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PRE-TASK PLAN

Yes
No
 

(Pre-TASK PLAN CHECKLIST)
EXCAVATION


SHORED/SLOPED
Yes
No

LADDER PROVIDED
Yes
No

DAILY INSEPECTION
Yes
No

OVERHEAD WORK OR FLOOR OPENING
 


FIXED BARRICADES
Yes
No

DANGER (TAPE)
Yes
No

CAUTION (TAPE)
Yes
No

BARRICADE/I.D. SIGNS
Yes
No

SIGNS
Yes
No

HOLE COVER
Yes
No

HANDRAILS
Yes
No

HAZARDS


FALL POTENTIAL
Yes
No

PINCH POINTS
Yes
No

ELECTICAL SHOCK
Yes
No

HOUSEKEEPING
Yes
No

SLIP-TRIP
Yes
No

FLYING PARTICLES
Yes
No

MANUAL LIFTING
Yes
No

SHARP OBJECTS
Yes
No

ENVIRONMENTAL
Yes
No

MSDS REVIEWED
Yes
No

WELDING/HOT WORK


SHIELDS
Yes
No

FIRE BLANKET
Yes
No

CYLINDERS SECURED
Yes
No

COMBUSTIBLES MOVED
Yes
No

SPARKS CONTAINED
Yes
No

FIRE EXTINGUSHER
Yes
No

FLASHBACK ARRESTOR
Yes
No

PERMITS


HOT WORK
Yes
No

CONFINED SPACE
Yes
No

EXCAVATION
Yes
No

CRITICAL LIFT PLAN
Yes
No

LO/TO
Yes
No

TRAFFIC PLAN
Yes
No

PERMIT DISPLAYED
Yes
No

PERSONAL PROTECTIVE EQUIPMENT


GLOVES
Yes
No

BOOTS
Yes
No

APPROPRIATE EYE PROTECTION
Yes
No

FRESH AIR FAN
Yes
No

EAR PROTECTION
Yes
No

SAFETY HARNESS
Yes
No

BURNING GOGGLES
Yes
No

TRAFFIC VEST
Yes
No

RESPIRATOR
Yes
No