Information
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Job Name
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Job No.
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Conducted on
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Field Superintendent
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Prepared by
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Location
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Jobsite Posters
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Was it corrected?
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First Aid Supplies / Expiration Dates
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Was it corrected?
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Work Area Signage
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Was it corrected?
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Housekeeping
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Was it corrected?
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Dust Barriers
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Was it corrected?
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Negative Air
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Was it corrected?
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Tack Mats in Good Condition
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Was it corrected?
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Tools and Cords
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Was it corrected?
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G.F.C.I Protection
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Was it corrected?
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Ladders & Stairs
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Was it corrected?
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Lighting & Power
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Was it corrected?
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Scaffolding
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Was it corrected?
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Barricades
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Was it corrected?
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Excavations & Trenches
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Was it corrected?
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Impalement Hazards Covered
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Was it corrected?
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Flammables
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Was it corrected?
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Gas Cylinders
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Was it corrected?
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Fire Protection
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Was it corrected?
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Personal Protective Equipment
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Was it corrected?
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Fall Protection
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Was it corrected?
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Sanitary Facilities
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Was it corrected?
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Noise
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Was it corrected?
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Fumes
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Was it corrected?
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Guardrails & Toeboards/ Fall Protection In Place
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Was it corrected?
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Utilities
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Was it corrected?
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Roads - Sidewalks
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Was it corrected?
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Public Safety
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Was it corrected?
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Heavy Equipment/Daily Equipment
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Was it corrected?
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Weekly Safety Meetings
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Was it corrected?
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Crane / Log
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Was it corrected?
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Haz-Com / Safety Data Sheets (access @ 3eonline.com)
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Was it corrected?
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Hazard Items Found and Corrected
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Safety Meeting Topic
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Add photos describing hazard here
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Progress Meeting Safety Topics
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Disciplinary Actions Taken For Safety Violations
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Journey Group Companies Accidents This Week
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Employee Suggestions
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Comments
