Hot Work
Line of Fire
Safe Mechanical Lifting
Working Around Mobile Equipment
Working at Heights
100

Identify and _______ ignition sources

control

100

 I position myself to avoid ______

 dropped objects, 

100

Confirm that equipment and ______ have been inspected and fit for purpose

load

100

I plan work to separate ______ and _____ _______

workers, mobile equipment

100
Inspect ______ ______ before use

fall protection


200

Before starting; I confirm ________ are removed

flammables


200

Establish and obey barriers and _______ _______

exclusion zones

200

Only operate equipment that I am ________ to use

qualified
200

Only operate _______ _______when qualified and use ______ where required

mobile equipment, spotters

200

_______ ______ and work materials to prevent dropped objects

Secure tools
300

Before starting; a _____ test  must be completed and continuously monitored

gas



300
Take action to secure ______ ________

loose objects

300

I ______ and _____ barriers and exclusion zones

establish, obey

300

Establish clear means of  ________ with equipment operator

communication

300

I tie off 100% to approved ______ _______while outside a protected area

anchor points


400

Cover all ________ openings within 30 feet

sewer


400

Consider _____ positioning  

body 

400

I never ______ under a suspended load

walk 

400
Verify _____ ______ are functional on mobile equipment 

safety devices

400

Validate prompt ________ capability when wearing fall protection 

rescue

500

How long is a gas test good for? 

2 hours (with no continuous activities)

500

 I position myself to avoid ______

pressure releases or moving vehicles


500

I understand ____ ____ and keep hands off unless authorized

lift plans

500

Stay out of the equipment _______ zone while in operation

exclusion zone


500

Follow safe work practices when ______, ______ or ______ from ladders

climbing, descending or working