FLHA | ABC Industries Ltd.

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Supervisor/Foreman Safety Planning Checklist

Toolbox meeting with staff prior to FLHA *

Yes
No
Not Applicable

Applicable procedures reviewed? *

Yes
No
Not Applicable

Are the work conditions safe? *

Yes
No
Not Applicable

Are all the necessary permits to work available and signed? *

Yes
No
Not Applicable

Applicable Hazard Assessment reviewed? *

Yes
No
Not Applicable

Will the work require employees to work at heights? *

Yes
No
Not Applicable

If YES, is fall protection training verified and current? *

Yes
No
Not Applicable

Are respirator qualifications verified and current? *

Yes
No
Not Applicable

Are employees fit for work? *

Yes
No
Not Applicable

Equipment

Hi Vis Vest
Appropriate Hand Protection
Fall Protection
Coveralls/Tyvex
Knee Pads
Splash Protection
Face Shield
Eyeglasses
Hearing Protection
Hard Hat
Respirator
Bear Spray
Other

Housekeeping

Is the work area clean? *

Yes
No
Not Applicable

Have all slip, trip and fall hazards been addressed? *

Yes
No
Not Applicable

Where?

Is there dust/fumes in the workplace? *

Yes
No
Not Applicable

Is the task specific PPE worn? *

Yes
No
Not Applicable

Are all the tools and equipment organized? *

Yes
No
Not Applicable

Access

Are the exit signs visible? *

Yes
No
Not Applicable

Where?

Is the exit clear of obstacles? *

Yes
No
Not Applicable

Are warning signs for slippery surfaces in place? *

Yes
No
Not Applicable

Ergonomics

Is contract stress considered? (e.g. kneeling, twisting) *

Yes
No
Not Applicable

Are repetitive motions identified and mitigated? *

Yes
No
Not Applicable

Lift, push, pull for excessive weight. (Get assistannce) *

Yes
No
Not Applicable

Are awkward body positions identified and mitigated? *

Yes
No
Not Applicable

Have all the lifting procedures been reviewed? *

Yes
No
Not Applicable

What are they?

Chemical Usage

Are hazardous chemicals being used? *

Yes
No
Not Applicable

Which Ones?

Is waste management understood/disposed of correctly? *

Yes
No
Not Applicable

Are cleaning products stored in appropriate containers? *

Yes
No
Not Applicable

Is all emergency safety equipment available? *

Yes
No
Not Applicable

Is the WHMIS book available being reviewed? *

Yes
No
Not Applicable

Are MSDS available and being reviewed? *

Yes
No
Not Applicable

Use of Equipment

Is there potential to impact nearby work areas of others? *

Yes
No
Not Applicable

What Impact?

Are buildings clear? e.g. swing, travel, landing, 360 walk-around, etc. *

Yes
No
Not Applicable

Is there energized eqiupment nearby? *

Yes
No
Not Applicable

Is Vehicle Daily Inspection complete? *

Yes
No
Not Applicable

Is janitorial equipment in good repair? e.g. vacuums, mops, buckets, brooms, spray bottles *

Yes
No
Not Applicable

Have all pre-use inspections been completed? *

Yes
No
Not Applicable

Are cords, leads and hoses in good repair? *

Yes
No
Not Applicable

Are electrical cords elevated or protected? *

Yes
No
Not Applicable

Are communication devices available? *

Yes
No
Not Applicable

What do you have?

Are all tools left organized after last use? *

Yes
No
Not Applicable

Other

Environmental Controls

Is waste management understood/disposed of correctly? *

Yes
No
Not Applicable

Are gray water disposal locations identified? *

Yes
No
Not Applicable

Are the weather conditions okay to work in? *

Yes
No
Not Applicable

Are Spill Kits available? *

Yes
No
Not Applicable

Is there potential or existsing extreme heat/cold? *

Yes
No
Not Applicable

Is there potential or existing extreme wind? *

Yes
No
Not Applicable

Are conditions slippery or icy? *

Yes
No
Not Applicable

Is there potential rain/snow? *

Yes
No
Not Applicable

Are there noise hazards nearby? *

Yes
No
Not Applicable

Is there a potential to encounter wildlife? *

Yes
No
Not Applicable

General Conditions

Are fall exposures identified? e.g. tools, or materials *

Yes
No
Not Applicable

Are flying particles possible? e.g. gravel, pebbles, dust *

Yes
No
Not Applicable

Are sharp edges identified and protected? *

Yes
No
Not Applicable

Where?

How are you protected?

Are burns possible? e.g. hot water *

Yes
No
Not Applicable

Are chemical burns possible? *

Yes
No
Not Applicable

Are pinch points identified? *

Yes
No
Not Applicable