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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Crisis Management Book
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Hydration / Access to Water
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Haz-Com / Safety Data Sheets (Access @ SDS Mobile by KHA)
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First Aid Supplies / Expiration Dates
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Sanitary Facilities
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Roads / Sidewalks / Parking Lots / Traffic Control
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Utilities
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Flammables
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Heavy Equipment / Daily Equipment
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Excavations & Trenches
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Impalement Hazard Covered
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Truck Backing / Spotting
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Power/Hand Tools - Good Condition
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Electrical
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Hot Work
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Fire Protection
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Noise
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Personal Protective Equipment
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Housekeeping
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Hazard Items Found and Corrected
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Add photos describing hazard here
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Disciplinary Actions Taken For Safety Violations
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Employee Suggestions
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Comments
