TUNNEL PREJOB SAFETY CONFERENCE CHECK LIST
This form outlines the subjects the Division will discuss at the Prejob Safety Conference.
1. PROJECT INFORMATION:
Starting date | ___________________________Project Duration:________________ |
a. Project Name ___________________________
Project Location ___________________________
b. Name of Owner ___________________________
Owner's Address ___________________________
____________________________________________________________ Phone ___________________________
c. Contractor
___________________________
Contractor's Address ___________________________
____________________________________________________________ Phone
___________________________
___________________________
Employee's representative ___________________________
___________________________
2. TUNNEL CLASSIFICATION:
___________________________
Classification Type _________________________Date Issued __________________________
Special Provisions ___________________________
General Geology __________________
3. TUNNEL SPECIFICATION:
a. Tunnel Diameter _____________________________ Tunnel Length ___________________________
Shaft Diameter ___________________Shaft Depth __________________________
b. Excavation Method and Support and Additional Details ___________________________
___________________________
c. Jacking Pit: Length ________________________________________ Width ____________________ Depth ____________________ Soil Type ___________________________
Pit Shoring Type/Slope ____________________________________________________________
Access/Egress ___________________________
Permit # and Competent Person ___________________________
Additional Details ___________________________
4. MANPOWER/TESTING EQUIPMENT
a. Total Manpower ________________________________________ Max/shift UG ______________________________ Statewide Employment ___________________________
b. Supervisors ___________________________
c. Safety Rep. and No. ___________________________
d. Gas Tester and No. ___________________________
e. Blaster and No. ___________________________
f. Gas Testing Equipment
5. EQUIPMENT
a. Mining Equipment ___________________________
Haulage ___________________________
b. Cranes - Model/Capacity
___________________________
c. Certification # _______________________ Date ___________________________
Crane and Rigging Inspection and Records ___________________________
Hoisting Equipment ___________________________
Cages and Work Platforms ___________________________
Signals and Communication ___________________________
d. Ventilation: Fan Model/HP/RPM ___________________________
Vent Line Size ______________________________ Length ______________Material _______________
Calculated CFM ________________________Reversible @ surface? Yes __________ No __________
Auxiliary Fan ___________________________
e. Diesel Equipment: Diesel Permit Number
List Other Equipment | ___________________________ | ___________________________ | ___________________________ | |
___________________________ | ___________________________ | ___________________________ | ___________________________ |
Scrubber Installation, inspection, and maintenance reviewed?
6. REQUIRED POSTINGS:
a. Cal/OSHA ______________________________ Emeregency Plan ______________________________ Telephone Nos. ______________________________ Classification ___________________________
b. Code of Safe Practices ____________________ Citations ______________________Diesel and Other Permits
7. SANITATION AND FIRST AID:
First Aid Kit ______________________________ No. of Persons Trained in First-Aid ______________________________ CPR
8. RELATED SAFETY ITEM DISCUSSION CHECKLIST:
a. State Mining and Tunnelling Program, including Inspections, procedures, citations, training, and technical assistance.
b. Reporting accidents and incidents to DOSH in 24 hours.
c. Gas tests, calibration, records, frequency, notifying DOSH.
d. Required Occupational Injury and Illness record keeping.
e. Crane boom clearance, with overhead high voltage power lines, and set-up. Daily and other inspections, including quarterly.
f. Required Inspections, assignment, schedule, records.
g. Identification and location(s) of existing utilities.
h. Fire prevention, protection, and special provisions.
i. Hazardous material training and information.
j. Hearing Conservation Program requirements.
k. Dust Control, Sampling, Respiratory Protection Program elements.
l. Personal protective equipment: hard hats, steel-toe boots, self rescuers, welding goggles and clothing, safety belts, and lines.
m. Traffic control, protection, warnings, reflective vests, etc.
n. Tunnel and shaft lighting, emergency and personnel lighting in case of power failure, and laser safety if laser is used.
o. Tunnel communication system and underground utility lines.
p. Explosives--type, system, storage, transport, warning system.
q. Safety Meetings: Monthly __________ Weekly __________ Records __________
r. Check-in system, primary and secondary exit protection/provision.
s. Underground Rescue Plan: Yes _____ No _____ Reviewed? Yes _____ No _____
If IIPP is reviewed, attach Check List.
t. Employee and supervisory training requirements and programs.
9. NOTES AND DETAILS:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
10. SKETCH (IDENTIFY):
Cal. Code Regs. Tit. 8, div. 1, ch. 4, subch. 20, app E
2. Editorial correction establishing separate HISTORIES for appendix (Register 2003, No. 28).
Note: Authority cited: Sections 142.3 and 7997, Labor Code. Reference: Sections 142.3 and 7997, Labor Code.