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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 T <br /> INCIDENT REPORTING: N <br /> �L INSTALLER LADDER <br /> INJURIES-CALL INJURY HOTLINE <br /> Z �1 ■� <br /> (855) 400-7233 B JUNCTION /COMBINER BOX ■ <br /> "If injury is life threatening, call 911 first THEN the Injury Hotline ❑ ■ <br /> NON-INJURIES- USE MOBILE INCIDENT REPORTING STUB-OUT <br /> (Auto, Property Damage, Near Miss) <br /> SKYLIGHT <br /> ■ <br /> NO LADDER ACCESS (STEEP SYSTEM SIZE <br /> nLtwElGRADE OR GROUND LEVEL PV SYSTEM(DC): 13.77kW <br /> JB OBSTRUCTIONS) PV SYSTEM(AC): 10kW @ 240V <br /> ❑ ti CLIENT DETAILS <br /> ❑ RESTRICTED ACCESS 2308 3RD STD SEE,EVERETT,WA 98203 <br /> AHJ:CITY OF EVERETT <br /> NEAREST OCCUPATIONAL/INDUSTRIAL CLINIC: UTILITY:PUGET SOUND ENERGY <br /> METER:228720 <br /> NAME: CONDUIT PHONE:(425)326-2594 <br /> EMAIL:ALEX.M.GENDRON@GMAIL.COM <br /> ADDRESS: GAS GAS SHUT OFF <br /> NEAREST HOSPITAL: <br /> SYSTEM DETAILS <br /> NAME: H2O WATER SHUT OFF MODULES:34 X JA SOLAR:JAM54S31-405/MR <br /> OPTIMIZERS:34 X SOLAREDGE S440 <br /> INVERTER:SOLAREDGE SE1000OH-USRGM <br /> ADDRESS: (PART/SKU:SE10000H-USRGM) <br /> OSERVICE 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 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 /> SAFETY PLAN <br /> DATE: TIME: <br /> JOB NO: DATE: I DESIGNED BY: SHEET: <br /> 558547 05/07/2025 P.P. PV-9 <br />