Cell Site Job Safety Briefing Form
Complete this form to document your cell site work safety briefing. Please provide clear and accurate information for each field.
Crew Leader Name
*
First Name
Last Name
Date and Time of Briefing
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Cell Site Location or Site ID
*
Scope of Work
*
Identified Hazards (select all that apply)
*
Working at heights
Electrical hazards
RF exposure
Weather conditions
Falling objects
Slip, trip, or fall
Confined space
Other
Hazard Mitigation Measures
*
Required Personal Protective Equipment (PPE)
*
Hard hat
Safety harness
High-visibility vest
Safety glasses
Gloves
RF monitor
Steel-toe boots
Other
Emergency Procedure or Contact
Team Members Present (list names)
*
Crew Leader Signature
*
Submit Briefing
Submit Briefing
Should be Empty: