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