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