Safety Database Form

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Project Partner Manager Name

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Phone

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Project Manager 5

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Project Manager Name

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Phone

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This Plan is intended to provide specific information necessary for effective site implementation of the Company Safety Policies. More detailed safety information is contained in the Safety and Risk Management Plan (SRMP). This Plan shall be completed prior to the start of work by the Project Supervisor and all employees assigned to the project.

Upload SSSP PDF

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Logistics/Site Map Upload

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PRINCIPAL IN CHARGE

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Phone

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SITE SAFETY REPRESENTATIVE

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Phone

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PROJECT START DATE

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ESTIMATED FINISH DATE

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TODAY'S DATE

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PEAK MANPOWER

FIRST AID

First Aid/CPR trained personnel on site:

Expiration Date

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From Geocoder

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To Geocoder

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Directions, Distance & Routes

Directions Panel Minor

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From Geocoder

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To Geocoder

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Directions, Distance & Routes

Directions Panel Serious

Location of First Aid Kits

Location of Fire Extinguishers

Jobsite Muster Point

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Other Comments

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SIGNS

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OVERHEAD PROTECTION

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EXCAVATION/TRENCHES

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Other Safeguards

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FALL PROTECTION

Fall Protection is required for work in areas where the fall hazards is greater than 4'

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PORTABLE AND POWER SAWS

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HEAVY EQUIPMENT

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OTHER SAFETY MEASURES

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HOUSEKEEPING

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POTENTIAL EXPOSURE TO TOXIC CHEMICALS & HIGH NOISE LEVELS

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CONFINED SPACE

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Location

SEE Confined Space Plan

Schedule For Weekly Safety Meetings & Job Site Orientation

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Prepared By

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Date

Site Specific Pre-job Checklist / Safety Plan – Generator

Project Information

FIRST AID

Urgent Care Clinic

Emergency Hospital

SIGNS

OVERHEAD PROTECTION

EXCAVATION/TRENCHES

FALL PROTECTION

PORTABLE AND POWER SAWS

HEAVY EQUIPMENT

OTHER SAFETY MEASURES

HOUSEKEEPING

POTENTIAL EXPOSURE TO TOXIC CHEMICALS & HIGH NOISE LEVELS

CONFINED SPACE

Schedule For Weekly Safety Meetings & Job Site Orientation

Once you have viewed the Safety Plan, please proceed to the orientation checklist.

Site Specific Orientation Checklist

Site Specific Pre-job Checklist / Safety Plan – Generator

Project Information

FIRST AID

Urgent Care Clinic

Emergency Hospital

SIGNS

OVERHEAD PROTECTION

EXCAVATION/TRENCHES

FALL PROTECTION

PORTABLE AND POWER SAWS

HEAVY EQUIPMENT

OTHER SAFETY MEASURES

HOUSEKEEPING

POTENTIAL EXPOSURE TO TOXIC CHEMICALS & HIGH NOISE LEVELS

CONFINED SPACE

Schedule For Weekly Safety Meetings & Job Site Orientation

Once you have viewed the Safety Plan, please proceed to the orientation checklist. Site Specific Orientation Checklist

Once you have viewed the Safety Plan, please proceed to the orientation checklist.

Site Specific Orientation Checklist