TOTAL SAFETY TASK INSTRUCTION

1
Rev. 01/11
KBR / ITI TOTAL SAFETY
TASK INSTRUCTION
Employee Involvement Given at Task Location
Every Task Every Day
Exact Location where work is done
______________________________________________
PPE Assessed by _________________________________
_ Date ______________ Time From
____________________ To ___________________
Supervisor/Designee____________________________
Step 1 - Job Description

Permit _______________
Sequence of Basic Job Steps/Tasks
Sequence of Basic Job Steps/Tasks
Step 2 - Planning
7
1
Emergency Action Plan
8
2

• Evacuation Routes Identified
• Checked.
• Alarm Codes Reviewed
• Wind Direction Reviewed
• Muster Point / Assembly Area / Safe
• Shelter ____________________________
• Telephone Numbers
• SECURITY (EMERGENCY)
• _______________________________

9
3
4
10
11
5
Materials disposed of properly
12
6
Work Area Clean-up completed
6-4444
Tools/Equipment To Be Used List All Equipment
Needed for Job Task
Personal Protective Equipment
Specialized Operations
(Instruction A) (Instruction B) (Instruction
C) (Instruction F) (Instruction G) (Instruction
H) (Instruction I M) (Instruction O)

• Air Monitor ____________________________
• Body Protection _________________________
• Bunker ______________________________
• Chemical Resistant ____________________
• Disposable (Tyvek, Etc.) ________________
• Flash Suit ____________________________
• FRC ________________________________
• Rain Slicker Suit ______________________
• Other ________________________________
• Eye Face Protection ____________________
• ANSI Safety Glasses____________________
• Face Shield ___________________________
• Goggles-Chemical _____________________
• Goggles-Impact _______________________
• Goggles-Burning ______________________
• Foot Protection _________________________
• Chemical Resistant _____________________
• Safety-Toed___________________________
• Hand Protection Chemical Resistant__________

• Supplied Air Respirators/SCBA
• Chemical Protective Clothing
• Electrical Lock-Out
• Asbestos Abatement
• Excavations and Shoring
• Crane-Suspended Work Platform
• Working on Energized Electrical
• Circuit
• Line Breaking
• Demo Process Piping

Hand Tools Step Ladder Extension Ladder
Forklift (Licensed Operator) JLG/Manlift
(Licensed Operator) Cordless Drill Motor
Electric Drill Motor Reciprocating Saw
Porta-Band Saw Circular Saw Extension Cord
Mule Hand Grinder Pencil Grinder Other
Personnel Protection Devices
Barricades (Tape / Signs) Equipment /
Grounding / GFCI Fire Blanket / Extinguisher /
Hose Fire Watch _____________________________
Entry Attendant__________________________ Fresh
Air / Ventilation Equipment Ladders /
Scaffolding Fall Protection Device / System
Safety Shields / Netting Safety Shower Eye
Wash Vapor Proof / Low Voltage Lighting
Management of Change

• Yes (Client Notification Required)
• No

Equipment / PPE Inspection
Hazard Communication

• Manlift Inspected
• Forklift Inspected
• Test Equipment current
• Bucket Truck Inspected
• Glove (high voltage) Tested and Current
• Rubber Mats Tested and Current
• Flash Suit Clean
• Scaffolding / Inspected

MSDS Available Discuss Health Hazards
Employee/Additional Comments
Job Walkthrough/Housekeeping
Walkway Clean / Work Area Clean Tools,
Materials Equipment Stored Properly
Trash Scrap Metal Placed in Correct
Containers Hazardous Waste Disposal
Other_____________________________
Step 3 - See Reverse Side
Step 4 - Verification
YES NO 1. Have Hazards/Risks for
this job been assessed to ensure appropriate
safety precautions and proper controls? YES NO
2. Did pre-job briefing training
provide adequate information to perform the job
task? YES NO 3. Did
Supv/Designee provide adequate preparation by
conducting a walk-through completing TSTI at
the task location? YES NO 4. Are
you familiar with the job performance standards
required for this job task? YES NO
5. Do you have an adequate level of experience
to perform this task? YES NO 6.
All persons are trained and qualified on the
tools and equipment they plan on using to perform
the task? YES NO 7. Have all
tools and equipment used for this job task been
properly inspected? YES NO 8.
Did communication with other affected personnel
about activities which may represent a
hazard/risk take place? YES NO 9.
Have proper precautions been taken for others in
the immediate work area that may be affected? YES
NO 10. Is the work area free of
housekeeping deficiencies, slippery walking
surfaces and unsafe conditions? YES NO N/A
11. Are all employees familiar with, or has
MSDS been reviewed for, any hazardous substance
that may be present? YES NO N/A 12. Has
the line/equipment been drained, depressurized,
and decontaminated? YES NO N/A 13. Has
the area been barricaded or stand-by posted? YES
NO N/A 14. Has LOTO equipment been walked
out and verified? YES NO N/A 15. Has each
affected employee attached personal lock/tag to
the lock out? YES NO N/A 16. Have
Stop-work conditions been discussed and reviewed?
DO NOT BEGIN WORK if any questions are answered
NO Notify your supervisor for consultation.
Your Supervisor can provide on-the-job training,
change the crew mix, correct the
condition or halt the job.
Step 5 - See Reverse Side
2
(No Transcript)