Figure_4.docx

Figure 4

SAFETY TEMPLATES

WEEKLY SAFETY MEETING

CONTRACTOR: _________________________ Contract No. DACW33- PERSONNEL PRESENT (check): Contractor ____ Sub. ____ Government ____

SUBJECTS DISCUSSED (check items that were discussed during meeting):

USACE EM385-1-1 ______ (Specific sections: __________________________) On-site Accident Prevention Plan (or Site Safety and Health Plan) ______ Individual protective equipment (steel-toed boots, safety glasses, etc..) _____ Prevention of slips/falls _____ Back injury/safe lifting techniques _____ Fire prevention _____ First aid _____ Tripping hazards _____ Equipment inspection and maintenance _____ Hoisting equipment, winch and crane safety _____ Ropes, hooks, chains, and slings _____ Water safety _____ Boat safety _____ HAZMAT, Toxic hazards, contaminated sediments, MSDS, respiratory, ventilation _____ Biological hazards (poison ivy, ticks, wasps, mosquitoes etc) ______ Staging, ladders, concrete forms, safety nets, handrails ____ Hand tools, power tools, machinery, chain saws _____ Vehicle operation safety _____ Electrical grounding, temporary wiring, GFCI _____ Lockouts/safe clearance procedures _____ Welding, cutting _____ Excavation hazards/rescue _____ Loose rock/steep slopes _____ Explosives _____ Sanitation and waste disposal _____ Clean-up, trash _____

Other safety issues of concern specific to contract that was discussed during meeting:

All persons attending meeting the meeting must sign below or on the back of the form.

Contractor Representative Signature ____________________________ Date: _______ CE Inspector/QA (if present at meeting) __________________________ Date: ______ image1.jpeg