Weekly Flammable Refuse Inspection & Shotcrete Allocations Spread Sheet - A

• Name:

• Supervisor:

• Completed - Date:

  Date

Week #1:

• Date:

  Date

• All flammable refuge bins and garbage have been cleaned at Old Wash Bay

  Yes

  No

  N/A

• The Shot Crete Allocation Spread Sheet has been filled out for the week

  Yes

  No

  N/A

Week #2:

• Date:

  Date

• The Shot Crete Allocation Spread Sheet has been filled out for the week

  Yes

  No

  N/A

• All flammable refuge bins and garbage have been cleaned at Old Wash Bay

  Yes

  No

  N/A

Week #3:

• Date:

  Date

• All flammable refuge bins and garbage have been cleaned at Old Wash Bay

  Yes

  No

  N/A

• The Shot Crete Allocation Spread Sheet has been filled out for the week<br>

  Yes

  No

  N/A

Week #4:

• Date:

  Date

• All flammable refuge bins and garbage have been cleaned at Old Wash Bay

  Yes

  No

  N/A

• The Shot Crete Allocation Spread Sheet has been filled out for the week

  Yes

  No

  N/A

• Supervisor in Charge of Construction:

  Sign