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10305 7TH AVE SE 2016-01-01 MF Import
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10305 7TH AVE SE 2016-01-01 MF Import
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Last modified
4/3/2017 12:31:59 PM
Creation date
4/3/2017 12:31:50 PM
Metadata
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Template:
Address Document
Street Name
7TH AVE SE
Street Number
10305
Imported From Microfiche
Yes
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l <br /> -� JOBSITE SAFETY WORKSi-iFET <br /> � <br /> - -- _ ---- <br /> Date —Z�� ____ _ , Location �� �0 ( 7�' i¢vP r�� <br /> � Lead . �J f� g �(� 2 __ __ � Pre-Job Briefing Time `� ' (�G �. �r,� <br /> ! Description of Work: 1�,ST/���– 2 � � se'-v�C�'S' <br /> Safety Incidents & Concerns: <br /> -� — -- -- - I YES N'A <br /> � � <br /> �;afliC Conirol Plan—Atl3Ch TCP i� mC7dietl <br /> �"onfined 5oace Enlry—Aracr Conl:nee S�zce Permq _ _� I / <br /> ��. Uac.On,rO�l?�en?rqv—i�tld:h Lockout i dQ0u1 I I <br /> � ��c�n 7r�ck Usea-%:ttatn lih olan �f neea�-d � � <br /> � G,ernead i��tin�—Insozct ri�o�nc he'er??ach use <br /> IE'�ctr�cai Hyzards 8 Controls � <br /> �, r' Gverheatl ❑ UnderarpuM r1 Generator ❑ Parmanent Vlir�n� <br /> I FI�; 1Nork—Descnbe �� <br /> r-- I i <br /> H�Zdrd0U5 I.���;efi�15 US6tl <br /> Falis ov_r e le=;—Coniro�led bv�. I ' I <br /> Exc�v�lion En�ry o:_r 3 fc`t�dcep �`�) i � �1 <br /> Fnat D2pih_ �_ � VJ�dth "r" `� Length_�� _ <br /> _�i-'krm Form ❑ Sbpc,� i] 7rench 9ox ❑ 9wld�a-Ecx <br /> � a�ca ��_�._ �---+.n <br /> First Aid Equipmenl/Traininq!Fire Extinouisher ldus� be Currenl <br /> U!�.,�bes LccateC }'+--I�Jat.r ibl�„�el_��+,�-Oo�ver fred� �as h�eno���l �nmmunicabon foran_e) Ll r,iher <br /> Comrnunitahon�,�dh emerqency responder�rovided ❑ Rarho D�so�:tch _.�rne 971 �] Gty Phonc 9�9�1 <br /> r'crsonal Protedn�e [c ui ment _�-Lqh�Vis� ficaG ([rLrLves__(�.t{eann ;[ �hole �odv�oiher <br /> � _ Pre_Job Safet Meetin _ <br /> I f2ame As�ignmenl _�Name l�ssignmeni <br /> �L <br /> � . �v N,� ��. �f"�` <br /> —�{ �/'�r'�r60�'i G <br /> - V . ��� z��,� � f�� d� —� — <br /> � �--- � – -- <br /> Rev�seC 7 ut 2�1 t <br />
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