/condition ❑ ❑ Traffic Control <br /> ❑ Emergency Response Plan—including muster point, ❑ ❑ Waste Management/Decontamination <br /> first aid kit,fire extinguisher,clinic/hospital location ❑ ❑ Weather Hazards/Heat Stress/Cold Stress <br /> ❑ Personal Protective Equipment(PPE)-Required items per ❑ ❑ Subcontractor Requirements(e.g., JHAs, THAs, <br /> hazard assessments in good condition/in use by all <br /> procedures, reporting,etc.) <br /> ❑ Equipment/machinery inspected (documented as required) ❑ ❑ Work Permits/Plans required (e.g., Fall Protection, <br /> and in good condition -operators properly trained/certified <br /> ❑ Work area set up and demarcation/barricades in place to Confined Space, Hot Work, Critical Lifts, etc.); in place, <br /> protect workers,site staff, and the public understood (identify/attach): <br /> ❑ Required checklists/records available, understood (describe): <br /> ❑ ❑ Other Topics (describe/attach): <br /> ❑ Lessons Learned/SH&E improvements(describe): <br /> ❑ ❑ Client specific requirements(describe): <br /> 3. Daily Check Out by Site Supervisor <br /> Describe incidents, near misses, observations or Stop Work Describe Lessons Learned/ Improvement Areas from today: <br /> interventions from today: <br /> The site is being left in a safe condition and work crew checked out as fit unless otherwise specified as above. <br /> Site Supervisor Name Signature Date <br /> Time (at end of day/shift) <br /> Worker Acknowledgement/Sign In Sign Out sheets applicable to this meeting are on reverse and, if applicable, attached. <br /> Daily Tailgate Meeting(S3AM-209-FM5) <br /> Revision 9 January 15,2019 <br /> PRINTED COPIES ARE UNCONTROLLED.CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. 1 of 2 <br />