California Code of Regulations › Title 8 - Industrial Relations › Division 1 - Department of Industrial Relations › Chapter 4 - Division of Industrial Safety › Subchapter 20 - Tunnel Safety Orders › Appendix E

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
TUNNEL PREJOB SAFETY CONFERENCE CHECK
					 LIST
This form outlines the subjects the Division will
					 discuss at the Prejob Safety Conference.
1. PROJECT INFORMATION:
Starting date
___________________________Project Duration:________________
a. Project Name ___________________________
Project Location ___________________________
b. Name of Owner ___________________________
Owner's Address ___________________________
____________________________________________________________
					 Phone ___________________________
c. Contractor
___________________________
Contractor's Address ___________________________
____________________________________________________________
					 Phone
___________________________
___________________________
Employee's representative
					 ___________________________
___________________________
2. TUNNEL CLASSIFICATION:
___________________________
Classification Type _________________________Date Issued
					 __________________________
Special Provisions ___________________________
General Geology __________________
3. TUNNEL SPECIFICATION:
a. Tunnel Diameter _____________________________ Tunnel
					 Length ___________________________
Shaft Diameter ___________________Shaft Depth
					 __________________________
b. Excavation Method and Support and Additional Details
					 ___________________________
___________________________
c. Jacking Pit: Length
					 ________________________________________ Width ____________________ Depth
					 ____________________ Soil Type ___________________________
Pit Shoring Type/Slope
					 ____________________________________________________________
Access/Egress ___________________________
Permit # and Competent Person
					 ___________________________
Additional Details ___________________________
4. MANPOWER/TESTING EQUIPMENT
a. Total Manpower ________________________________________
					 Max/shift UG ______________________________ Statewide Employment
					 ___________________________
b. Supervisors ___________________________
c. Safety Rep. and No. ___________________________
d. Gas Tester and No. ___________________________
e. Blaster and No. ___________________________
f. Gas Testing Equipment
5. EQUIPMENT
a. Mining Equipment ___________________________
Haulage ___________________________
b. Cranes - Model/Capacity
___________________________
c. Certification # _______________________ Date
					 ___________________________
Crane and Rigging Inspection and Records
					 ___________________________
Hoisting Equipment ___________________________
Cages and Work Platforms ___________________________
Signals and Communication
					 ___________________________
d. Ventilation: Fan Model/HP/RPM
					 ___________________________
Vent Line Size ______________________________ Length
					 ______________Material _______________
Calculated CFM ________________________Reversible @
					 surface? Yes __________ No __________
Auxiliary Fan ___________________________
e. Diesel Equipment: Diesel Permit Number
List Other
							 Equipment
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Scrubber Installation, inspection, and maintenance
					 reviewed?
6. REQUIRED POSTINGS:
a. Cal/OSHA ______________________________ Emeregency Plan
					 ______________________________ Telephone Nos. ______________________________
					 Classification ___________________________
b. Code of Safe Practices ____________________ Citations
					 ______________________Diesel and Other Permits
7. SANITATION AND FIRST AID:
First Aid Kit ______________________________ No. of Persons
					 Trained in First-Aid ______________________________ CPR
8. RELATED SAFETY ITEM DISCUSSION CHECKLIST:
a. State Mining and Tunnelling Program, including
					 Inspections, procedures, citations, training, and technical assistance.
b. Reporting accidents and incidents to DOSH in 24
					 hours.
c. Gas tests, calibration, records, frequency, notifying
					 DOSH.
d. Required Occupational Injury and Illness record
					 keeping.
e. Crane boom clearance, with overhead high voltage power
					 lines, and set-up. Daily and other inspections, including quarterly.
f. Required Inspections, assignment, schedule,
					 records.
g. Identification and location(s) of existing
					 utilities.
h. Fire prevention, protection, and special
					 provisions.
i. Hazardous material training and information.
j. Hearing Conservation Program requirements.
k. Dust Control, Sampling, Respiratory Protection Program
					 elements.
l. Personal protective equipment: hard hats, steel-toe
					 boots, self rescuers, welding goggles and clothing, safety belts, and
					 lines.
m. Traffic control, protection, warnings, reflective vests,
					 etc.
n. Tunnel and shaft lighting, emergency and personnel
					 lighting in case of power failure, and laser safety if laser is used.
o. Tunnel communication system and underground utility
					 lines.
p. Explosives--type, system, storage, transport, warning
					 system.
q. Safety Meetings: Monthly __________ Weekly __________
					 Records __________
r. Check-in system, primary and secondary exit
					 protection/provision.
s. Underground Rescue Plan: Yes _____ No _____ Reviewed?
					 Yes _____ No _____
If IIPP is reviewed, attach Check List.
t. Employee and supervisory training requirements and
					 programs.
9. NOTES AND DETAILS:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
10. SKETCH (IDENTIFY):
1. New
					 appendix filed 3-5-96; operative 4-4-96 (Register 96, No. 10).
2.
					 Editorial correction establishing separate HISTORIES for appendix (Register
					 2003, No. 28).
Note: Authority cited: Sections
						142.3 and
						7997, Labor
						Code. Reference: Sections
						142.3 and
						7997, Labor
						Code.