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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 OR 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 Dc T <br /> AC <br /> INCIDENT REPORTING: <br /> �L INSTALLER LADDER ■ <br /> INJURIES-CALL INJURY HOTLINE D Ac <br /> (855) 400-7233 B JUNCTION /COMBINER BOX ■ <br /> "If injury is life threatening, call 911 first THEN the Injury Hotline D Ac D Ac ❑ ■ <br /> NON-INJURIES- USE MOBILE INCIDENT REPORTING Dc Dc STUB-OUT <br /> (Auto, Property Damage, Near Miss) Ac AC <br /> SKYLIGHT UnLRE'i <br /> DAC DAC <br /> NO LADDER ACCESS (STEEP SYSTEM SIZE <br /> Dc Dc GRADE OR GROUND LEVEL PV SYSTEM(DC):6.480kW <br /> AC AC OBSTRUCTIONS) PV SYSTEM(AC):4.64kW @ 240V <br /> ti DC DC CLIENT DETAILS ol AC AC VICTOR QUIROZ JIMENEZ <br /> ❑ RESTRICTED ACCESS 6117 W MAGNOLIA AVE,EVERETT,WA 98203 <br /> AHJ:CITY OF EVERETT <br /> NEAREST OCCUPATIONAL/INDUSTRIAL CLINIC: FD C7 UTILITY:SNOHOMISH PUD <br /> VACI METER:63 282 652 <br /> NAME: JB CONDUIT APN:280401-004-006-00 <br /> PHONE:(206)941-7448 <br /> DC EMAIL:VJQUIROZ2@YAHOO.COM <br /> VI <br /> ADDRESS: AC GAS GAS SHUT OFF <br /> NEAREST HOSPITAL: <br /> NAME: D nc D nc H2O WATER SHUT OFF SYSTEM DETAILS <br /> MODULES:16 X JA SOLAR:JAM54S31-405/MR <br /> MICROINVERTERS:16 X ENPHASE <br /> IQ8PLUS-72-M-US <br /> ADDRESS: M SP <br /> CP AC I PM I UM 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 1 Z.S. 05/20/2025 <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 freedam� <br /> NAME 0800HRS 0900HRS 1000HRS 1100HRS 1200HRS 1300HRS 1400HRS 1500HRS 1600HRS a p E f <br /> FREEDOM FOREVER WASHINGTON,LLC <br /> 43445 BUSINESS PARK DRIVE SUITE 110, <br /> TEMECULA,CA 92590 <br /> Tel:(888)557-6431 <br /> GREG ALBRIGHT <br /> CONTRACTOR LICENSE: <br /> ELECTRICAL ADMINISTRATOR ALBRIG`807C1 <br /> DATE: TIME: SAFETY PLAN <br /> JOB NO: DATE: DESIGNED BY: SHEET: <br /> 558938 05/20/2025 Z.S. PV-9 <br />