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SITE SAFETY CHECKLIST <br /> 1. Morning tailgate meeting held. Dates: <br /> 2. Site safety plan reviewed and signed. <br /> 5. List staff members undergoing on the job safety training. <br /> 4. Work zones appropriately delineated. <br /> 5. Cuttings coned off from the public. <br /> 6. Cooperation among the crew members in wearing appropriate <br /> protective equipment. <br /> Comments: <br /> 7. Located off site utilities and identified their location on the site map. <br /> 8. Air quality readings; Instrument used: Calibrated: <br /> DATUFME: CONCENTRATION(ypmVLOCATION: CONBMNTS- <br /> GENERAL.COMMENTS: <br /> Signed Pacific Environmental Group, Inc. <br /> Print Name Project Safety Officer <br />