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ETIC SITE SAFETY CHECKLIST <br /> Date. [ l / ( � <br /> Project Number 7 / <br /> Project Task: <br /> Completed by 'r <br />' d SPSA: Safe Performance Self Assessment <br /> Review HASP: update as needed,ensure d- PPE• Hard hat, steel toe dTraffic Safety Control. <br />' that it is signed and understood by all shoes, high visibility note traffic patterns,volume, <br /> Review Job Safety Analysis (JSA): vest/shirt, gloves, safety and visibility with respect to <br /> identify tasks,hazards, and glasses, hearing protection work location <br /> recommendations as needed <br /> Vehicle safety and driving/mad conditions G`Directions to hospital Daily work scope <br /> subsurface Work.Complete <br /> �OStiA&other training subsurface clearance forms, <br /> 'k-Frnergency protocol and equipment documentation on site failaw protocol for excavations <br /> 06mergency fuel shutoff switch-�Date and ZFIrst aid,safety,and PPE Fire extinguisher locations <br /> know how to operate location l <br /> W Electrical ground fault at work permit'nate potential <br /> ' u."Slips,trips,and falls ignition sources and fuels <br /> ZOpen pits,excavations,and site hazards �ublic safety and fences -Stralns and spmtns <br /> Equipment and machinery familiarization Qj Excavator swing and loading xrWolse hazards <br /> r Portable tool safety and awareness dOrderly site and housekeeping Flo horseplay <br /> ZOverhead villity locations and clearance Smoking in designated areas y feat and cold stress <br /> �f t ,Paridng and laydown Z Leather gloves for protection ,!hacking up hazards <br /> Effects of the night before XAnticipated visitors <br /> Sharp object, rebar,and scrap metal hazards 9 <br />' �Safaty is everyone's responsibility <br /> "bration related injuries &I ust and vapor control <br /> c1l.Btex gloves inner/nitrile gloves outer Aecontaminabon procedures efuering <br /> rocedures <br /> �yExcavatioNtrenching inspection 4'Eye wash station location /Confined space entry <br /> .�Ftying debris hazards Accidents are costly <br /> -AlEmployee Right To-Know/MSDS location <br /> 1 Discus sion/Comments/Follow-up Actions: <br />' M PANY <br /> NAM SI AT E <br /> � C r r <br /> Instructions. <br /> Conduct a daily safety meeting prior to beginning each day's site activities <br /> compiete form by checking off specific logics and/or hazards <br /> (3 LSharedlGcoiogMeaith k Safety1E77C Sire Safcty Chet)first doc <br />