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