CSG Form 03 – Event EHS Checklist CSG03 - Event EHS Checklist Please use this checklist as a guide throughout all phases of the event/hospitality program from planning to load out. Complete the form and correct any deficiencies in a timely fashion by the end of the event. Step 1 of 3 33% Event Name Event Start Date MM slash DD slash YYYY Event End Date MM slash DD slash YYYY Location Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Completed By First Last PhoneEmail PlanningWhere is the event located? Indoors Outdoors Both Is there a potential for weather concerns? Yes No NA Has the event location been added to the Fox Weather Monitoring App (WeatherOps)? Yes No NA Does the event involve a temporary stage/platform/truss build? Yes No NA Will existing structures be used (i.e. stages, platforms, etc.)? Yes No NA Have these structures been inspected and deemed to be structurally sound? Yes No NA Does the event involve a tent build? Yes No NA Does the tent have the proper permits and flame retardant? Yes No NA Will there be catering onsite? Yes No NA Is catering operating in a safe area (20 feet away from non-cooking tents and other flammable material)? Yes No NA Has a Health and Safety Plan and/or Emergency Action Plan been developed for the event? Yes No NA Will Contractors/Vendors perform much of the work onsite? Yes No NA Have Contractors/Vendors received and signed the Contractor EHS Policy Acknowledgement Form? Yes No NA Have personnel of Contractors/Vendors received and signed the Event EHS Acknowledgement form? Yes No NA Are key onsite Contractor/Vendor personnel included in the Emergency Action Plan? Yes No NA Corrective Action(s) Needed: Site ConditionsIs the site free from slip, trip and fall hazards (i.e. potholes, uneven ground, cables, tent guylines, etc.)? Yes No NA Can emergency vehicles gain access (20 foot clearance)? Yes No NA Are there sufficient entrances/exits and are they clearly marked? Yes No NA Is there sufficient lighting for all work areas? Yes No NA Are there any special hazards due to the location of the event (i.e. open water, overhead powerlines, rough terrain, etc.)? Yes No NA Corrective Action(s) Needed: Load In/Load OutAre safety talks given prior to any work performed for the load in/load out? Yes No NA Will powered industrial trucks (i.e. forklifts) or aerial lifts (i.e. boom lifts, scissor lifts, etc.) be used? Yes No NA Are only trained personnel operating such equipment? Yes No NA Are personnel using fall protection in aerial lifts? Yes No NA Are dollies/carts provided to move materials and equipment? Yes No NA Are safe lifting practices being used? Yes No NA Are proper clothing and PPE worn (i.e. hard hats, boots, safety vests, etc.)? Yes No NA Is overhead work being performed? Yes No NA Are personnel using proper fall protection? Yes No NA Are areas cordoned off below the overhead work? Yes No NA Are personnel not standing on the top 3 rungs of any ladder? Yes No NA Do stairs with 4 or more risers or are 36" high have handrails on both sides? Yes No NA Are all equipment, signage, etc. tied down and secure? Yes No NA Corrective Action(s) Needed: Electrical SafetyAre there generators? Yes No NA Are generators safely positioned in restricted access and well-ventilated areas, and at least 20 feet away from structures and event guests? Yes No NA Are generators properly grounded and plugged into GFCI outlets? Yes No NA Are cables not creating trip hazards through ramping or neatly tucking alongside walking paths? Yes No NA Are extension cords and power strips not daisy chained? Yes No NA Are all electrical equipment, including plugs and wires are in good working condition? Yes No NA Corrective Action(s) Needed: Fire SafetyAre all exits kept clear? Yes No NA Are there any open flames? Yes No NA Are all fuel sources kept at least 50 feet from any open flame? Yes No NA Are there the appropriate number and type of fire extinguishers? Yes No NA Corrective Action(s) Needed: CommunicationAre all entrances/exits, fire extinguishers and exit routes clearly labeled? Yes No NA Is the FOX EHS Posting Packet (EAP Summary and WorkCare Incident Hotline Number) posted in a visible area for personnel and event guests? Yes No NA Are all incidents reported to the FOX EHS team? Yes No NA Have Safe Refuge Areas been identified and communicated to all personnel? Yes No NA Is the nearest Fire Department, Police Station and Hospital known and is there a way to readily contact each of them? Yes No NA Corrective Action(s) Needed: FileMax. file size: 20 MB.FileMax. file size: 20 MB.FileMax. file size: 20 MB.FileMax. file size: 20 MB. Δ