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SUBCONTRACTOR PRE-JOB SAFETY CHECKLIST <br /> JOB: SUBCONTRACTOR: <br /> LOCATION: PROJECT NO. <br /> Y NQ <br /> Standard emergency signals fully understood? ❑ ❑ <br /> Subcontractor responsibility in time of emergency understood? ❑ ❑ <br /> Fire and ambulance telephone numbers known? ❑ ❑ <br /> Areas for possible evacuation designated? ❑ ❑ <br /> Special safety rules for the plant or area known? ❑ ❑ <br /> (CB&I will provide printed special rules where available) <br /> Nature of Chemical or special hazards for area reviewed <br /> with safety officer? ❑ ❑ <br /> Special safety equipment for the area of job known? ❑ ❑ <br /> Safety shower and eye wash locations known? ❑ ❑ <br /> Smoking area designated? ❑ ❑ <br /> Have you been advised of potential hazards, protective <br /> Measures and availability of hazard information? <br /> e.g. Health &Safety Plan ❑ ❑ <br /> Do you understand you are required to provide your <br /> employees with the information in (10)above? ❑ ❑ <br /> Have you provided SDSs to CB&I for any hazardous <br /> material you intend to bring on site? ❑ ❑ <br /> Have you submitted training/medical certification records? ❑ ❑ <br /> Are your subcontractors aware of the above rules? ❑ ❑ <br /> Remarks: (Explain all No Answers) <br /> Subcontractor's Supervisor Date <br /> Project Manager Date <br /> Project Supervisor Date <br /> Safety Officer Date <br />