Title Page
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Job Name
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Job Number
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MOP Number
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Vendor
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Start Date
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Completion Date
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Prepared by
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Personnel
General Information
1. General Information
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Location of Work Being Performed
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Work Time - Day
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Work Time - Night
2. General Description of Work Being Performed
3. Safety Requirements
4. Delivery, Hoisting, Hauling, Staging, and Housekeeping Requirements
5. Contact Information
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Sub-Contractor
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Company Competent Person
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Phone Number
Detailed Method of Procedure
6. Detailed Method of Procedure
Step #1
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Responsible Party
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Description of Work
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Complete
Step #2
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Responsible Party
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Description of Work
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Complete
Step #3
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Responsible Party
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Description of Work
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Complete
Step #4
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Responsible Party
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Description of Work
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Complete
Step #5
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Responsible Party
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Description of Work
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Complete
Step #6
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Responsible Party
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Description of Work
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Complete
Step #7
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Responsible Party
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Description of Work
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Complete
Step #8
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Responsible Party
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Description of Work
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Complete
Step #9
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Responsible Party
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Description of Work
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Complete
Step #10
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Responsible Party
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Description of Work
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Complete
Step #11
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Responsible Party
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Description of Work
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Complete
Step #12
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Responsible Party
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Description of Work
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Complete
Step #13
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Responsible Party
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Description of Work
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Complete
Step #14
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Responsible Party
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Description of Work
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Complete
Step #15
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Responsible Party
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Description of Work
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Complete
Step #16
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Responsible Party
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Description of Work
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Complete
Step #17
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Responsible Party
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Description of Work
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Complete
Step #18
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Responsible Party
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Description of Work
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Complete
Step #19
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Responsible Party
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Description of Work
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Complete
Step #20
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Responsible Party
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Description of Work
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Complete
Step #21
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Responsible Party
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Description of Work
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Complete
Step #22
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Responsible Party
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Description of Work
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Complete
Step #23
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Responsible Party
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Description of Work
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Complete
Step #24
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Responsible Party
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Description of Work
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Complete
Step #25
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Responsible Party
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Description of Work
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Complete
Step #26
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Responsible Party
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Description of Work
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Complete
Step #27
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Responsible Party
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Description of Work
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Complete
Step #28
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Responsible Party
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Description of Work
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Complete
Step #29
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Responsible Party
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Description of Work
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Complete
Step #30
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Responsible Party
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Description of Work
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Complete
Sign Off
7. Attachments
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Attachments
8. Job Completion Sign-Off
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature