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ATTACHMENT C <br /> BROWN AND CALDNVI Ll, II <br /> SIT F1 SAFI I E A LT I PLAN <br /> H <br /> FIELD ClIFC-Kus-r roR liMPLENIENTATION <br /> P <br /> fD <br /> Fill in blanks and circle yes or no as appropriate reach. If -.In item does nota apply- <br /> it <br /> write N/A after question- <br /> Site Safety Officer Date j <br /> Project <br /> Loc tion [State)(City) <br /> Weather Conditions II <br /> Job No- <br /> WORK.Ac-nvmE; <br /> it <br /> L Is a copy of the site safety and health plan(SSHP)or, site? YES <br /> it N0 <br /> 2. Is the personal protective equipment required by the SSRP <br /> available and being used corTccdy7 YES j NO <br /> 3. Have the work zones been delineated? YES N0 <br /> 4. Has a decontamination station been set up as required by <br /> YES :1 NO <br /> the SSHP? 1 <br /> 5. Are the decontarnination procedures being followed? YES N,0 <br /> Y ESit <br /> 6- Is access to the exclusion zone being controlled? No <br /> 7- Has the site activities briefing and tailgate safety YES • li NO <br /> meeting been provided? <br /> 8. Is the I Ist of emergency telephone numbers posted at the 1i <br /> support zone? YES -1 NO <br /> irect'ons to the nearest emergency medical assistance <br /> 9. Are the d I NO <br /> Y Es <br /> posted at the support zone? <br /> to. is emergency equipment, as identified in the SSHP. icadily <br /> YES NO <br /> available and functional? <br /> April 1988 <br />