Information
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Project Number
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Client / Site Name
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Conducted on
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Prepared by
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Location
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PPE Required
- Hard Hats
- Class 2 Safety Vest
- Safety Glasses
- Face Shield
- Work Boots
- Rubber Boots
- Gloves
- Rubber Gloves
- Protective Clothing
- Fall-Pro Harness
- Respirators
- Chainsaw chaps
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Special Equipment Required
- Rigging/Lifting
- Shoring Equipment
- Ladders
- Lighting
- Ventilation
- Dewatering
- Welding/Cutting
- Confined Space Equiptment
- Aerial Lift
- Crane
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Permits and Plans Required
- Traffic Control Plan
- Confined Space Entry Plan
- Hot Work Plan
- Fall-Pro Work Plan
- AHA
- Critical Pick Plan
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Meeting topic:
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Work Task:
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Safety infractions or Hazards discussed?
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What were they:
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Any safety concerns voiced by crew?
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What were they:
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Who will follow up on them:
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Emergency Procedures & Nearest Hospital Address:
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