TCM Corp.

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Safety Meeting Sign-in Sheet

Date *

Time *

Jobsite Location *

Topic *

Alternate Topic *

Discussion Leader *

1. Print Name

Sign Name

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2. Print Name

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3. Print Name

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4. Print Name

Sign Name

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5. Print Name

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6. Print Name

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7. Print Name

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8. Print Name

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9. Print Name

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10. Print Name

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Comments/Suggestions: *

Date Of Next Meeting *

Foreman Sign *

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Foreman print *

Foreman Division *

Jobsite Safety Checklist

Job Name *

Job Number *

Checked By *

Date *

1. RecordKeeping

a. Notices, Posters Federal 5in 1,OSHA notice,Payroll:

compliant Deficient N/A

b. Emergency Contacts:

compliant Deficient N/A

c. OSHA 300 Log:

compliant Deficient N/A

2. Personal Protective Equipment

a. In use safety glasses,hard hats work boots and gloves:

compliant Deficient N/A

b. Face shields oor goggles used for overhead work:

compliant Deficient N/A

c. Respirators available:

compliant Deficient N/A

d. Welding screens:

compliant Deficient N/A

3. First Aid Kits

a. Available in gang box add jobsite trailer:

compliant Deficient N/A

b. Stocked adequately with gloves,bandages and antiseptics:

compliant Deficient N/A

c. CPR and First Aid trained personnel:

compliant Deficient N/A

d. Medical Facility location and contact information communicated:

compliant Deficient N/A

4. Scaffold

a. Competent person certified:

compliant Deficient N/A

b. Scaffold grade planking:

compliant Deficient N/A

c. Fall Protection:

compliant Deficient N/A

d. Clear of trash/debris:

compliant Deficient N/A

5. Ladders

a. Free from defects, with safet feet,blocked,cleated or otherwise secured:

compliant Deficient N/A

b. straight ladders at 1 to 4 pitch:

compliant Deficient N/A

6. Cylinders

a. Capped,stored in an upright position:

compliant Deficient N/A

b. Oxygen/Accetylene property separated:

compliant Deficient N/A

c. Empty gas cylinders marked:

compliant Deficient N/A

7. Tools/Equipment

a. Inspected to ensure safe operating condition:

compliant Deficient N/A

b. Hand tools free from defects:

compliant Deficient N/A

c. Unsafe/Unusable tools/equipment tagged "Do Not Use":

compliant Deficient N/A

d. Tools/Equipment property guarded:

compliant Deficient N/A

8. Housekeeping

a. Maintained:

compliant Deficient N/A

b. Aisles and exitways clear with 24" clearance:

compliant Deficient N/A

c. Work areas unculttered and debris removed:

compliant Deficient N/A

9. Electrical

a. Electrical equipment gounded:

compliant Deficient N/A

b. Tools doubled insulted:

compliant Deficient N/A

c. Cords in good condition:

compliant Deficient N/A

d. Electrical pannels covered if energized:

compliant Deficient N/A

10. Fall Protection

a. Guardrails,midrails,toeboards:

compliant Deficient N/A

b. Fall restraint systems:

compliant Deficient N/A

c. Open sided floors or platforms equiped with standard railing:

compliant Deficient N/A

d. Opening (interior/perimeter) properly barricaded or covered:

compliant Deficient N/A

d. Opening (interior/perimeter) properly barricaded or covered:

compliant Deficient N/A

11. Fire Prevention

a. Flammable and explosive materials stored safely:

compliant Deficient N/A

b. Adequate number of fire extinguishers available with tags and clips:

compliant Deficient N/A

c. Vehicles and mobile equipment provided with extinguishers:

compliant Deficient N/A

12. Excavations

a. Over 4 ft shored, benched or sloped as required:

compliant Deficient N/A

b. Steps or ladders at 25 ft intervals:

compliant Deficient N/A

c. Competent person on site:

compliant Deficient N/A

13. Hazzard Communication

a. SDS and Labels available:

compliant Deficient N/A

b. Employees briefed on HAZCOM:

compliant Deficient N/A

c. HAZCOM information Poster posted:

compliant Deficient N/A

d. Employees familiar with SDS familiar with books and their location:

compliant Deficient N/A

Comments *