Information
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Job Number and Project Name
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Location
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General Contractor
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GC Safety Represenative
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Conducted on
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Prepared by
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Foreman
1) Unsafe Condition
Hazard Observerd
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Location and Explanation of the Hazard Observerd
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Add any additional relevant photos
Recommended Corrective Actions
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Recommended Corrective Actions
2) Unsafe Condition
Hazard Observerd
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Location and Explanation of the Hazard Observerd
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Add any additional relevant photos
Recommended Corrective Actions
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Recommended Corrective Actions
3) Unsafe Condition
Hazard Observerd
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Location and Explanation of the Hazard Observerd
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Add any additional relevant photos
Recommended Corrective Actions
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Recommended Corrective Actions
4) Unsafe Condition
Hazard Observerd
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Location and Explanation of the Hazard Observerd
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Add any additional relevant photos
Recommended Corrective Actions
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Recommended Corrective Actions
5) Unsafe Condition
Hazard Observerd
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Location and Explanation of the Hazard Observerd
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Add media
Recommended Corrective Actions
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Recommended Corrective Actions
Notification to CAE LLC Project Team and GC Team
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Noticifation made to
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Notification by
- Verbal
Notification Email sent to the following individual of the General Contractors Team
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Notification made to
Sign Off
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Name & Signature of Inspector
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Select date