Laserfiche WebLink
SAFETY PLAN MARK UP KEY POLICIES <br /> INSTRUCTIONS: INSTRUCTIONS: <br /> 1. USE SYMBOLS IN KEY TO MARK UP THIS SHEET. O PERMANENT ANCHOR 1. SCAN QR LINK BELOW TO <br /> 2. SAFETY PLAN MUST BE MARKED BEFORE JOB STARTS AS PART OF THE ACCESS ALL FREEDOM <br /> PRE-PLAN FOREVER SAFETY <br /> 3. DOCUMENT ALL ADDITIONAL HAZARDS ON THIS PAGE&MAKE NOTES ON POLICIES AND PROGRAMS. <br /> TEMPORARY ANCHOR <br /> THE JHA SHEET T <br /> INCIDENT REPORTING: <br /> F,L] INSTALLER LADDER <br /> INJURIES-CALL INJURY HOTLINE <br /> (855) 400-7233 UM MSPAC CP ❑ <br /> B JUNCTION/COMBINER BOX <br /> "If injury is life threatening, call 911 first THEN the Injury Hotline <br /> NON-INJURIES-USE MOBILE INCIDENT REPORTING S❑ • <br /> STUB-OUT R <br /> (Auto, Property Damage, Near Miss) <br /> nrS�UAN <br /> zSKYLIGHTNO LADDER ACCESS (STEEP GRADE OR GROUND LEVEL <br /> JB <br /> OBSTRUCTIONS) <br /> ohmC/1 CLIENT: <br /> DAC DAC DAC DAC DAC C71DAC DAC ERIN S BUMA <br /> 2007 VIRGINIA AVE,EVERETT,WA 98201 <br /> AHJRESTRICTED ACCESS UTIL CITY OF EVERETT <br /> UTILITY:SNOHOMISH PUD <br /> C71METER:1000295647 <br /> NEAREST OCCUPATIONAL/INDUSTRIAL CLINIC: D Ac DAC DAC DVACI APN:004015-416-004-00 <br /> PHONE:(206)930-7256 <br /> NAME: CONDUIT EMAIL:BESIBUMA@HOTMAIL.COM <br /> ADDRESS: GAS GAS SHUT OFF SYSTEM: <br /> NEAREST HOSPITAL: SYSTEM SIZE(DC):11 X 395=4.345 kW <br /> SYSTEM SIZE(AC):3.190 kW @ 240V <br /> MODULES:11 X CANADIAN SOLAR: <br /> NAME: H2O WATER SHUT OFF CS3N-395MS <br /> MICROINVERTERS:11 X ENPHASE <br /> IQ81PLUS-72-2-US <br /> ADDRESS: <br /> O SERVICE DROP <br /> SAFETY COACH CONTACT INFORMATION: <br /> NAME: O POWER LINES <br /> PHONE NUMBER: BREAK AND WATER LOG <br /> REVISIONS <br /> NO. REVISED BY DATE <br /> ALL EMPLOYEES ON SITE SHALL BE MADE AWARE OF THE SAFETY PLAN AND <br /> SIGN INDICATING THAT THEY ARE AWARE OF THE HAZARDS ON-SITE AND THE THIS LOG IS TO BE FILLED OUT ANY TIME THE TEMP EXCEEDS 90 DEGREES. THE CREW LEAD AND ROOF LEAD ARE RESPONSIBLE FOR ENSURING THIS IS <br /> PLAN FOR WORKING SAFELY. COMPLETED AND UPLOADED AT THE END OF EVERYDAY WHEN TEMPS EXCEED 90 DEGREES <br /> NAME SIGNATURE freedom <br /> NAME 0800HRS 0900HRS 1000HRS 1100HRS 1200HRS 1300HRS 1400HRS 1500HRS 1600HRS a p F v E <br /> FREEDOM FOREVER LLC <br /> 43445 BUSINESS PARK DR#110,TEMECULA, <br /> CA 92590 <br /> Tel:(800)385-1075 <br /> GREG ALBRIGHT <br /> CONTRACTOR LICENSE: <br /> ELECTRICAL ADMINISTRATOR ALBRIG`807C1 <br /> SAFETY PLAN <br /> DATE: TIME: <br /> JOB NO: DATE: DESIGNED BY: SHEET: <br /> 434004 5/13/2024 S.S. PV-9 <br />