Infectious Disease Control Plan - COVID-19 - Flipbook - Page 32
Job Hazard Analysis / Pre Task Plan
Checklist
Step 2 Checklist:
Project Name:
Start Date:
End Date:
Description (What is involved?):
Cell:
Vendor Representative:
Vendor Company Name:
TXC Superintendent:
(Include company name, if subcontractor)
Approval
Level
Yes
No
NA
Desc. On
Task
Plan?
Attachment
Provided?
Cell:
GENERAL - *Must be completed for all activities*
Do you know the evacuation routes, procedures, and requirements for the work site?
NA
Have you identified and shown the locations of the nearest phone, eyewash/shower, and
fire extinguisher?
NA
Do you have appropriate safety training for the tasks you will perform (i.e., forklift, Hot
Work, Energized work, confined space, crane operator, LOTO, ladders, hazardous
materials, etc.)?
NA
Do you know the location of the Safety Data Sheets (SDS)? SDS binders
are located in the lobby or ask site EHS.
NA
Are you aware that no material (including water) may be discharged to the storm drain
system or may be left where it may impact the storm drain system at a later time?
Approval
Level
L
H
H
H
H
L
M
Yes
No
Desc. On
Task
Plan?
Attachment
Provided?
HAZARDOUS MATERIALS/HAZARDOUS WASTE (REF. IIPP CH. 4)
Are you bringing hazardous materials (including glues, cleaners, paints, oils, etc.) to the
work area? If yes, you must have an SDS for each material on site.
Will you perform decontamination activities or remove equipment/materials that may be
contaminated? If yes, include method for disposal of contaminated parts/material in
the task plan.
Could your work result in Hazardous Waste being generated? If yes, coordinate waste
removal and transportation with customer EHS or on-site hazardous waste vendor.
Will you be cutting, removing, or disturbing, pipe insulation, roofing material, or other
material that may contain asbestos? If yes, contact customer EHS and TXC safety
department to coordinate sampling and remediation as required.
Will the task require respiratory protection or special protective clothing?
Removal and disposal of fluorescent lamps
Will you encounter or use hazardous materials in the work area? If yes, specify below.
(Attach any area assessments)
Corrosives
Flammable / combustibles
Oxidizers
Inert or nonflammable gases
Poisons
Cryogens
Specialized PPE (Gloves, Boots, Etc.)
Other
Chemically – resistant suit
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