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Job Name: | 35th stone |
Job Number: | 24796 |
Location of Work: | L3 |
Task Description: | Dottie pads and floor pens |
Date | 04/26/2024 |
Start Time | 7:00 AM |
End Time | 3:00 PM |
Division | Seattle |
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Are all HBI employees orientated to the site, familiar with the work environment and have you all reviewed and signed the JHA and SSSP? | Yes |
Has the work area been walked by the crew to identify safety and/or impact concerns? | Yes |
Will the task require special permits or plans? (i.e. confined space entry, hot work, fall protection work plan) | No |
Will the task involve exposure to falls of 4’ or greater? | No |
Do not start work until the anchor points have been identified and the necessary equipment is available | Do not start work until the anchor points have been identified and the necessary equipment is available |
Will the task expose you or other HBI employees to a fall hazard 10’ or greater? | No |
Do not start work until a Fall Protection Work Plan has been completed | Do not start work until a Fall Protection Work Plan has been completed |
Will barricading and or signage be required to protect personnel, facilities, or equipment? | No |
Do not start work until the necessary equipment is available | Do not start work until the necessary equipment is available |
Will the task require the use of ladders? | No |
Do not start work until the appropriate ladder is available | Do not start work until the appropriate ladder is available |
Do not start work until the inspection has been completed and annotated on the inspection tag | Do not start work until the inspection has been completed and annotated on the inspection tag |
Will the task require the use of MEWPs? | No |
Do not start work until MEWP training as been completed. | Do not start work until MEWP training as been completed. |
Do not start work until the inspection has been completed and annotated on the inspection tag | Do not start work until the inspection has been completed and annotated on the inspection tag |
Will the task require the LOTO of energized systems? | No |
Do not start work until the coordination with affected personnel has been established. | Do not start work until the coordination with affected personnel has been established. |
Do not start work until the necessary equipment is available | Do not start work until the necessary equipment is available |
Will the task involve the use of chemicals? | No |
Do not start work until the SDS has been reviewed and the appropriate PPE is available | Do not start work until the SDS has been reviewed and the appropriate PPE is available |
Will the task involve exposure to high noise levels greater than 85 dBA? | No |
Do not start work until hearing protection is available | Do not start work until hearing protection is available |
Will the task involve musculoskeletal/ergonomic risk factors? (i.e. repetetive motion, awkward position, joint stress) | Yes |
Will an ergonomic “stretch & flex” plan be implemented at the start and end of shift? | Yes |
Do not start work until a stretch & flex” plan be implemented. | Do not start work until a stretch & flex” plan be implemented. |
Will inclement weather conditions affect the safe completion of the task? | No |
Do not start work until alternate work areas or procedures have been established and implemented. | Do not start work until alternate work areas or procedures have been established and implemented. |
Do not start work until additional provisions have been established and implemented | Do not start work until additional provisions have been established and implemented. |
Will the task require additional coordination with other crafts in the work area? | No |
Do not start work until coordination has been established with affected crews. | Do not start work until coordination has been established with affected crews. |
Have all tools & equipment been inspected for safe use prior to starting work tasks? | Yes |
Do not start work until all tools and equipment have been inspected for safe use. | Do not start work until all tools and equipment have been inspected for safe use. |
Has all emergency equipment been identified & located? (i.e. fire extinguishers, eyewashes bottles/stations, first aid kits, AED) | Yes |
Do not start work until all emergency equipment as been identified & located | Do not start work until all emergency equipment as been identified & located |
What is the evacuation route and designated rally point? | Sellen material layout area north east corner gate |
Steps of the Task | Grab material follor print out pads on boxes acoustic and fire and then do floor pens for electrical and mech. |
Hazards of the Task | Slips trips falls cuts |
Hazard Control Methods | Wear proper PPE cut away from body watch surroundings clean as you go |
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PPE |
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Foreman Name | Bunnason khun |
Foreman Signature | |
Date | 04/26/2024 |
Crewmember 1 Name: | Joseph Estrada |
Crewmember 1 Signature | |
Crewmember 1 – I agree the above name and signature are my own |
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Use the + icon next to a crew member name to add additional crew members. | |
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Complete the required items based on your responses before starting work | Complete the required items based on your responses before starting work. |
Do not start work until all HBI employees orientated to the site and have signed the JHA and SSSP. | Do not start work until all HBI employees orientated to the site and have signed the JHA and SSSP. |
Do not start work until the work area been surveyed by you and the crew to identify safety and/or impact concerns. | Do not start work until the work area been surveyed by you and the crew to identify safety and/or impact concerns. |
Do not start work before all permits and plans have been developed and discussed with the crew. | Do not start work before all permits and plans have been developed and discussed with the crew. |
Do not start work until fall protection anchor points have been identified and the necessary equipment is available. | Do not start work until fall protection anchor points have been identified and the necessary equipment is available. |
Do not start work until a Fall Protection Work Plan has been completed. | Do not start work until a Fall Protection Work Plan has been completed. |
Do not start work until the appropriate ladder is available. | Do not start work until the appropriate ladder is available. |
Do not start work until the ladder inspection has been completed and annotated on the inspection tag | Do not start work until the ladder inspection has been completed and annotated on the inspection tag. |
Do not start work until MEWP training has been completed. | Do not start work until MEWP training has been completed. |
Do not start work until the MEWP inspection has been completed and annotated on the inspection tag | Do not start work until the MEWP inspection has been completed and annotated on the inspection tag. |
Do not start work until hazardous energy sources, their isolation points, and coordinated the shutdown and communication procedures with affected personnel have been established. | Do not start work until hazardous energy sources, their isolation points, and coordinated the shutdown and communication procedures with affected personnel have been established. |
Do not start work until the necessary LOTO equipment is available | Do not start work until the necessary LOTO equipment is available. |
Do not start work until the SDS has been reviewed and the appropriate PPE is available. | Do not start work until the SDS has been reviewed and the appropriate PPE is available. |
Do not start work until hearing protection is available. | Do not start work until hearing protection is available. |
Do not start work until alternate work areas or procedures have been established and implemented. | Do not start work until alternate work areas or procedures for inclement weather have been established and implemented. |
Do not start work until additional provisions for warming or cooling areas have been established and implemented | Do not start work until additional provisions for warming or cooling areas have been established and implemented. |
Do not start work until necessary coordination has been established with affected crafts | Do not start work until necessary coordination has been established with affected crafts. |
Do not start work until all tools and equipment have been inspected for safe use. | Do not start work until all tools and equipment have been inspected for safe use. |
Do not start work until all emergency equipment as been identified & located. | Do not start work until all emergency equipment as been identified & located. |