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Kennedy/Jenks Consultants <br /> Table 1: Tailgate Safety Meeting Form <br /> UNION PACIFIC CONTRACTOR SAFETY AUDIT FORM <br /> Completed Completed <br /> GENERAL YES NO REMARKS RESPONSES/TRANSFERS YES NO REMARKS <br /> 1. Safety glasses worn when necessary? 1 Did everyone at site participate in UPRR job briefing <br /> and safety briefing? Debriefing? <br /> 2. Hard hat worn at all times? <br /> 2 Contractor provided adequate manpower for job? <br /> 3 Orange reflective vests worn by all workers? 3. Consultant/contractor obtained necessary <br /> background information prior to implementing <br /> work Ian? <br /> 4. Sturdy and protective footwear worn?Not sandals, 4. Personnel competent and adequately trained in all <br /> canvas type shoes,or other shoes with thin soles safety and health aspects of job? <br /> or heels higher than normal? <br /> 5 Gloves available? Worn when necessary? 5. Personnel complied with On-track and UPRR <br /> operating safety rules? <br /> 6. Hearing protection available? Used when necessary? 6. Personal protective equipment available and worn <br /> if necessary? <br /> 7. Suitable clothing to perform duties safely and in a 7. Gas detector equipment available? <br /> manner that does not interfere with vision,hearing. Calibrated properly? <br /> or free use of hands or feet? <br /> 8.Tools appropriate to task?Handled properly? 8 Provided appropriate/adequate equipment? <br /> 9 First aid kits available? Inspect 9 Equipment in good condition? Operated in a <br /> safe manner? <br /> 10 Fire extinguishers available? Check dates, HASP REVIEW <br /> 11 Cell phones turned off?Used only in vehicles? 1, Map to hospital? First page of HASP or red tabbed? <br /> 12 Availability of drinking water and location of 2. Printed directions to hospital? Easy to understand? <br /> rest rooms? <br /> NOTIFICATIONS 3 Printed directions to location of site? <br /> 1. Communicated effectively with local railroad 4 Does everyone at site understand HASP contents? <br /> personnel? <br /> 2.Coordinated job activities with operating department <br /> personnel? ON-TRACK SAFETY REVIEW <br /> 3.Cable and utility locates completed? 1 Working within 25 feet of track? Flagman required. <br /> 4. Notified UPRR of any OSHA reportable injuries 2. Working within 4 feet of track? Fouling track. <br /> occurring on the job site? <br /> 5. Maintain control of employees while on the job site 3. Instructed on how to cross tracks? <br /> and ensured compliance with UPRR Drug and <br /> Alcohol policy? <br /> TRAINING <br /> 4. Walking between cars? Two car lengths required <br /> distance. <br /> Current(Annual)On-Track Safety Training? 5. Walking near a locomotive? Establish eye contact. <br /> OSHA 40 Hours Training? Current 8-hour refresher 6. Discussion of Red Zones? <br /> training? <br /> Current(Annual)Contractor Orientation Training? 7 Type of On-Track Safety being used? Train <br /> approach warning-TAW. <br /> Site Health and Safety Plan <br /> Page 1 of 1 <br /> Former Tracy Railyard, Tracy,California <br /> g:Vs-groupladminGob10510565777.03uprr109-reportslwork planVi Gnaltappendiceslappc haspWppc_table0l.xls <br />