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Sample STARRT Card <br /> Front <br /> Horton CBI GENERAL STARRT Card Permit 11 <br /> I Safety Task Assignment Risk Reduction Talk <br /> Think Emergency Assembly Area <br /> Emergency Meeting Point <br /> R-- u "t Emergency Contact# <br /> work Is Lift Plan Required Y <br /> As ss N <br /> c443rr®r #j arsxS <br /> Risks Work Scope: <br /> **If there is any Crane(Rigging activity,add the Crane/Rigging STARRT Card <br /> **If there is any Radiography activity,complete the Radiography STARRT Card ONLY <br /> SUPERVISOR' Date: Work Scope: <br /> PERMITS Y N NIA WELONG V N N/A OVER HEAD WORK/ V N N/A <br /> HOT WORK WELDING WORKING AT HEIGHTS <br /> CONFINED SPACE GRIND ING HARNESS REQUIRED? <br /> CRITICAL LIFT PLAN GOUGINGICUTTING APPROVED TIE OFF <br /> ALL PERMIT CONDITIONS MET PROPER GROUND FIXED BARRICADES <br /> PERMIT D ISPLAVED RADIOGRAPHY C AR D ATTAC HED SCAFFOLD TAGGED <br /> W ORKERS ABOVE/BELOW <br /> HAZARDS Y N N/A HAZARDS(ENVIRONMENT) Y N NIA TAPE(DANGER/CAUTION) <br /> FALL POTENTIAL HOT/COLD SURFACES SIGNS <br /> PINCH POINTS AIRBORNE PARTICLES HOLE COVER(hap door crowd) <br /> SLIP-TRIP VAPORS <br /> FLYINGPARTICLES NOISE HAZARDS(CHEMICAL) V N N/A <br /> THERMAL BURNS HEAT STRESS MSDS'S REVIEWED <br /> MANUAL LIFTING CHEMICAL BURN <br /> SHARP OBJECTS PROPER EQUIPMENT SKIN/EYE IR RITANT <br /> OTHER_ HAND TOOLS INHALATION <br /> HAND POWER TOOLS OTHER <br /> PPE CHAN FALL/COME-A-LONG y VA <br /> WORK GLOVES JLG.LIFT/OPERATOR TRAINED ELECTRICAL <br /> HARD HAT CRANE EXTENSION CORDS INSPECTED <br /> SAFETY GLASSES PROPER RIGGING LOCKED 8 TAGGED <br /> FACE SHIELD PERSONAL BASKET TRV&TEST <br /> BURN ING GOGGLES INSPECTED/GOOD CONDITION GFC I TESTED <br /> EAR PROTECTION QUALIFIED TO USE <br /> SAFETY HARNESS CR AN E/H OIST ING CAR D ATTACHED ERGONOMICS <br /> RESPIRATOR Y N N/A AWKWARD BODY POSIT ION <br /> 'TR AN ED IN USE' HOUSEKEEPING OVER EXTENSION <br /> 'INSPECTED/GOOD CONDITION' AISLE WAYS CLEAR SUSTAINED POSITION <br /> OTHER_ SCAFFOLDS CLEAR REPETITIVE MOTIONS <br /> V N N/A CABLES/HOSES/CORDS NEAT TWISTING MOTIONS <br /> V N NIA <br /> EMERGENCY TRASHANASTE CONTAINERS <br /> FIRE EXTINGUISHER Y N NIA OTHER <br /> EYEW ASH STANDBY PERSON <br /> T ELEPHONE/RADIO CONFINED SPAC E MONITOR <br /> EVACUATION ROUTE FIRE WATCH <br /> OTHER_ OTH ER <br />