Daily Job Site Safety Briefing Date: Review the following information and check all boxes that apply to the work site and most tasks to be completed then review with your crew. Foreman: Emergency Environmental Concerns Heavy Equipment Walk-Around ☐ Emergency Action Plan (EAP) ☐ Fire Prevention Plan ☐ First Aid/CPR Trained ☐ First Aid Kit ☐ Fire Extinguisher Permits ☐ Confined Space ☐ Hot Work ☐ Excavation Electrical ☐ Power Cord Inspection ☐ Electrical Tool Inspection General ☐ Equipment & Hand Tool Inspection ☐ Heat Stress Communication ☐ Signs/Posters ☐ Hole Openings/Covers ☐ Slip/Trip Hazards ☐ Housekeeping ☐ SDS ☐ Lighting ☐ Other: ________________________ ☐ Wetlands/Bodies of Water ☐ Rebar ☐ Slippery Surfaces ☐ Ledges/Cliffs/Drop-offs ☐ Other: _____________________ Personal Protective Equipment ☐ Hard Hat ☐ Safety Glasses ☐ Reflective Vest/Shirt ☐ Proper Gloves ☐ Hearing Protection ☐ Respirator ☐ Face Shields ☐ Work Boots Heat Illness Prevention Program ☐ Clean Drinking Water ☐ Drinking Water Available: _____ gal ☐ Drinking Cups/Trash Cans ☐ Shade/Canopy On-Site ☐ Shade/Canopy In-Place (>80°) ☐ Other: _______________________ ☐ Back-Up Alarms ☐ Back-Up Spotter ☐ Other Hazards: _______________ Heavy Equipment Handling ☐ Trained Operators Only ☐ Clear View/Spotter ☐ Excavation Safety ☐ Hand Digging ☐ Identify Underground Utilities ☐ Equipment Inspection ☐ Remove Hazards ☐ Demolition Safety ☐ Public Safety/Pedestrians Traffic Control ☐ TC Plans On-Site ☐ Trained Flaggers ☐ Traffic/Pedestrian Lookouts ☐ Message Board ☐ Arrow Board ☐ Cones Wildlife Hazards ☐ Poisonous Plants ☐ Snakes/Insects/Animals WORK TASKS POTENTIAL HAZARDS METHODS TO ADDRESS HAZARDS ADDITIONAL COMMENTS (GOALS): Print Name Sign Name Print Name Sign Name