Field Safety Walk Checklist

SIGNATURE

SIGNATURE

SIGNATURE

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Extension cords Power tools Lock out area

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Anchorage points Emergency rescue plan Protection gear

Yes No NA

Base setup Inspections Ladders

Yes No NA

Yes No NA

Egress Soil Sloping Barricades Air monitor Emergency rescue plan Water assembly

Emergency evacuations Emergency contact list First aid training/kid Eye wash facility

Hard hats Safety glasses/shields Respiratory Hearing protection

Clothing Gloves Foot gear

Crane inspection Operator manual Crane setup Crane swing radius Flagman

Yes No NA

Yes No NA

Equipment inspection Qualified operator Operator manual Flagman Equipment setup

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Yes No NA

Capacity tags Hooks Latches Chain falls Tag lines

Yes No NA

Yes No NA

Yes No NA

Hand/mid rails Platform decks Egress Powerlines Barricades

Yes No NA

Safe At Risk NA

Yes No NA

Sanitary facility Water supply Storage Convex box