Title Page
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Call out date
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CALL OUT - number# 1. 2. Etc...
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WORK ORDER NUMBER
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Location
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WORK PRIORITY
- A1 - 1 Hour Urban
- A1 - 2 Hour Rural
- A2
- A3
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Name of site
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JSEA COMPLETED
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PERMITS
- CONFINED SPACE
- WORKING AT HEIGHTS
- HOT WORKS
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Time onsite
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Time received job
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Start Hold
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Finish Hold
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Made safe
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Time complete
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PHOTO 1
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PHOTO 2
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PHOTO 3
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PHOTO 4
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JOB COMMENTS
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Add signature
