E.K. Bailey New Hero Ogden UtahE.K. Bailey New Hero Ogden Utah

Safety

This field is for validation purposes and should be left unchanged.

Date Plan Prepared

Pre-Task Plan

Please consider the work to be performed and check ‘Yes’ or ‘No’ (attach additional information as needed):

1. Does every crew member know how to use assigned tools & equipment?
2. Does this work require special training?
3. Do you need additional or special personnel to complete this task?
4. Do you need additional or special materials and tools to do the job?
5. Do you need to review an MSDS to proceed with this work?
6. Is there adequate lighting and access?
7. Will weather conditions affect the safety or quality of this work?
8. Does this task require shutdown of systems or equipment?
9. Is there any potential to impact existing Owner or Construction activity?
10. Are there occupied spaces adjacent or below?
11. Have shop drawings, contract drawings, and as-builts been reviewed?
12. Will there be any discharge of fluids?
13. Do other subs need to be involved?
14. Does this task require any special permits/procedures?
15. Employees are assigned a “buddy”?
16. Crew knows location of fire extinguishers, eye washes, phones?
17. Work involves awkward positions, heavy or repetitive lifting?

Check if any of the following apply (attach additional information as needed):

Check if any of the following apply (attach additional information as needed):

(NOTE: Attach supplemental information as needed)

The tasks have been reviewed in the work area where they will be performed and this plan has been reviewed with the workers on this crew.

IF WORK CONDITIONS CHANGE, WORK MUST STOP AND A NEW PLAN MUST BE PREPARED.