Information
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Supervisor
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Safety Rep
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Conducted on
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Client / Site
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Location
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Report Type
Pre-Start Checklist
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Completed By
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Construction Site Sinage
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Contact Numbers
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MSDS Sheets
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Fire Extinguisher
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Washroom Facility
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Sub-Contractor Orientation
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Workplace Safety Act & Regulation
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Communication Device
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First Aid Supply/Eyewash
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Excavation permit/ Utility Clearance
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Public Protection
Other
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Hazard/Inspection Checklist
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Completed By
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Emergency Response
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First Aid Kit
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Ladders/Walkways
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Lockout/Tagout
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Electrical Panel
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PPE
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Fire Extinguisher
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Signage
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WHIMIS/MSDS
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Access/Egress
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Tools & Equipment
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Housekeeping
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Guardrail
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Utilities (Marked)
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Heights/Fall Protection
Other
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Task
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Hazard
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Severity
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Probability
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Control(s)
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Control implemented by
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Person Responsible
Toolbox Talk
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Topics Discussed
Topic
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Topic
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Worker's Comments
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Corrective Action Taken
Attendance
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Attendee
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Name
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