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ETIC SITE SAFETY CHECKLIST <br /> Project Number uS�G Date' 1 LZ <br /> C� S <br />' Completed by. <br /> Project Task: <br />' C SPSA, Safe Performance Self Assessment <br /> Review HASP: update as needed, ensure 31'PPE• Hard hat, steel We J Traffic Safety Control' <br /> that It is signed and understood by all shoes, high visibility note traffic pattems,volume, <br /> ZReview.fob 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/road conditions dpirectlons to hospital 1 u'�Daly work scope <br /> "/OsHA&other training subsurface <br /> 5ubsurfat Work.Complete <br /> protocol and equipment subsur#ace clearance forms, <br /> �Emargency p p documentation on site follow protocol for excavations <br /> I argency fuel shutoff switch--locate and First aid,safety,and PPE ZFire extinguisher locations <br /> know how to operate location <br /> ectrical round taint Hot work permit.note potential <br /> G/ El <br /> Slips,trips,and falls g ignition sources and fuels <br /> G Public safe and fences Strains and sprains <br /> Open pits,excavations,and site hazards safety <br /> Equipment and machinery familiarization1xcavator swing and loading Aolse hazards <br /> .r'Portable tool safety and awareness <br /> �rOrdedy site and housekeeping ZNo horseplay <br /> Overhead utility locations and clearance /Smoking in designated areas "'Heat and cold stress <br /> Z t_eather gloves for prolection "Backing up hazards <br /> �arking and laydown <br /> O?harp Effects of the ni ht before dAnticlpated visdors <br /> object, rebar,and scrap metal hazards g <br /> aVrimiion related injuries ZDust and vapor control <br /> cd Safety is everyone's responsibility / <br /> �L�tex gloves innedndnle gloves outer Z Decontamination procedures 0/Refusfing <br /> �/4=procedures <br /> vatiorvirenching inspections/documentabon Z`Eye wash station location Confined space entry <br /> Employee Right_To-Know/MSpS location ZFlyrng debris hazards 3/Accidents are costly <br /> Discussion/Comments[Follow-up Actions <br />' Si RE COMPANY <br /> NAME � <br /> PO <br /> Q>~ �r k a,,lo Ps c1 <br /> instructions: <br />' Conduct a daily safety meeting prior to beginning each day's site activities <br /> Complete form by checking ofi specitie topics andlor hazards <br />'� G�Shued%Gco1Dgy\Hca11h&safety\Enc site safety Checilst doc <br />