Project Specific Plan Review

Project Name: _____________________________________ UM Project Manager: ________

Contractor Firm: ___________________________________

Item Meets Incomplete or

N/A Item Meets Incomplete or

N/A

Accountability Policy Fire Prevention and Protection

Accident/Incident Reporting Extinguishers (where, how many, type)

Audits/Inspections – Example format Inspection Policy

Weekly and Documented Hot Work Permit Process

Applicability to Subcontractors Flammable Liquid Storage

Cell Phone Usage Policy Forms (Accident Investigation, JSA, etc.)

Designated Areas for Usage Housekeeping

Communication No Walkway Storage

Daily Huddles/Safety Meetings Emergency Action Plan

How are they documented Evac. Plans for Site

Applicability to Subs. Emergency Numbers/Contact List

UM TIP Line Information Hospital/Clinic Location

Location of Job Safety Board UM Reporting Requirements

Orientation First Aid Kit Location

Review of Orientation Material Job Hazard Analysis – Example format

Process to Verify Workers Attend Policy for Communication

Visitor Policy PPE

Crane Safety and Rigging Hard Hat, Safety Glasses,

Annual Inspection Long Pants, Sleeved Shirt, Work Boots

CCO Operator Project Safety Personnel

Electrical Safety Safety Representatives (incl. subs)

GFCI usage 30 Hour Training Requirement

Extension Cord Policy 1st

Aid/CPR Training

LOTO Policy Protection of the Public

NFPA 70E Requirements Site Logistic Plan

Environmental Smoking Policy

Soil Erosion/Sediment Control Plan Substance Abuse Policy

Spill Response Plan 3rd

Party Administrator

Spill Kit Location 9 Panel Minimum

Chemical Storage and Disposal Verification of Worker Compliance

Asbestos/Lead Pass/Fail Criteria

Hazard Communication Policy Task Specific Elements:

Equipment Safety Concrete

Training verification – List Equipment Demolition

Inspection requirements/Tagging Roofing

Fall Protection Steel Erection

6 Foot Fall Policy Trenching

Roofing, Steel Erection & Scaffolding Temporary Elevator Operation

Comments:

Status of Plan: __________________________________________________________________________

_______________________________ Reviewed by U-M OSEH Date