Title Page
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Conducted on
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Prepared by
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Location:
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Project Number:
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Meeting Conducted By:
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Site Supervisor:
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Type of Work:
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Topics covered last meeting:
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Items for this meeting:
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Actions to be taken:
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Incident/Accident Reviewed:
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Housekeeping
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Material Storage
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Confined Space
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Traffic Hazards and Controls
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Overhead Power Lines
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Underground Hazards
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Hearing Protection
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Hazardous Chemicals
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High Pressure Release and Disconnects
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Hoisting/Lifting
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Hand Safety
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Eye Safety
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Spill Control and Prevention
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Hand Signaling
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Working From Heights
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Weather Condition/ Heat and Cold
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Lightning and Wind
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Barricades and Signs
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Ladder Safety
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First Aid Skills and Procedures
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Emergency Preparedness
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Equipment Pre-Inspection/ Maintenance
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Ventilation
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Wildlife and Insects
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Incident Reporting
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Dangerous Occurrences
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Vehicle and Trailer Backing
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Back Care - Lifting and Carrying
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Electrical Safety Policy
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Slips, Trips and Falls
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Ergonomics/ Fatigue Management
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Permit to Work
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Protection for the Public
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Respiratory Protection
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Flammables and Fire Extinguishers
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Biohazards
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Other
Attendees
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Name
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Name
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Name
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Name
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Name
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Name
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Name
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Name
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Name
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Name
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Name
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Name
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Site Supervisor
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Manager's Signature
