Warehouse Tailgate Form
General Information
Date & Time:
Address/Location*:
Weather Conditions*
Clear
Cloudy
Stormy
Windy
Hot
Cold
Rain
Snow
Fog
Job Status
Routine
Emergency/Outage
Construction
Briefing Type*
Pre-Job Site
On-Job Site (Tailgate)
Work Procedures to be Performed*
Job Site
Communication
Cell Phone
Hazards associated with the job
Falling
Driving
Traffic
Public Hazards
Other/Cautions
Special Precautions
Fork Lifts
Deliveries
Other Crews
Unusual Conditions
Other/Precautions
PPE
Hard Hat
Gloves
Steel Toe Boots
Safety Glasses
Safety Vest
Other PPE
Person in Charge:*
Choose One
Coy Burton
Person in Charge Signature:*
Clear
Crew Members:
▼
Coy Burton
Visitor
Not on the crew list? Sign as a visitor
Visitor information is attached to this report only, not added to the employee directory. Sign in the signature box below.
Crew Signatures:
Clear
Submit
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