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JOBSITE SAFETY WORKSHEET <br /> Ev <br /> Locationj/_:_� i% . .�� � <br /> Date �f 3 i� _ J— _ � <br /> Lead U4✓r�_ I — I <br /> Description of WorklSalery �omments <br /> �1,�7 �<> —�I�-'!- -:-�-Jr__•�/' '� - - - — -- -- <br /> II all above bold linc is NiA,you do no�need to compTete Ihis lonn __�YES NrA <br /> _— � <br /> Tralfic Conl,ol R��uued--Altadi TGF d moclil�::1 _---_ <br /> f_xcavalion Gnlry over 31cei dcep <br /> fin;J Ocplh_ �/S .� Widlh_ . l enqih .. -_ - <br /> ❑ Pinn Porm ❑ Sloping �_) Lr.nch(loa �-� OmiJ�a-0oa il <br /> ---- � -�--- <br /> — ----- � --- <br /> — ------- --- '/ <br /> Conlm�d Sp'�cc I-nlry-Atl��ch Con6ned Spacc PaDcrwoik __ - <br /> _ y <br /> Unconiro�led Gicit -Allach lockout <br /> � <br /> Ilot Wo�k-Describc --- - <br /> -- � <br /> Overhead(rower-�Minimurn 10'clearance <br /> — � <br /> Ovrihe�d Iiflinq-Cranes 8 ili9gmg Inspecled Rclou�Use - <br /> � <br /> f.Ils ovcr A Iccl-Cunliollccl by. <br /> First Aid[quipmeN/TniningrFirc Ezlinguishcr Musl be Curtent <br /> UGlilicsLocaled. I, Walc� �bluc) (.� Pow� ��rr.dl _ �_� r��(�wl__1_�Comnwnirilionlorangc) L� oUicr <br /> Communicalion wilh r.mcigenc icspondcr.:pravidcd <br /> Ridio Disp�irl� � Phonc 91 I �1 Cily Phonc 9-911 __ <br /> Clecliical I la�ards 8 Conlrols GFCq <br /> I lazardous Ma�erials in Use _ ___ <br /> Pawer Tools <br /> I lca y E= ui nnr.nl vchic.ir.numbc� '�i`! S ' �t?,1 y �---- — <br /> Pcr�mal Pmleclive Cquipmenl _ — <br /> Pre-Job Safety Meeting <br /> Name 1lssignment Name �ssignmenl <br /> - r � ` � I� 1.L� /---1--�-'+-- <br /> J{c'�iP <br /> �< < ��� - -- � �r -- -- ------ -_- <br /> _����� ----- 1_"�`' - - - -- - _-- ----- <br /> ������:oa�h� o�a <br /> �I� <br />