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