ALTMAR WEEKLY SAFETY REPORT

DATE *
DATE
ARE SAFETY "TOOLBOX" MEETINGS UP TO DATE *
HAVE SAFETY PROGRAMS BEEN RECEIVED AND REVIEWED *
IS THE HAZCOM PROGRAM UP TO DATE *
ARE SAFETY DATA SHEETS (SDS) UP TO DATE *
ARE FIRST AID KITS AND SUPPLIES ON SITE *
IS THERE AN EMERGENCY ACTION PLAN IN PLACE *
IS THERE A CERTIFIED CPR / FIRST AID PERSON ON SITE? *
ARE WORK AREAS PROPERLY BARRICADED AND MARKED WITH SIGNAGE *
ARE FIRE EXTINGHUISHERS ACCESSIBLE AND INSPECTED *
ARE EXTENSION CORDS IN ACCEPTABLE WORKING CONDITIONS *
ARE LOCKOUT / TAGOUT PROCEDURES USED *
ARE GFCIs BEING USED *
ARE TOOLS INSPECTED
ARE GUARDS IN PLACE ON TOOLS *
ARE EMPLOYEES EXPOSED TO 6FT OR HIGHER TIED OFF *
IS FALL PROTECTION EQUIPMENT INSPECTED *
DO LADDERS EXTEND AT LEAST 36" ABOVE LANDING *
ARE STEPLADDERS USED IN FULLY OPEN POSTION *
IS ALL SCAFFOLDING INSPECTED *
ARE SCAFFOLD PLATFORMS FULLY DECKED *
ARE EXCAVATIONS INSPECTED DAILY BEFORE US BY A COMPETENT PERSON
ARE EXCAVATIONS PROPERLY SHORED, BENCHED, OR SLOPED *
ARE MATERIALS PROPERLY STORED OR STACKED? *
ARE HOTWORK PERMITS FILLED OUT AS NECESSARY *
ARE WELDERS WEARING PROPER PPE *
IS THE CRANE ANNUAL INSPECTION UP TO DATE *
DO ALL TRUCKS OR MOBILE EQUIPMENT HAVE BACK UP ALARMS *
IS ADEQUATE FOOTWEAR BEING WORN *
ARE HARD HATS BEING WORN *
ARE SAFETY GLASSES BEING WORN *
IS HEARING PROTECTION BEING WORN WHEN REQUIRED *
ARE HIGH VIS VESTS BEING WORN *
(BY TYPING YOUR NAME BELOW YOU ACKNOWLEDGE THAT YOU ARE A COMPETENT INDIVIDUAL AND AUTHORIZE TO SUBMIT THIS FORM ON BEHALF OF ALTMAR)