Information
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Document No.
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Site Name
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Conducted on
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Prepared by
PASS - Safety Discussions
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1. Are there any reports from team members?
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2. What is the PASS Topic for the day?
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3. Insert any additional discussions
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4. What is the PASS rating for the day?
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Describe the Intervention or Incident
CRM - Questions.
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1. What can kill me?
2. What controls do I have to put in place to protect me?
3. How do I know that these controls are In place and effective?
Planned Activities
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Add Task
Task
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Task Description
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Do you require special permits?
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- JDEA
- CEMP
- Excavation
- Penitration
- Isolation
- Confined Spaces