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Forms for Belgrade WWTP
Job Hazard Analysis (JHA)
To be filled out and discussed by everyone involved in the task
Site Safety Audit
Permit Required Confined Space Entry
Contains or has a potential to contain a hazardous atmosphere; or. Contains a material that has the potential for engulfing an entrant; or. Has an internal configuration that could trap or asphyxiate an entrant by inwardly converging walls or a floor which slopes downward and tapers to a small cross section; or. Contains any other recognized serious safety or health hazard.
Equipment Inspection
Stop Work/ Good Catch
Daily and Monthly inspections can be performed by a competent person.
Annual, Post Assembly and Part Replacement inspections NEED to be performed by a qualified person.
Lock Out/ Tag Out
Stop Work/ Good Catch
Stop Work/ Good Catch
This form is to notify management that a LOTO needs to take place. Please follow proper procedures found in the procedures tab to ensure devices and equipment are properly locked out and tagged out.
Stop Work/ Good Catch
Stop Work/ Good Catch
Stop Work/ Good Catch
Document Upload
Use this link to upload any documents we need to keep on file here at SCS. Ex. Shot Records, CPR First Aid card, Respiratory Fit Testing, Training Certifications. ETC
Excavation & Trenching Permit
Atmospheric Monitoring
Atmospheric Monitoring
Electrical Devices are not intrinsically safe devices. Therefor, an atmospheric monitoring sheet should be filled out on a piece of paper and a photo uploaded onto this form. This form is one with our Confined Space Entry/Exit form Below in downloads.
Hot Work Permit
Atmospheric Monitoring
This will be filled out when doing any work that produces a spark, flame, or heat.
Vehicle Inspection Form
SCS SITE DATA TRACKER
SCS SITE DATA
March is National Ladder Safety Month!
Click below for some helpful tips to always keep in mind when using a ladder!