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PRE-JOB SAFETY MEETING FORM

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PRE-JOB SAFETY MEETING FORM Powered By Docstoc
					SAFETY MEETING REPORT
PRE-JOB SAFETY MEETING DATE (dd/mm/yy) LOCATION PILOT VEHICLE REQUIRED



MONTHLY SAFETY MEETING SUPERVISOR PROVINCE/STATE



TRIP #

TIME (24 HR)

CITY/TOWN

YES  NO  COMPANY NAME

PILOT VEHICLE INSTRUCTIONS ________________________________________________________________________________________________ ________________________________________________________________________________________________ YES  NO  COMPANY NAME

CRANE REQUIRED

ITEMS DISCUSSED ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________

HAZARDS IDENTIFIED ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ CORRECTIVE ACTION ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ SUB-CONTRACTORS NAME (PRINT NAME)

RISK RATING (IDENTIFIED) HIGH = 3 ___

MEDIUM = 2 ___ LOW = 1 ___

RISK RATING (CORRECTION) HIGH = 3 ___

MEDIUM = 2 ___ LOW = 1 ___

COMPANY NAME – UNIT # (Use reverse side if needed)

SUPERVISOR X DRIVER / OWNER OPERATOR NAME

SAFETY MANAGER X UNIT #

LIST EMERGENCY CONTACT NUMBERS BELOW __________________________________________________________________________________________________ __________________________________________________________________________________________________


				
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posted:8/1/2009
language:English
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