WESCOWEB
NARM Daily Contractor Risk Assessment
Daily Contractor Risk Assessment
Company Name:
Location
*
NARM
Caballo
Rawhide
Contract Owner Name:
Contract Owner Name:
Contract Owner Name:
Name of contractor representative completing this Risk Assessment:
*
Date:
*
Area you are working in:
*
Production
Maintenance
Plant
Other
Other
Job Scope must be completed (brief description of work to be done):
*
All tasks associated with loading and shooting explosives:
*
Maintain inventory for explosives and products. Control all parameters of each shot. Ensure patterns and roadways are acceptable for safe travel. Load, stem, tie in, and shoot shot. Conduct radio road guard checks prior to shooting. Visually inspect shot to ensure all detonators fired. Conduct the all-clear post shot announcements.
List tools required for the task:
*
Tape measures, weights, spoolers, stakes, calculators, cord cutters, pens, spring loaded shooter, note pads, radios, and all PPE. Powder trucks, dewatering units, and skid steers.
Prior to beginning work on any job, a risk assessment addressing the following must be completed and available for review by a mine Representative when requested. If any items are not OK, additional Control Measures must be listed.
(Items not applicable can be listed as N/A.)
Specific Job Hazards:
Tools and equipment condition
OK
Additional Control Measures
Contractor Initials Required
*
Appropriate PPE including gloves
OK
Additional Control Measures
Contractor Initials Required
*
Task specific safe work procedures known and followed
OK
Additional Control Measures
Contractor Initials Required
*
Stored energy: Energy sources: Gravity, Electrical, Mechanical, Chemical, Pressure, Thermal, Body Mechanics
OK
Additional Control Measures
Contractor Initials Required
*
Working at heights, fall protection or appropriate safe guards in place
OK
Additional Control Measures
Contractor Initials Required
*
Hot Work Permit / Permit to Dig / Confined Space Permit
OK
Additional Control Measures
Contractor Initials Required
*
Housekeeping
OK
Additional Control Measures
Contractor Initials Required
*
Others affected
OK
Additional Control Measures
Contractor Initials Required
*
Others affected
OK
Additional Control Measures
Contractor Initials Required
*
Slings and chokers, inspection and proper use of slings and chokers
OK
Additional Control Measures
Contractor Initials Required
*
Pinch points
OK
Additional Control Measures
Contractor Initials Required
*
Ground Conditions
OK
Additional Control Measures
Contractor Initials Required
*
Line of fire
OK
Additional Control Measures
Contractor Initials Required
*
MSDS available
OK
Additional Control Measures
Contractor Initials Required
*
Employees fit for duty
OK
Additional Control Measures
Contractor Initials Required
*
Potential weather issues
OK
Additional Control Measures
Contractor Initials Required
*
Other Hazards
Additional Control Measures
Contractor Initials Required
*
This risk assessment adequately addresses the potential safety & health risks for today’s scope of work to be conducted.
OK
Additional Control Measures
Contractor Initials Required
*
Field Observations & Safety Interactions
(If more than 2 employees are working at the site)
Date
Who
Observation(s)
Safety Suggestion(s)
Complete Date
Initial
Date
Who
Observation(s)
Safety Suggestion(s)
Completed Date
Initial
*Note: This assessment shall be retained by Contractor for a minimum of 30 days.
Submit
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