Applies Applies Description Description YES NO YES NO 1. ELECTRICAL HAZARDS a. b. Shock, arc flash, static electricity Foreign voltage or back-feed (UPS, generator) Buried, surface mounted, or overhead c. d. Shorting of batteries conductors e. f. Energized circuits/parts Capacitors Electrical components scheduled for g. h. Other: (specify) demolition Notes: 2. MOTION HAZARDS Rotating/moving machinery (shaft, couplings, a. b. Mass in motion/flying debris/projectiles fan blade) c. d. Potential effects/injury from stored energy Light vehicle operations e. f. Operation of heavy equipment Other: (specify) Notes: 3. GRAVITY HAZARDS a. b. Collapse (roof, floor) Falling objects c. d. Fall hazard present Hoisting and rigging operations Notes:
Description Applies Description Applies YES NO YES NO 1. ELECTRICAL HAZARDS a. Shock, arc flash, static electricity b. Foreign voltage or back-feed (UPS, generator) c. Buried, surface mounted, or overhead conductors d. Shorting of batteries e. Energized circuits/parts f. Capacitors g. Electrical components scheduled for demolition h. Other: (specify) Notes: 2. MOTION HAZARDS a. Rotating/moving machinery (shaft, couplings, fan blade) b. Mass in motion/flying debris/projectiles c. Potential effects/injury from stored energy d. Light vehicle operations e. Operation of heavy equipment f. Other: (specify) Notes: 3. GRAVITY HAZARDS a. Collapse (roof, floor) b. Falling objects c. Fall hazard present d. Hoisting and rigging operations Notes: