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'1 <br /> Site Safety and Health Plan ` <br /> Daily Field Safety Form <br /> This form must be completed by the Site Safety Officer, and turned in at the end of each clay for <br /> review. Failure to turn in completed form at the end of the day will result in suspension of <br /> further field activities. <br /> 1) Field Supervisor: Date: <br /> Project Name: <br /> 2) Check Pages 29 and 30 of this SSHP for a checklist of required equipment and supplies. <br /> Special topics for daily safety meeting, near misses, problems from previous day, changes in <br /> work plan, etc. <br /> 3) Daily Safety Meeting Sign-Off Sheet <br /> Name Company <br /> Page 33 of 68 <br /> Incident Free Operation <br />