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3500 - Local Oversight Program
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PR0545737
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SITE HISTORY
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Last modified
6/5/2020 2:30:49 PM
Creation date
6/5/2020 2:21:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545737
PE
3528
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
02
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i <br /> BROWN AND CALDWELL <br /> SITE SAFETY AND HEALTH PLAN. <br /> FIELD CHECKLIST FOR IMPLEMENTATION <br /> Fill in blanks and circle yes or no as appropriate for each. if an item does not apply, <br /> I <br /> write N/A after question. <br /> Site Safety Officer Date <br /> Project Location <br /> (City) (State) <br /> Job No. Weather Conditions <br /> t WORK ACTIVITIES <br /> 1� <br /> L N <br /> r <br /> Is a copy of the site safety and health plan (SSHP) on site? YES O <br /> 2. Is the personal protective equipment required by the SSHP <br /> available and being used correctly? YES NO <br /> 3. Have the work zones been delineated? YES NO <br /> 4. Has a decontamination station been set tip as required by <br /> � the SSHP? YES NO <br /> S. Are the decontamination procedures being followed? YES NO <br /> 5. 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 /> 8. Is the list of emergency telephone numbers posted at the j <br /> support zone? YES NO a <br /> 9. Are the directions to the nearest emergency medical assistance <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 /> Figure 7. Field Checklist for -implementation <br />
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