Laserfiche WebLink
.JGBSITE SAFETY WORKSHEET <br />ev rr <br />--- -- <br />Date _ %-�c� -C�� <br />Lead �� Yr �� <br />Description of Work/Safety Comments <br />Location <br />5–�_z-� ��r�'.� <br />-- ----------- __... _ – -- <br />tl all above bold line is N'A, you do not oecd lo complele Ihis lorm YES <br />i�rallic Control RequircA_An[�r.h ICP d in�lilied ______ _ _ _ <br />L=■cavation [nlry wr.� :S loci dcep � <br />finalDCplh._-S� �`Jidlh Z _ Lencih . <br />.. ____ _ ._. J _-. _._. ._. . <br />❑ r��,�, ro���, (j Sloping ❑ f�ench [lo. ❑ Ruild a[fu,c <br />Conlin�d Spar,c Gilry..-Auadi ConLned Spacc �':y�awuik __ __ <br />UncoNrollcJ 1=ncrqy-�-Altach t ackoW <br />liot Work—Ocscribc . _ <br />Ovr,rhead power—Minmmm 10� clearance <br />Overhead Idlinq—Cranes R f�r inc Insper,ir.d Br,lo�e Use __ ____ <br />Palls aver 4 �eel—Controllecl hy. <br />first Aid EcLuiF�menUTraining�Fire Exlinquisher Must be <br />I Itilitics Localr.d. I I WaiCr Ililuc) (_� Powcr 1«:dl �_� G.l:: Wellowl L� Conu <br />Co�mwnica�wn with emc�gm�esponders pmv�ded <br />�jtj" Radio Dispalch_ Phonr. 91 I �) c.,iv_Phonc <br />[leclric:�l � fataids 8 Cuntrnis (Gf-CII <br />Hatardous Mrtlerials m Utie <br />Pr.rsunalP�ulecirveC.c�wpineni__..___ _ . _ <br />_ ___ _ Pre-Job Safe� Meeti <br />Minm �;siqninenl Narnc <br />-- -- — -- --- -- <br />�e�-- ---- --- �G_--- <br />�Jt �,� _-- �sT ---- -- - - <br />��� _- _ _/1Cc� _-- _ _-- <br />N/A <br />Assignmenl <br />ReviseJ ] 7i �09 <br />�Ib <br />