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G:. <br /> a- <br /> 1Ell <br /> gg <br /> ATTACHMENT C <br /> BROWN AND CALDWELL <br /> SITE SAFETY AND HEALTH PLAN <br /> FIELD CHECKLIST FOR IMPLEMEN'T'ATION <br /> ].-il! in blanks and circle yes or no as appropriate for each. If an item does not apply, <br /> write NIA after question. <br /> Site Safety Officer Date <br /> Project Location <br /> (City) (State) <br /> Job No. Weather Conditions <br /> E <br /> WORK ACTIVITIES <br /> 1. Is a copy of the site safety and health plan(SSHP)on site? YES NO <br /> 2. Is the personal protective equip_vent required by the SSHP <br /> available and being used correctly? YES NO <br /> Have the work zones been delineated? YES NO <br /> 4. Has a decontamination station been set up as required by YES NO <br /> the SSHP. <br /> 5. Arz the decontamination procedures being followed? YES NO <br /> 6. Is access to the exclusion zone being controlled? YES NO <br /> 7. Has the site activities briefing and tailgate safety <br /> meeting been provided? YES NO <br /> R. Is the list of emergency telephone numbers posted at the <br /> supportzone? YES NO <br /> 9. Are the directions to the nearest emergency medical;,ssistance <br /> posted at the support zone? YES NO <br /> 10. Is emergency equipment,as identified in the SSHP,readily <br /> available and functional? YES NO <br /> 11. Has the nearest toilet facility been identified or a portable <br /> facility been set up? YES NO <br />