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MDR <br /> .� rt .. e <br /> ATTACIMENT C <br /> BROWN AND CALDWELL <br /> Srrli SAI:i IW ANO I IFAL I'll PLAN <br /> FIELD CIl .CICLIs-r FOR IMPLE"MENTATION' <br /> Fill in blanks and circle yes or no as appropriate for each. If an item does not apply. <br /> write NIA after question. <br /> { <br /> Site Safety Officer Date <br /> l <br /> Project Location <br /> (City) (State) <br /> Job Na. Weather Conditions <br /> kVOPK-AC fVMES <br /> L is a copy of the site safety and health plan(SSHP)on site? NO <br /> 2. Is the:personal protective equipment required by the SSHP <br /> r a_ available ana being used correctly? YES NO <br /> T <br /> i 3. Have the work zones been delineated? YESNO <br /> 4. Has a decontamination station been set up as required by <br /> the SSHP? YES NO <br /> 5. Are the decommn-Lina:ionprocedures being Wowed? YES NO <br /> 6. Is access to the exclusion zone being controlled?6. ES Ivo <br /> 7. Has the site activities briefing and tailgate safety YNO <br /> meetina been provided? <br /> ._ the list.of emergency telephone numbers posted at the <br /> I the <br /> zone? <br /> I <br /> t 9. Arc the directions to the nearest emergency medical assistance NO <br /> t posted at the support zone? Y i S <br /> I 10, l5 em.:rgency equipment,as identified in the SSHP,readily <br /> h l <br /> �...:f ava.ilabie and functional? YES NO <br /> April 1935 <br /> r <br />