Excavations. Excavations. Action Yes N/A. Form #

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Excavations Form #7001-03 Excavations Excavating is part of almost every construction project and presents a wide variety of hazards: heavy equipment, falls, trench collapses, public safety, hazardous atmospheres, electrocution, and explosions. Wall collapses routinely kill workers. Remember that the weight of the soil can suffocate a trapped employee even if the employee s head is exposed. Don t take chances with peoples lives! Competent person on site Soil type determined Protective systems required Sloping Benching Shoring Spaced sheeting Closed sheeting Shield or box Other systems Vibration considered Equipment Traffic Plan for spoils Public safety Vehicles Pedestrians Access & egress provided Barricades and / or guardrails Rescue plan & equipment Utilities located Removal of water Hazardous atmosphere testing Regular inspections Excavation equipment Proper equipment available Inspections complete Qualified operators tes:

Fall Protection Form #2001-03 Falls Falls are one of the leading causes of fatalities on construction sites. That s just the fatalities there are tens of thousands of non-fatal falls that result in injuries, pain, lost work days, and workers comp cases. The most dangerous falls are usually those where someone falls from one level to another, but slips and trips can cause injuries too. Preventing slips and trips requires constant vigilance by both supervisors and employees. Some of the applicable OSHA standards include: Fall Protection Subpart M, starting at 29 CFR 1926.500 Steel Erection Subpart R, starting at 29 CFR 1926.750 Stairs & Handrails Subpart X, starting at 29 CFR 1926.1050 (1052) Ladders Subpart X, starting at 29 CFR 1926. 1050 (1053) Hazards If you check make sure the problem gets fixed. Open sides & edges Stairways Floor & wall openings Holes & skylights Roofs Excavations Scaffolds Ladders Aerial lifts Cords & hoses in walkways Wet floors Grease, mud, ice, & snow Loose scrap, bolts, & nails Poorly lit stairs & walkways Uneven surfaces tes:

Fall Protection Form #2002-03 Protective Systems In general, fall protection systems are required any time an employee is working six feet or more above a lower level or working surface and the potential for a fall exists. These systems may also be required if an employee could fall into a hazardous area or dangerous equipment even if the fall would be less than six feet. Personal fall arrest systems Training Equipment available Full body harness Lanyard / lifeline Deceleration device Anchorage Locking snaphooks Body belts removed from svc Pre-use inspection complete Guardrails Top rail (42 +/- 3 nominal) Mid rail (21 nominal) Toeboard In proper locations rough edges or splinters Height adjusted (stilts, etc.) Load tested Safety nets Sufficiently high Maximum fall distance OK Horizontal extension OK Unobstructed fall Load tested Weekly inspection performed Debris removed tes:

Hazardous Materials Form #6001-03 Training & Documentation The federal Occupational Safety and Health Administration requires that employees who use or handle hazardous material be properly trained. If hazardous materials are used on your site, proper training is your first line of defense against accidents and injuries and the costs that follow. Beyond training the employees who will use the chemicals, make sure that other employees are explicitly aware that they are not allowed to use those chemicals. For more information see the Subpart Z starting at 29 CFR 1910.1000. Training New hire orientation Annual Refresher needed New materials on site Right to know requirements How to read MSDSs How to read labels How to use required PPE Documentation Written program Who has been trained Label system chosen Labels on all containers Chemical inventory MSDSs available Special permits acquired Accepting deliveries tes:

Hazardous Materials Form #6002-03 Use & Emergencies Proper use of hazardous materials is extremely important. It is rare that accidents are caused by chemicals that are not in use and properly stored. Using hazardous materials safely starts with good training, but requires diligent enforcement of the rules. Don t forget to follow-up. one plans chemical emergencies, but you should always plan for them. Once an emergency has occurred, it s far too late to establish a plan. Use Required PPE available Required PPE being used Procedures being followed Ventilation Ignition sources controlled Cleaning procedures Disposal plan Environmental contamination Safety of nearby workers Proper storage available Emergencies First responders Emergency phone numbers Proper first aid available Spill / leak procedures Spill control equipment Fire-fighting measures Cleanup procedures Proper first aid available EPA reporting tes:

Lockout/Tagout Form #5001-03 Hazards & Training Thousands of accidents occur each year because equipment or energy sources were not properly secured. Lockout/tagout most frequently applies to equipment but there are other reasons to lock out systems. Confined space entry may require system lockouts to prevent engulfment or asphyxiation. In general, you should consider locking out any system or equipment which could cause an injury or property damage if it were operated while employees were working in the area. Energy sources Electricity Hydraulic Pneumatic Gravity Springs Engulfment hazards Water Grain Sand Slurries Other hazards Exposed electrical circuits Radiation sources Heat sources Magnetic fields Live steam Pressurized gas or liquid Hazardous chemicals Training complete Procedures available Locks & tags available tes:

Lockout/Tagout Form #5002-03 Shut-down & Restart Following is a general list of items to consider when shutting-down, testing, locking-out, and finally restarting systems or equipment. Locking out all energy sources is vital to your safety but it can be difficult and complex depending on the systems and equipment involved. Always follow company procedures to the letter and be sure that you truly understand how the system operates and that you are completely safe. Restarting complex systems can be dangerous. Always follow the startup procedures. If necessary, have operating staff and system support staff present. Basic lockout tify others Identify energy sources Shut down equipment Isolate / block power sources Apply locks and / or tags Post signs Barricade equipment Test the equipment Check all power sources Check area for bystanders Operate controls Operate remote controls Open and / or close valves Test electrical circuits Perform specific tests Basic restart Replace all guards Collect all tools Remove braces, pins, blocks Account for all personnel Remove locks & tags Reconnect power Test equipment tes:

PPE Form #8001-03 Breathing Protection The American Lung Association says it best: When you can t breathe, nothing else matters! Breathing protection is necessary on many construction sites. In some cases a simple dust mask may be adequate. In others, a self-contained air supply may be needed. Make sure that a proper hazard evaluation is done before any employees are exposed to a potentially harmful atmosphere. If respirators are being used, cleanliness and fit are extremely important. A little facial hair can break the seal between the respirator and the face and make the respirator useless. An employee could die by the hair on his chinny chin chin! Initial air testing Respirators Dust / nuisance Particulate Vapor/gas Fresh air supplied SCBA Cartridge specified Replacement cartridges Fit testing Qualitative Quantitative Medical exam Cleaning schedule Sanitary storage On-going air monitoring tes:

PPE Form #8002-03 Eye Protection Eye injuries occur every day on construction sites. They frequently cause permanent, disabling injuries which affect the victim s quality of life forever. Almost all of them can be prevented. Remember to consider the following types of hazards: Impact Flying particles Dust and mist Chemical splash Radiation (thermal and UV, typically from welding operations) Eye hazard evaluation PPE inspection Damage Proper fit Clean, no scratches Safety glasses Side shields/screens Safety goggles Face shields Welding shields Proper filter lenses Burning goggles Chemical goggles For splash hazards For vapor hazards Contact lens restrictions Prescription glasses Goggles over glasses Rx safety glass Anti-fog spray or wipes Eye-wash station available tes:

PPE Form #8003-03 Hand & Foot Protection While most hand and foot injuries are not fatal, they are painful and can be permanently disabling. Many finger, hand, and foot amputations are caused by powerful tools and equipment (saws, presses, forklifts, etc.) and cannot be prevented by PPE. Remind all employees of potential amputation hazards. When they are using saws, train them to not hold the workpiece being cut with their hands. Tool handles inspected Gloves required Leather Cloth Chemical resistant Cut resistant Vibration absorbing Thermal protection Electrical protection Welding Machine guards in place Self-retracting knife blades Shoes acceptable Boots required Leather Waterproof Chemical resistant Snake-proof Crush protection required Steel toes Steel toe caps Metatarsal protection tes:

PPE Form #8004-03 Hearing & Head Protection Hearing Protection: Whenever possible, administrative and engineering controls should be used to reduce noise exposure. When those options are not feasible or not sufficient, personal hearing protection is a must. Make sure that the ise Reduction Rating (NRR) of the hearing protection will sufficiently reduce the noise level at the ear. Proper fit of hearing protection is an absolute necessity for proper protection. Head Protection: Hard hats are designed to protect against bumps, falling objects, and electrocution. There are two types and three classes of hard hats. Make sure that each of your employees is wearing a hard hat that will provide the protection needed for his or her job. Type I II Impact Protection to top of head to top, side, or back of head Class C G E Electrical Protection no electrical protection up to 2200 volts up to 20,000 volts ise level checked Conservation program needed Required NRR determined Fit & use training completed Ear plugs Ear muffs Hard hat inspection Proper type Proper class Suspension in good shape holes, cracks, or chips Full brim needed tes:

Pre-task Planning Form #5003-03 Pre-task Checklist A good pre-task plan can be invaluable for safety, productivity, and morale. If everyone involved really understands what needs to be done it will likely get done more safely and more quickly. You will also reduce the number of misunderstandings which can lead to mistakes, delays, and increased costs. Task defined Safety / hazard analysis done Time estimate made PPE required Hard hat Eye protection Hearing protection Respirators Hand & foot protection Safety requirements met Company Customer Fall protection Fire prevention Emergency plan in place Severe weather plan in place Permits acquired Company Customer City / county / state Tool needs identified Equipment needs identified Personnel available Correct skills Proper equipment Sufficient number for safety tes:

Site Office Form #5004-03 Site Facilities Having all of the supplies and equipment that you need to conduct business at a new jobsite can make life simpler and far less hectic. Being prepared means better productivity (no waiting for equipment), improved morale (you look like you know what you re doing), and less downtime (everything is ready to go). Housekeeping Trash cans Dumpsters Brooms Buckets & mops Fire protection Fire extinguishers Fire alarms Flammable storage Steps Walkways ADA compliance required Security Fencing Locks Lighting Alarm system Safe Sanitation Portable toilets Potable water Electrolyte replacement Disposable cups Coolers Environmental Erosion control Hazardous material storage tes:

Site Office Form #5005-03 Furniture & Equipment Have all of your office supplies available and ready to go before you need them to do your job. Furniture Desks Chairs File cabinets Equipment Telephone Fax machine Cell phones Copy machine Computer Printer Power strips Phone lines Telephone Fax Data / modem Stationery Weekly Safety Meetings Construction Daily Log S.A.F.E. Cards Computer Paper Pens & pencils Scissors Letterhead & envelopes Change order forms Purchase order forms Time cards Petty cash tickets Material receipts tes: