Information
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Daily Site Safety Inspection
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Prepared by - William A. Lopez
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Location 1336 S Bridgegate Dr Diamond Bar CA 91765
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Document No.
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Conducted on
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Kaiser Diamond Bar MOB
ICRA/Infection Control
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ICRA/Infection Control Risk Status:
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ICRA/Infection Control Findings:
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ICRA/Infection Control Responsible Contractor:
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ICRA/Infection Control Risk Resolved:
Safety Recordkeeping
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Safety Recordkeeping Risk Status:
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Safety Recordkeeping Findings:
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Safety Recordkeeping Responsible Contractor:
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Safety Recordkeeping Resolved:
PCRA
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PCRA Risk Status:
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PCRA Findings:
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PCRA Responsible Contractor:
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PCRA Risk Resolved:
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Posting Requirements
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Posting Requirements Risk Status:
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Posting Requirements Findings:
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Posting Requirements Responsible Contractor:
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Posting Requirements Resolved:
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Pre-Task Planning
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Pre-Task Planning Risk Status:
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Pre-Task Planning Findings:
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Pre-Task Planning Responsible Contractor:
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Pre-Task Planning Resolved:
PPE
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PPE Risk Status:
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PPE Findings:
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PPE Responsible Contractor:
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Use equipment checklists to complete inspections.
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PPE Risk Resolved:
Tools
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Tools Risk Status:
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Tools Findings:
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Tools Responsible Contractor:
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Tools Risk Resolved:
Fall Protection
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Fall Protection Risk Status:
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Fall Protection Findings:
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Fall Protection Responsible Contractor:
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Fall Protection Risk Resolved:
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Energy Control
Energy Control Risk Status:
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Energy Control Responsible Contractor:
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Energy Control Findings:
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Energy Control Risk Resolved:
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General Site Conditions
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General Site Conditions Risk Status:
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General Site Conditions Findings:
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General Site Conditions Responsible Contractor:
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General Site Conditions Risk Resolved:
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Fire Protection
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Fire Protection Risk Status:
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Fire Protection Findings:
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Fire Protection Responsible Contractor:
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Fire Protection Risk Resolved:
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First Aid Supplies
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First Aid Supplies Risk Status:
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First Aid Supplies Findings:
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First Aid Supplies Responsible Contractor:
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First Aid Supplies Risk Resolved:
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HAZCOM
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HAZCOM Risk Status:
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HAZCOM Findings:
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HAZCOM Responsible Contractor:
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HAZCOM Risk Resolved:
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Hazardous Materials
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Hazardous Materials Risk Status:
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Hazardous Materials Findings:
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Hazardous Materials Responsible Contractor:
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Hazardous Materials Risk Resolved:
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Confined Spaces
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Confined Spaces Risk Status:
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Confined Spaces Findings:
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Confined Spaces Responsible Contractor:
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Confined Spaces Risk Resolved:
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Trenching & Excavations
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Trenching & Excavations Risk Status:
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Trenching & Excavations Findings:
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Trenching & Excavations Responsible Contractor:
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Trenching & Excavations Risk Resolved:
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Cranes & Mobile Equipment
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Cranes & Mobile Equipment Risk Status:
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Cranes & Mobile Equipment Findings:
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Cranes & Mobile Equipment Responsible Contractor:
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Cranes & Mobile Equipment Risk Resolved:
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Completed By:
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