PRE-JOB SAFETY INSTRUCTION (PSI) PLEASE COMPLETE A PSI AT THE TASK LOCATION PRIOR TO START OF EACH TASK OR WHEN CONDITIONS CHANGE. PRE JOB SAFETY BREAK INITIAL i AUDITOR ENVIRONMENTAL HAZARDS spill potential / containmentHAZMAT / TDG storageweather conditionsMSDS reviewed for hazardous materialsventilation requiredheat stress / cold exposurelighting levels too lowhousekeeping ERGONOMICS HAZARDS / MATERIALS HANDLING working in a tight areaparts of the body in line of fireworking above your headpinch points identifiedrepetitive motion WORK AT HEIGHTS HAZARDS barricades, flagging and signs in placehole coverings in placeprotect from falling itemspowered platformsothers working overhead / belowfall arrest systemladders ACTIVITY HAZARDSwelding / grindingburn / heat sourcescompressed gassesworking on / near energized equipmentelectrical cords / tools - conditionequipment / tools inspectedcritical lift meeting requiredenergy isolationairborne particalsopen hole(s) / leading edge(s)mobile equipment / vehicleriggingexcavation / underground work hazardsconfined space ACCESS / EGRESS HAZARDS scaffold (inspected and tagged)slip / trip potential identifiedrequired permits in placeexcavationswalkways / roadways PERSONAL LIMITATIONS / HAZARDS clear instructions providedtrained to use tool & perform taskdistractions in work areaworking alone (communication)lift too heavy / awkward positionexternal noise levelsphysical limitationsfirst aid requirements PPE REQUIREMENTS goggles / Fectoggles / Spogglesface shieldgloves (kevlar or leather)coverall (fire retardant)hearing protectionrespiratorharness / lanyardreflective vestfootwear (condition / application) Identify the task steps and hazards, and then identify the plans to eliminate or control the hazards. PPE REQUIREMENTS PPE REQUIREMENTS PPE REQUIREMENTS DO NOT SIGN UNTIL YOU UNDERSTAND & AGREE WITH THE PSI. REVIEW AND INITIAL AFTER BREAKS & LUNCHES ON SEPARATE FORMS ABOVE. Δ
