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Site Safety and Health Plan <br /> Tailgate Safety Meeting Form <br /> Project NamelNumber: rl)atte: � Time: <br /> Client: <br /> Work Activities: <br /> Hospital NamelAddress: <br /> Hospital Phone No.: __TAmbulance Phone No.: <br /> Safety Topics Presented <br /> Chemical Hazards: <br /> Physical Hazards <br /> Personal Protective Equipment: <br /> PPE Level: <br /> Activity: <br /> Activity: PPE Level: <br /> Activity: PPE Level: <br /> Activity: PPE Level: <br /> Activity: PPE Level: <br /> New Equipment: <br /> Other Safety Topic(s): <br /> Attendees <br /> Name Printed Signature <br /> Meeting conducted by: <br /> Incident Free Operation Page 34 of 68 <br />