Tarlton Site Specific Safety Orientation

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

WUSM Renaud Hall Site Specific Orientation

WUSM Renaud Hall Site Specific

What is your name? *

YYYY

Project *

If not listed, please write in the name of the project you're on.

Who do you work for? *

I am required to report any incident, near miss, property damage, etc. immediately to my Supervisor or Tarlton Superintendent. *

0 points

True

False

Prior to each day’s work a Pre-Task Safety Plan (PTSP) must be completed/documented, reviewed with the crew, and signed by all employees acknowledging information and training.
*

0 points

True

False

In the event of an emergency, I am responsible for calling 911. *

0 points

True

False

Tobacco use in the building is permitted.
*

0 points

True

False

Ground Fault Circuit Interrupters (GFCIs) must be used to protect all construction power.
*

0 points

True

False

It is okay to use the top two steps of a step ladder, standing or sitting. *

0 points

True

False

Step ladders may be used in the closed position leaned against a wall?
*

0 points

True

False

The disciplinary policy may be used to ensure compliance with OSHA, Owner, and Site Specific Safety Requirements; immediate removal from the site can occur for serious or repeat violations?
*

0 points

True

False

Operation of an aerial lift, boom or scissor, requires operator certification, knowledge of potential hazards to the operator, users, public, fellow workers, documented daily inspection and safe operation. *

0 points

True

False

100% fall protection is required on this jobsite, but before use of fall protection systems all efforts should be made to engineer out the hazard.
*

0 points

True

False

Fall protection must be designed to prevent a fall more than 2’ or contact a lower level must be used, designed and installed under the direction of a qualified person.
*

0 points

True

False

Any scaffold must be inspected prior to use, be full decked and include a full guardrail systems?
*

0 points

True

False

Hotwork is any spark or heat producing activity, special protection is required including issuance and work under a Hotwork Permit, Hazard Specific PPE, Public protection, fire protection/extinguishers.
*

0 points

True

False

A face shield over safety glasses/fitted safety glasses or goggles is required for grinding, cutting and other hazards from work generating flying debris.

0 points

True

False

Demolition activities present special hazards and require a detailed safe work plan submitted, reviewed and approved prior to start of the activity.

0 points

True

False

Physical and/or Visual Barricading and/or additional hazard warning signage should be used to warn of hazards from vehicle traffic, heavy machinery, rotating machinery, falling debris, and overhead work or hoisting areas.
*

0 points

True

False

Electronics, music devices, boom boxes are permitted.
*

0 points

True

False

Permits are required for confined space entry and hot work.
*

0 points

True

False

This is a drug and alcohol free site, all employees are required to be actively enrolled in a drug and alcohol prevention program, including initial testing, random, post accident & for cause.
*

0 points

True

False

Dedicated fire watch should monitor the area after heat source is eliminated for how long?
*

0 points

10 min

60 min

180 min

30 min

Everyone is required to attend a weekly tool box talk.
*

0 points

True

False

The medical clinic & emergency medical care facility are...
*

The evacuation point is located...
*

Hard hats, safety glasses, and work boots must be worn at all times on site?
*

0 points

True

False

Failure to properly use PPE may be grounds for immediate removal from the site?
*

0 points

True

False

It’s ok to carry a gun as long as you let someone know about it?
*

0 points

True

False

Rules for Extension ladders include: stable footing, secured from movement, have non-skid feet, set up at a 4 to 1 ratio, inspected prior to each use, maintain 3 points of contact, 3’ above access area.
*

0 points

True

False

If I show up under the influence of drugs or alcohol the only repercussion is that I will be sent home to sleep it off and allowed to return the next day, no questions asked.
*

0 points

True

False

It is acceptable to wear cut off jeans, ragged clothing and sleeveless shirts.
*

0 points

True

False

Safety is everyone’s responsibility and it is my duty to stop work due to an unsafe act or condition until that condition is resolved.
*

0 points

True

False

The minimum required PPE on this project is hard hats and safety glasses.
*

0 points

True

False

I have been informed and/or shown where to park my vehicle, the locations of restrooms, prohibited areas, fire extinguisher locations, where to find the First Aid kit, the Evacuation Point(s), location of MSDS and designated break areas. *

True

False

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.