Informationen
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Site/Project
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Prepared by
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Conducted on
Behaviors/Conditions: Check one of the behaviors or conditions below and then complete the back of this card. A completed card is to be turned in to the Site Lead.
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Fall Protection
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PPE
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Permit to Work
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Chemical Hazards
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Scaffolding
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Dropped Object
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Excavation
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Rigging / Lifting
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Mobile Equipment
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Electrical
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Ladders
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Walking Surface
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Others
Safe - Correct
Behaviors/Conditions: Check one of the behaviors or conditions below and then complete the back of this card. A completed card is to be turned in to the Site Lead.
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Identify - Behavior or Condition
Communicate - How did you communicate the observation to the worker?
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Text
Correct / Congratulate - What action(s) did you take to ensure correction or recognition?
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Photo Correct / Congratulate
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Text