Road Construction Safety Talk Form

Introduction

Date: Project: Location: Facilitator (Name & Position): Weather Conditions:

Days since last incident: Recent incidents to review: Current safety focus:

Traffic conditions: Environmental factors: Adjacent operations: Underground utilities:

Tasks to be performed: Equipment to be used: Work zones established: Traffic control plan:

High-visibility clothing (Class 2 or 3)

Hard hats

Safety footwear

Gloves appropriate for tasks

Eye protection

Hearing protection (when necessary)

Respiratory protection (if applicable)

Fall protection (if working at heights)

Additional PPE:

Emergency contact: Supervisor contact: Radio channel: Hand signals review:

Signage in place: Flaggers positioned at: Temporary barriers: Detour routes: Speed reduction measures:

Muster point location: First aid kit location: Nearest emergency services: Evacuation route: In case of vehicle incursion:

Protocol for weather conditions: Shutdown criteria:

Pedestrian accommodations: Business access plans: Public notification status:

Standard reminders (always included):

Additional reminders:

Worker questions: Safety suggestions:

Completed by: Date: