Pre-Task Plans

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HTML Block	PRE-TASK PLAN The supervisor and crew will create this plan establishing safe work practices and common hazard control measures for preventing the occurrence of injuries.

	Job Information

Job Name:	600 Bellevue
Job Number:	1C-1639
Location of Work:	Level p1 and p2
Task Description:	Insulate pipe
Date	04/30/2024
Start Time	12:00 AM
End Time	12:00 AM
Division	Seattle

	Work Task & Environment Evaluation

Are all HBI employees orientated to the site, familiar with the work environment and have you all reviewed and signed the JHA and SSSP?	Yes
Has the work area been walked by the crew to identify safety and/or impact concerns?	Yes
Will the task require special permits or plans? (i.e. confined space entry, hot work, fall protection work plan)	No
Will the task involve exposure to falls of 4’ or greater?	No
Do not start work until the anchor points have been identified and the necessary equipment is available	Do not start work until the anchor points have been identified and the necessary equipment is available
Will the task expose you or other HBI employees to a fall hazard 10’ or greater?	No
Do not start work until a Fall Protection Work Plan has been completed	Do not start work until a Fall Protection Work Plan has been completed
Will barricading and or signage be required to protect personnel, facilities, or equipment?	No
Do not start work until the necessary equipment is available	Do not start work until the necessary equipment is available
Will the task require the use of ladders?	Yes
Do you have the appropriate type and size of ladder to perform the scope of work safely?	Yes
Do not start work until the appropriate ladder is available	Do not start work until the appropriate ladder is available
Have the ladders been inspected for serviceability and has the inspection been annotated on the HBI Ladder Inspection Tag?	Yes
Do not start work until the inspection has been completed and annotated on the inspection tag	Do not start work until the inspection has been completed and annotated on the inspection tag
Will the task require the use of MEWPs?	Yes
Are the operators and occupants trained, certified, and authorized to operate the MEWP safely?	Yes
Do not start work until MEWP training as been completed.	Do not start work until MEWP training as been completed.
Have the MEWPs been inspected for serviceability and has the inspection been annotated on the HBI MEWP Inspection Tag?	Yes
Do not start work until the inspection has been completed and annotated on the inspection tag	Do not start work until the inspection has been completed and annotated on the inspection tag
Will the task require the LOTO of energized systems?	No
Do not start work until the coordination with affected personnel has been established.	Do not start work until the coordination with affected personnel has been established.
Do not start work until the necessary equipment is available	Do not start work until the necessary equipment is available
Will the task involve the use of chemicals?	No
Do not start work until the SDS has been reviewed and the appropriate PPE is available	Do not start work until the SDS has been reviewed and the appropriate PPE is available
Will the task involve exposure to high noise levels greater than 85 dBA?	Yes
Do you have appropriate hearing protection available?	Yes
Do not start work until hearing protection is available	Do not start work until hearing protection is available
Will the task involve musculoskeletal/ergonomic risk factors? (i.e. repetetive motion, awkward position, joint stress)	Yes
Will an ergonomic “stretch & flex” plan be implemented at the start and end of shift?	Yes
Do not start work until a stretch & flex” plan be implemented.	Do not start work until a stretch & flex” plan be implemented.
Will inclement weather conditions affect the safe completion of the task?	No
Do not start work until alternate work areas or procedures have been established and implemented.	Do not start work until alternate work areas or procedures have been established and implemented.
Do not start work until additional provisions have been established and implemented	Do not start work until additional provisions have been established and implemented.
Will the task require additional coordination with other crafts in the work area?	No
Do not start work until coordination has been established with affected crews.	Do not start work until coordination has been established with affected crews.
Have all tools & equipment been inspected for safe use prior to starting work tasks?	Yes
Do not start work until all tools and equipment have been inspected for safe use.	Do not start work until all tools and equipment have been inspected for safe use.
Has all emergency equipment been identified & located? (i.e. fire extinguishers, eyewashes bottles/stations, first aid kits, AED)	Yes
Do not start work until all emergency equipment as been identified & located	Do not start work until all emergency equipment as been identified & located
What is the evacuation route and designated rally point?	Stairs out of building to parking lot
Steps of the Task	Measure system for insulation Cut insulation to fit system Apply insulation to system
Hazards of the Task	Slips trips falls cuts contusion debris particles in eyes sharp knives heavy lifting
Hazard Control Methods	PPE housekeeping communication

	Personal Protective Equipment

PPE	Safety Helmet/Hard Hat Safety Glasses Full Body Harness Gloves – Cut Level 3 or greater Hearing Protection High Vis Clothing

	Signatures By signing below, I acknowledge that I participated in the creation of this pre-task plan and understand the steps of the task, associated hazards, and hazard control methods.

Crewmember 1 Name:	Mitch Bohn
Crewmember 1 Signature
Crewmember 1 – I agree the above name and signature are my own	Yes
Crewmember 2 Name:	Josh Lawrence
Crewmember 2 Signature
Crewmember 2 – I agree the above name and signature are my own	Yes
Crewmember 3 Name:	Justin Cimorelli
Crewmember 3 Signature
Crewmember 3 – I agree the above name and signature are my own	Yes
Crewmember 4 Name:	Guillermo Avina
Crewmember 4 Signature
	Use the + icon next to a crew member name to add additional crew members.

	Pre-Task Plan Revisions Describe the deviations from the original pre-task plan and detail the revised hazard control methods.

Additional Email 1	Email hidden; Javascript is required.
	If work conditions change, work MUST STOP and the Pre-Task Plan must be revised.
Complete the required items based on your responses before starting work	Complete the required items based on your responses before starting work.
Do not start work until all HBI employees orientated to the site and have signed the JHA and SSSP.	Do not start work until all HBI employees orientated to the site and have signed the JHA and SSSP.
Do not start work until the work area been surveyed by you and the crew to identify safety and/or impact concerns.	Do not start work until the work area been surveyed by you and the crew to identify safety and/or impact concerns.
Do not start work before all permits and plans have been developed and discussed with the crew.	Do not start work before all permits and plans have been developed and discussed with the crew.
Do not start work until fall protection anchor points have been identified and the necessary equipment is available.	Do not start work until fall protection anchor points have been identified and the necessary equipment is available.
Do not start work until a Fall Protection Work Plan has been completed.	Do not start work until a Fall Protection Work Plan has been completed.
Do not start work until the appropriate ladder is available.	Do not start work until the appropriate ladder is available.
Do not start work until the ladder inspection has been completed and annotated on the inspection tag	Do not start work until the ladder inspection has been completed and annotated on the inspection tag.
Do not start work until MEWP training has been completed.	Do not start work until MEWP training has been completed.
Do not start work until the MEWP inspection has been completed and annotated on the inspection tag	Do not start work until the MEWP inspection has been completed and annotated on the inspection tag.
Do not start work until hazardous energy sources, their isolation points, and coordinated the shutdown and communication procedures with affected personnel have been established.	Do not start work until hazardous energy sources, their isolation points, and coordinated the shutdown and communication procedures with affected personnel have been established.
Do not start work until the necessary LOTO equipment is available	Do not start work until the necessary LOTO equipment is available.
Do not start work until the SDS has been reviewed and the appropriate PPE is available.	Do not start work until the SDS has been reviewed and the appropriate PPE is available.
Do not start work until hearing protection is available.	Do not start work until hearing protection is available.
Do not start work until alternate work areas or procedures have been established and implemented.	Do not start work until alternate work areas or procedures for inclement weather have been established and implemented.
Do not start work until additional provisions for warming or cooling areas have been established and implemented	Do not start work until additional provisions for warming or cooling areas have been established and implemented.
Do not start work until necessary coordination has been established with affected crafts	Do not start work until necessary coordination has been established with affected crafts.
Do not start work until all tools and equipment have been inspected for safe use.	Do not start work until all tools and equipment have been inspected for safe use.
Do not start work until all emergency equipment as been identified & located.	Do not start work until all emergency equipment as been identified & located.

PRE-TASK PLAN

The supervisor and crew will create this plan establishing safe work practices and common hazard control measures for preventing the occurrence of injuries.

Job Information

Work Task & Environment Evaluation

Personal Protective Equipment

Signatures

Pre-Task Plan Revisions

If work conditions change, work MUST STOP and the Pre-Task Plan must be revised.

Complete the required items based on your responses before starting work.

The supervisor and crew will create this plan establishing safe work practices
and common hazard control measures for preventing the occurrence of injuries.