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  • MUK-IMS-F133 - 01 - Buddy - Check - Form - 2020-08-18

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    POKHTOON WORLD
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    This form is used to conduct buddy checks of workers before they enter a worksite. It records the operative's name and supervisor, and has them verify that the operative is wearing proper personal protective equipment in good condition, has completed pre-use inspections of any PFPE equipment, has their helmet tether fastened, is not carrying unnecessary items, has empty pockets and tool belts, and has all tools and equipment secured with tethers displaying weight limits and in good repair. Space is also provided for any comments.

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    MUK-IMS-F133_01 - Buddy_Check_Form_2020-08-18

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    This form is used to conduct buddy checks of workers before they enter a worksite. It records the operative's name and supervisor, and has them verify that the operative is wearing proper personal protective equipment in good condition, has completed pre-use inspections of any PFPE equipment, has their helmet tether fastened, is not carrying unnecessary items, has empty pockets and tool belts, and has all tools and equipment secured with tethers displaying weight limits and in good repair. Space is also provided for any comments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views1 page

    MUK-IMS-F133 - 01 - Buddy - Check - Form - 2020-08-18

    Uploaded by

    POKHTOON WORLD
    This form is used to conduct buddy checks of workers before they enter a worksite. It records the operative's name and supervisor, and has them verify that the operative is wearing proper personal protective equipment in good condition, has completed pre-use inspections of any PFPE equipment, has their helmet tether fastened, is not carrying unnecessary items, has empty pockets and tool belts, and has all tools and equipment secured with tethers displaying weight limits and in good repair. Space is also provided for any comments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Buddy Check Form

    Operative Name:

    Supervisor conducting the check:

    Signature:

    Date: Time In: Time Out:

    PPE in suitable condition?

    PFPE Pre-use inspection carried out and recorded


    In the daily checklists?

    Helmet tether in place?

    No unnecessary items carried?

    Pockets and tool belt empty?


    (mobile phone, keys, wallet, loose change to be removed
    from the pockets)

    All tools and equipment tethered?

    Tool tethers displaying SWL and in good condition?

    Karabiners connected to PFPE locked?

    Comments

    SMC-IMS-F133/01 18-08-2020 Page 1 of 1


    Uncontrolled when printed

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