popcbf.forage-cblais.com Open in urlscan Pro
149.56.226.5  Public Scan

Submitted URL: https://www.popcbf.forage-cblais.com/
Effective URL: https://popcbf.forage-cblais.com/
Submission: On June 14 via api from US — Scanned from CA

Form analysis 1 forms found in the DOM

POST /#gf_1

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" data-formid="1" novalidate="">
  <div class="gform-body gform_body">
    <div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <div id="field_1_6" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_6">
        <h3 class="gsection_title">IDENTIFICATION DU PROJET</h3>
      </div>
      <div id="field_1_4" class="gfield gfield--type-text gfield--input-type-text gfield--width-three-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_4"><label class="gfield_label gform-field-label" for="input_1_4">Titre du projet</label>
        <div class="ginput_container ginput_container_text"><input name="input_4" id="input_1_4" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_1_5"
        class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_5"><label class="gfield_label gform-field-label" for="input_1_5">Date</label>
        <div class="ginput_container ginput_container_date">
          <input name="input_5" id="input_1_5" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_1_5_date_format"
            aria-invalid="false">
          <span id="input_1_5_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
        </div>
        <input type="hidden" id="gforms_calendar_icon_input_1_5" class="gform_hidden" value="https://popcbf.forage-cblais.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
      </div>
      <div id="field_1_59" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_59">
        <label class="gfield_label gform-field-label" for="input_1_59">Numéro de projet</label>
        <div class="ginput_container ginput_container_text"><input name="input_59" id="input_1_59" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_1_60" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_60">
        <label class="gfield_label gform-field-label" for="input_1_60">Lieu</label>
        <div class="ginput_container ginput_container_text"><input name="input_60" id="input_1_60" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_1_61" class="gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_61"><label class="gfield_label gform-field-label" for="input_1_61">Nom du chargé de projet</label>
        <div class="ginput_container ginput_container_select"><select name="input_61" id="input_1_61" class="large gfield_select" aria-invalid="false">
            <option value="Identifier le chargé de projet" selected="selected">Identifier le chargé de projet</option>
            <option value="Nom 1">Nom 1</option>
            <option value="Nom 2">Nom 2</option>
            <option value="Nom 3">Nom 3</option>
          </select></div>
      </div>
      <div id="field_1_7" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_7">
        <h3 class="gsection_title">DERNIÈRES 24 HEURES</h3>
      </div>
      <div id="field_1_12" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_12"><label class="gfield_label gform-field-label" for="input_1_12">Bons coups</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_1_12" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_1_11" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_11"><label class="gfield_label gform-field-label" for="input_1_11">Défis</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_11" id="input_1_11" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_1_10" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_10"><label class="gfield_label gform-field-label" for="input_1_10">Incident ou quasi-accident</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_10" id="input_1_10" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_1_8" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_8"><label class="gfield_label gform-field-label" for="input_1_8">Conformité Propreté Bonne Ordre</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_8" id="input_1_8" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_1_13" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_13"><label class="gfield_label gform-field-label" for="input_1_13">Préoccupations SST / mesures correctives non-fermées</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_13" id="input_1_13" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_1_14" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_14">
        <h3 class="gsection_title">PROCHAINES 24 HEURES</h3>
      </div>
      <div id="field_1_21" class="gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_21"><label class="gfield_label gform-field-label" for="input_1_21">Nombre de nouveaux travailleurs sur le chantier</label>
        <div class="ginput_container ginput_container_number"><input name="input_21" id="input_1_21" type="number" step="any" value="" class="large" aria-invalid="false"></div>
      </div>
      <fieldset id="field_1_22"
        class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-two-thirds choixradio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_22">
        <legend class="gfield_label gform-field-label">Méthode de travail signées</legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_1_22">
            <div class="gchoice gchoice_1_22_0">
              <input class="gfield-choice-input" name="input_22" type="radio" value="Oui" id="choice_1_22_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_1_22_0" id="label_1_22_0" class="gform-field-label gform-field-label--type-inline">Oui</label>
            </div>
            <div class="gchoice gchoice_1_22_1">
              <input class="gfield-choice-input" name="input_22" type="radio" value="Non" id="choice_1_22_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_1_22_1" id="label_1_22_1" class="gform-field-label gform-field-label--type-inline">Non</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_1_23"
        class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full choixradio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_23">
        <legend class="gfield_label gform-field-label">Est-ce qu’il y aura du changement sur le chantier aujourd’hui ?</legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_1_23">
            <div class="gchoice gchoice_1_23_0">
              <input class="gfield-choice-input" name="input_23" type="radio" value="Oui" id="choice_1_23_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_1_23_0" id="label_1_23_0" class="gform-field-label gform-field-label--type-inline">Oui</label>
            </div>
            <div class="gchoice gchoice_1_23_1">
              <input class="gfield-choice-input" name="input_23" type="radio" value="Non" id="choice_1_23_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_1_23_1" id="label_1_23_1" class="gform-field-label gform-field-label--type-inline">Non</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_1_24"
        class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half choixradio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_24" data-conditional-logic="hidden" style="display: none;">
        <legend class="gfield_label gform-field-label">Est-ce que les méthodes de travail sont disponibles ?</legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_1_24">
            <div class="gchoice gchoice_1_24_0">
              <input class="gfield-choice-input" name="input_24" type="radio" value="Oui" id="choice_1_24_0" onchange="gformToggleRadioOther( this )" disabled="disabled">
              <label for="choice_1_24_0" id="label_1_24_0" class="gform-field-label gform-field-label--type-inline">Oui</label>
            </div>
            <div class="gchoice gchoice_1_24_1">
              <input class="gfield-choice-input" name="input_24" type="radio" value="Non" id="choice_1_24_1" onchange="gformToggleRadioOther( this )" disabled="disabled">
              <label for="choice_1_24_1" id="label_1_24_1" class="gform-field-label gform-field-label--type-inline">Non</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_1_25"
        class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half choixradio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_25" data-conditional-logic="hidden" style="display: none;">
        <legend class="gfield_label gform-field-label">Est-ce que cela peut impacter des travailleurs?</legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_1_25">
            <div class="gchoice gchoice_1_25_0">
              <input class="gfield-choice-input" name="input_25" type="radio" value="Oui" id="choice_1_25_0" onchange="gformToggleRadioOther( this )" disabled="disabled">
              <label for="choice_1_25_0" id="label_1_25_0" class="gform-field-label gform-field-label--type-inline">Oui</label>
            </div>
            <div class="gchoice gchoice_1_25_1">
              <input class="gfield-choice-input" name="input_25" type="radio" value="Non" id="choice_1_25_1" onchange="gformToggleRadioOther( this )" disabled="disabled">
              <label for="choice_1_25_1" id="label_1_25_1" class="gform-field-label gform-field-label--type-inline">Non</label>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_1_26" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_26" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_1_26">Précisez:</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_26" id="input_1_26" class="textarea large" aria-invalid="false" rows="10" cols="50" disabled="disabled"></textarea></div>
      </div>
      <div id="field_1_27" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_27"><label class="gfield_label gform-field-label" for="input_1_27">Plan de la journée / Tâches principales :</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_27" id="input_1_27" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_1_15" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_15">
        <h3 class="gsection_title">RISQUES CRITIQUES PRÉSENTS</h3>
      </div>
      <fieldset id="field_1_44"
        class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-align--center ic-cols--5 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
        data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-align--center ic-cols--5 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_1_44">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Risque rangée 1</legend>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox gform-theme__no-reset--children" id="input_1_44">
            <div class="gchoice gchoice_1_44_1 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_44.1" type="checkbox" value="Travail en hauteur" id="choice_1_44_1">
              <label for="choice_1_44_1" id="label_1_44_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
                  style="background-image:url(https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-chutes-en-hauteur-300x300.jpg)"><img decoding="async"
                    src="https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-chutes-en-hauteur-300x300.jpg" alt="" class="image-choices-choice-image"
                    data-lightbox-src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-chutes-en-hauteur.jpg"></span><span class="image-choices-choice-text">Travail en hauteur</span></label>
            </div>
            <div class="gchoice gchoice_1_44_2 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_44.2" type="checkbox" value="Coactivité véhicules / piétons" id="choice_1_44_2">
              <label for="choice_1_44_2" id="label_1_44_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
                  style="background-image:url(https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-impact-vehicule-sur-une-personne-1-300x300.jpg)"><img decoding="async"
                    src="https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-impact-vehicule-sur-une-personne-1-300x300.jpg" alt="" class="image-choices-choice-image"
                    data-lightbox-src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-impact-vehicule-sur-une-personne-1.jpg"></span><span class="image-choices-choice-text">Coactivité véhicules / piétons</span></label>
            </div>
            <div class="gchoice gchoice_1_44_3 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_44.3" type="checkbox" value="Contrôle des énergies (Cadenassage / Énergie 0)" id="choice_1_44_3">
              <label for="choice_1_44_3" id="label_1_44_3" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
                  style="background-image:url(https://popcbf.forage-cblais.com/wp-content/uploads/2024/05/pop-decharge-incontrolee-energie-300x300.jpg)"><img decoding="async"
                    src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/05/pop-decharge-incontrolee-energie-300x300.jpg" alt="" class="image-choices-choice-image"
                    data-lightbox-src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/05/pop-decharge-incontrolee-energie.jpg"></span><span class="image-choices-choice-text">Contrôle des énergies (Cadenassage / Énergie 0)</span></label>
            </div>
            <div class="gchoice gchoice_1_44_4 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_44.4" type="checkbox" value="Opérations de levage" id="choice_1_44_4">
              <label for="choice_1_44_4" id="label_1_44_4" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
                  style="background-image:url(https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-operations-de-levage-1-300x300.jpg)"><img decoding="async"
                    src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-operations-de-levage-1-300x300.jpg" alt="" class="image-choices-choice-image"
                    data-lightbox-src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-operations-de-levage-1.jpg"></span><span class="image-choices-choice-text">Opérations de levage</span></label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_1_52"
        class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-align--center ic-cols--5 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
        data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-align--center ic-cols--5 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_1_52">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Risque rangée 2</legend>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox gform-theme__no-reset--children" id="input_1_52">
            <div class="gchoice gchoice_1_52_1 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_52.1" type="checkbox" value="Exposition à la Silice cristalline / Amiante" id="choice_1_52_1">
              <label for="choice_1_52_1" id="label_1_52_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
                  style="background-image:url(https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-silicecristalline-amiante-300x300.jpg)"><img decoding="async"
                    src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-silicecristalline-amiante-300x300.jpg" alt="" class="image-choices-choice-image"
                    data-lightbox-src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-silicecristalline-amiante.jpg"></span><span class="image-choices-choice-text">Exposition à la Silice cristalline / Amiante</span></label>
            </div>
            <div class="gchoice gchoice_1_52_2 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_52.2" type="checkbox" value="Travaux près de l’eau" id="choice_1_52_2">
              <label for="choice_1_52_2" id="label_1_52_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
                  style="background-image:url(https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-noyade-1-300x300.jpg)"><img decoding="async"
                    src="https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-noyade-1-300x300.jpg" alt="" class="image-choices-choice-image"
                    data-lightbox-src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-noyade-1.jpg"></span><span class="image-choices-choice-text">Travaux près de l’eau</span></label>
            </div>
            <div class="gchoice gchoice_1_52_3 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_52.3" type="checkbox" value="Rupture de talus" id="choice_1_52_3">
              <label for="choice_1_52_3" id="label_1_52_3" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
                  style="background-image:url(https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-rupture-de-talus-1-300x300.jpg)"><img decoding="async"
                    src="https://geodexinc.enconstruction.website/wp-content/uploads/2024/04/pop-rupture-de-talus-1-300x300.jpg" alt="" class="image-choices-choice-image"
                    data-lightbox-src="https://popcbf.forage-cblais.com/wp-content/uploads/2024/04/pop-rupture-de-talus-1.jpg"></span><span class="image-choices-choice-text">Rupture de talus</span></label>
            </div>
            <div class="gchoice gchoice_1_52_4 image-choices-choice gform-theme__no-reset--children">
              <input class="gfield-choice-input" name="input_52.4" type="checkbox" value="Danger électrique" id="choice_1_52_4">
              <label for="choice_1_52_4" id="label_1_52_4" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap"
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      <div id="field_1_43" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
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        <div class="ginput_container ginput_container_textarea"><textarea name="input_43" id="input_1_43" class="textarea large" placeholder="Tâches / Localisation" aria-invalid="false" rows="10" cols="50" disabled="disabled"></textarea></div>
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        <div class="ginput_container ginput_container_textarea"><textarea name="input_51" id="input_1_51" class="textarea large" placeholder="Tâches / Localisation" aria-invalid="false" rows="10" cols="50" disabled="disabled"></textarea></div>
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        data-js-reload="field_1_30"><span class="titre_notice">IMPORTANT!</span>
        <br><span class="text_notice">Si un risque critique ne peut être contrôlé, ne procédez pas au travail et<br>contactez votre superviseur immédiatement</span>
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Text Content

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PLANIFICATION, ORGANISATION, PRÉVENTION


IDENTIFICATION DU PROJET

Titre du projet

Date
MM slash DD slash YYYY
Numéro de projet

Lieu

Nom du chargé de projet
Identifier le chargé de projetNom 1Nom 2Nom 3


DERNIÈRES 24 HEURES

Bons coups

Défis

Incident ou quasi-accident

Conformité Propreté Bonne Ordre

Préoccupations SST / mesures correctives non-fermées



PROCHAINES 24 HEURES

Nombre de nouveaux travailleurs sur le chantier

Méthode de travail signées
Oui
Non
Est-ce qu’il y aura du changement sur le chantier aujourd’hui ?
Oui
Non
Est-ce que les méthodes de travail sont disponibles ?
Oui
Non
Est-ce que cela peut impacter des travailleurs?
Oui
Non
Précisez:

Plan de la journée / Tâches principales :



RISQUES CRITIQUES PRÉSENTS

Risque rangée 1
Travail en hauteur
Coactivité véhicules / piétons
Contrôle des énergies (Cadenassage / Énergie 0)
Opérations de levage
Risque rangée 2
Exposition à la Silice cristalline / Amiante
Travaux près de l’eau
Rupture de talus
Danger électrique
Travail en hauteur

Coactivité véhicules / piétons

Contrôle des énergies (Cadenassage / Énergie 0)

Opérations de levage

Exposition à la Silice cristalline / Amiante

Travaux près de l’eau

Rupture de talus

Danger électrique

IMPORTANT!
Si un risque critique ne peut être contrôlé, ne procédez pas au travail et
contactez votre superviseur immédiatement


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