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1916 ROCKEFELLER AVE 2025-03-24
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1916 ROCKEFELLER AVE 2025-03-24
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Last modified
1/31/2025 1:23:13 PM
Creation date
1/31/2025 1:20:42 PM
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
1916
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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: INV <br /> M P �L INSTALLER LADDER <br /> INJURIES-CALL INJURY HOTLINE <br /> (855) 400-7233 ❑ <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 /> • z SKYLIGHT { <br /> r am, NO LADDER ACCESS (STEEP ❑ <br /> t GRADE OR GROUND LEVEL <br /> L�EJ <br /> ti JB OBSTRUCTIONS) CLIENT: <br /> 1 <br /> EMIY GIRAUD <br /> ohmLo <br /> ❑ 1916 ROCKEFELLER AVE,EVERETT,WA <br /> RESTRICTED ACCESS 98201 <br /> AHJ:CITY OF EVERETT <br /> UTILITY:SNOHOMISH PUD <br /> NEAREST OCCUPATIONAL/INDUSTRIAL CLINIC: METER:10 534 791 <br /> APN:004370-380-025-00 <br /> NAME: CONDUIT EMAIL:MLENSQ@YAHOO.COM <br /> FINANCE: MOSAIC <br /> ADDRESS: GAS GAS SHUT OFF SYSTEM: <br /> NEAREST HOSPITAL: SYSTEM SIZE(DC):17 X 430=7.310 kW <br /> SYSTEM SIZE(AC):7.600 kW @ 240V <br /> MODULES:17 X SILFAB SOLAR:SIL-430QD <br /> NAME: H2O WATER SHUT OFF OPTIMIZERS:17 X SOLAREDGE S440 <br /> INVERTER:SOLAREDGE SE760OH-USRGM <br /> [Sill <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 /> 489390 8/28/2024 E.T. PV-9 <br />
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