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EMPLOYEE'S INJURY AND ILLNESS <br /> PREVENTION PROGRAM <br /> +i TAILGATE SAFETY MEETING <br /> Project No.: 3% I <br /> Date: l/I% `7 '�Time: <br /> Branch: --Ir'I.Al_ <br /> Customer Name: } i T�e-m '-�L <br /> Site Address: C i(-r C 7c-c. 1, N-,!- <br /> Specific <br /> -,�Specific Location: Do6.d i t a i N.D c) <br /> Type of Work: -F c /i�'� c� •�, �'�+ti r, .st <br /> Physical, Chemical, Equip. Preventive Measure to Minimize Emergency Procedures <br /> Hazards for Today's Wort Hazards Identified Event Of An Accident PPE <br /> Example: Example: Example: <br /> Pawing acrd during lab Wear eye and face protection along with Flurh affected mra wuh C <br /> p==aging cpera"L chemical-resiu my clothing and waw Seek medrral avd <br /> rr�ror. <br /> Identify clothing type for each level of PPE to be used: A B C D <br /> Identify any special equipment or other safety measures: Pi D NQ A- } n 2 , h;C <br /> Hospital/Clinic: I-RjOC4 0-0 w 0,6t A,/ rY 14(-Sr'4 T-PL <br /> Address: 1-9/� e- �1 -4c� <br /> y 13L- � 7 ;/, .r <br /> aui ni. n rrr } } � <br /> Phone No.: Y 3 -/tee c - Paramedics: <br /> nri� <br /> ATTENDEES <br /> Name (printed) Signature <br /> 1 a <br /> / lJL <br /> Ig' - _ <br /> g Y <br /> Meeting Conducted B : <br /> FORw PAGE A-4 SEPMNSER 1991 <br />