Stop Work Authority First Aid Wore Hard Hat in Treed Areas Always Follows Safety Standards Practice Circle of Safety Read WSM400.4 Reviewed Injury Response Flow Chart Inspected First Aid Kit in Truck Visited CyberC Safety Page No Cell Phones While Driving Reviewed & Completed Plan for the Day 5 Times Completed 1 Pre- Operation Vehicle Form Followed Proper Heat/Cold Procedures Wore Eye Protection EVERY TIME Inspected Fire Extinguisher in Truck Reviewed & Signed 3 PSP's in One Week Safety Begins with me Followed Proper Tick Procedures Hand Held Tool Safety Wore Safety Vest Working Alone WSM100.31 Safety Meeting Stayed Hydrated Working Around Water Fire Safety Reviewed & Signed 5 PSP's in One Week Saved Plan for the Day in Safety Folder Read WSM 100.1 Foot Protection in good condition PSP on Site Read Fire Safety WSM 100.7 Incident Report General Safety Flagging Traffic Sun Exposure Drone Training Reported a Near Miss Inspected PPE Wore Seatbelt Did not leave equipment unattended Safety Training Up to Date Wet Weather Driving Surveying WSM200.4 Inclement Weather Who is Corp Safety Director Lifting Safely Equipment Stored Properly Read WSM 200.4 Stop Work Authority First Aid Wore Hard Hat in Treed Areas Always Follows Safety Standards Practice Circle of Safety Read WSM400.4 Reviewed Injury Response Flow Chart Inspected First Aid Kit in Truck Visited CyberC Safety Page No Cell Phones While Driving Reviewed & Completed Plan for the Day 5 Times Completed 1 Pre- Operation Vehicle Form Followed Proper Heat/Cold Procedures Wore Eye Protection EVERY TIME Inspected Fire Extinguisher in Truck Reviewed & Signed 3 PSP's in One Week Safety Begins with me Followed Proper Tick Procedures Hand Held Tool Safety Wore Safety Vest Working Alone WSM100.31 Safety Meeting Stayed Hydrated Working Around Water Fire Safety Reviewed & Signed 5 PSP's in One Week Saved Plan for the Day in Safety Folder Read WSM 100.1 Foot Protection in good condition PSP on Site Read Fire Safety WSM 100.7 Incident Report General Safety Flagging Traffic Sun Exposure Drone Training Reported a Near Miss Inspected PPE Wore Seatbelt Did not leave equipment unattended Safety Training Up to Date Wet Weather Driving Surveying WSM200.4 Inclement Weather Who is Corp Safety Director Lifting Safely Equipment Stored Properly Read WSM 200.4
(Print)
Stop Work Authority
First Aid
Wore Hard Hat in Treed Areas
Always Follows
Safety Standards
Practice Circle of Safety
Read WSM400.4
Reviewed Injury Response Flow Chart
Inspected First Aid Kit in Truck
Visited CyberC Safety Page
No Cell Phones While Driving
Reviewed & Completed Plan for the Day 5 Times
Completed 1 Pre-Operation Vehicle Form
Followed Proper Heat/Cold Procedures
Wore Eye Protection EVERY TIME
Inspected Fire Extinguisher in Truck
Reviewed & Signed 3 PSP's in One Week
Safety Begins with me
Followed Proper Tick Procedures
Hand Held Tool Safety
Wore Safety Vest
Working Alone WSM100.31
Safety Meeting
Stayed Hydrated
Working Around Water
Fire Safety
Reviewed & Signed 5 PSP's in One Week
Saved Plan for the Day in Safety Folder
Read WSM 100.1
Foot Protection in good condition
PSP on Site
Read Fire Safety WSM 100.7
Incident Report
General Safety
Flagging Traffic
Sun Exposure
Drone
Training
Reported a Near Miss
Inspected PPE
Wore Seatbelt
Did not leave equipment unattended
Safety Training Up to Date
Wet Weather Driving
Surveying WSM200.4
Inclement Weather
Who is Corp Safety Director
Lifting Safely
Equipment Stored Properly
Read WSM 200.4
