Project Name: Project Location:
Completed by: Date:

JOB START-UP CHECKLIST

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Worksite Yes No
     OSHA/TWCC Posters displayed in prominent location? ___ __
     Emergency telephone numbers posted? ___ __
     Emergency evacuation routes identified and posted? ___ __
     Local fire department notified of job activities? ___ __
     Safety signs/warnings posted where appropriate? ___ __
     First aid kits available, adequately stocked, and identified? ___ __
     List of employees with current CPR/First Aid cards posted? ___ __
     Occupational clinic identified and introductory visit made? ___ __
     Local hospitals identified? ___ __
     Fire extinguishers located, identified, and regularly inspected? ___ __
     M.S.D.S.  station established and identified? ___ __
     Eye wash station established and identified? ___ __

 

Management Programs Yes No
     Corporate safety manual on site? ___ __
     Written policy statement signed by management? ___ __
      Copy of signed policy provided to new employees? ___ __
     Individual(s) responsible for implementation and enforcement of the accident  ___ __
                  prevention plan identified?
     Written drug/substance abuse policy distributed to employees? ___ __
     Employee/Supervisor responsibilities and authority assigned? ___ __
     Procedures established for employee safety and health complaints? ___ __

 

Recordkeeping Yes No
     OSHA 200 log available with procedures/responsibilities  established? ___ __
     Procedures in place to conduct and maintain records of:
          Site/facility safety inspections? ___ __
          Safety meeting minutes? ___ __
          Job Hazard Analysis? ___ __
          Accident investigations ___ __
          Emergency response drills ___ __
          Hot work permits? ___ __
          Confined space entry permits? ___ __
          Utility locates? ___ __
          Equipment and Tools? ___ __
          Vehicle inspections? ___ __
          Fire suppression equipment? ___ __
     Employee records file contains: ___ __
          up-to-date medical records in accordance with OSHA requirement? ___ __
          exposure records t hazardous substances or harmful physical agents? ___ __
          training records which are available for review? ___ __

 

Employee Health & Safety Training Yes No
     All workers received job site safety orientation? ___ __
     All new employees received company orientation training? ___ __
     All employees received and documented required training:
          Emergency action plan? ___ __
          Equipment operation? ___ __
          Hazard communication? ___ __
          Hearing conservation? ___ __
          Location and use of emergency equipment? ___ __
          Personal protective equipment? ___ __
          Work area hazards? ___ __
     Employees receive refresher training at least annually? ___ __
     Employees participate in regularly scheduled safety meetings/training? ___ __
     Management participates and provides resources in employee training? ___ __
     Employees instructed on procedures to report unsafe conditions, acts, etc? ___ __

 

Accident Investigation  Yes No
     Have accident investigation guidelines been established and are forms available? ___ __
     Will  all accidents and "near misses" investigated? ___ __
     Have supervisors received training on accident investigation/ hazard abatement? ___ __
     Have responsibilities been assigned for all phases of investigation process:
          Who conducts investigations/completes report? ___ __
          Who completes records/logs? ___ __
          Who ensures corrective action recommendations have been implemented? ___ __