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Load Restraint / Safe Transportation

Stepback 5x5
Name: Type of Load (pipe, steel, boxes, pallets, panels, etc):
Supervisor:
Date/Time: Weight of Load:
Area: Truck/Trailer#:
WORK PLANNING / COMMUNICATION YES NO N/A LOAD SECUREMENT YES NO N/A

Has the JHEA been reviewed? (and explained clearly in Has restraint gear been inspected for damage,- straps,
1 the language of the workers signing on) 20 chains, webbing, ratchets, binders and winches?

Are all identified equipment, tools, and PPE available for Has damaged restraint gear been taken out of service,
2 the task? (If No - STOP) 21 tagged and quarantined?

Has the work area been clearly defined? (e.g. barricading, Is the load chocked / secured so as to prevent movement
3 cones during loading / offloading) 22 during transport, but not configured to create stored
energy when offloading?

ERGONOMICS YES NO N/A 23 Have stanchions been inspected for integrity?

Are awkward or sustained body positions anticipated?


Is dunnage in good condition? (rated for the task / free of
4 Repetitive motions? (Consider pre-task stretches, regular 24 cracks and damage)
breaks, task rotation)

Platform ladders are available and workers informed of Has the need for Working at Height been eliminated?
5 safe ladder use? (No work or handling to be conducted 25 Consider a work method that does not require Work at
from step ladders) Height and use of Fall Protection

6 Will heavy or awkward loads be manually lifted? 26 Does dunnage extend to sides of truck/trailer?
7 Do you know the weight of items to be lifted? 27 Are softeners in use on sharp edges?
8 Do you require a mechanical aid?
28 Are there enough restraints available to properly secure
the load?
TRAINING YES NO N/A
9 Do you have the proper training for task? 29 Have the correct restraints been used for the load?
10 Have you performed similar work in the past?
30 Isthethere any steel on steel contact between the load and
vehicle / trailer / other materials?
11 Have new or inexperienced members of the work crew
been considered and JHEA communicated?
31 Is the load restrained to stop movement in all directions?
EMERGENCY PREPAREDNESS YES NO N/A
32 Is the load safe to be moved?
12 Emergency and safety equipment present? (first aid kit,
spill kit, fire extinguisher, wheel chocks)
HOUSEKEEPING YES NO N/A
13 Tyres / brakes in good condition? 33 Are the appropriate waste containers available?
In case of breakdown or emergency, are all emergency Work area clear of excess material and debris including
14 contacts and means of communication with Control 34 tray free of rocks / rubbish?
Room available? - If NO then CLEAN UP

15 All lights / signals / alarms are working? VEHICLE/MOBILE EQUIPMENT OPERATIONS YES NO N/A
HAVE YOU ASSESSED THE LOAD? YES NO N/A 35 Is it the correct equipment to load/unload?
16 Does the load hang over the side of the vehicle? 36 Are barricades and barriers in place?
17 Can the load shift, fall, collapse, or roll? 37 Can people be struck by the equipment?
18 Does the load exceed the SWL of the truck or the
restraints? (Safe Working Load) 38 Do you need a spotter?
39 Is your spotter wearing a high visibility vest?
19 Is(inthe weight of the load distributed correctly?
accordance with the chart below) Spotter's Name:
Current Weather Conditions:
Additional Controls Required:

ALL VEHICLES WITHOUT IVMS INSTALLED MUST STOP AND


WAIT TO BE ESCORTED ONTO SITE
FAILURE TO OBEY PROJECT SPEED LIMITS AND ROAD RULES
MAY RESULT IN REMOVAL FROM SITE
ALL VEHICLES WITHOUT IVMS INSTALLED MUST STOP AND
WAIT TO BE ESCORTED ONTO SITE
FAILURE TO OBEY PROJECT SPEED LIMITS AND ROAD RULES
MAY RESULT IN REMOVAL FROM SITE

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