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Daily Tailgate Safety Meeting Form <br />GENERAL INFORMATION <br />Meeting Conducted By: <br />text <br />Customer: <br />CA Army National Guard <br />Site Name & Location: <br />FMS 24, 8020 Airport Way, Stockton, CA <br />PRE-START REVIEW <br />Daily Safety Discussion (topic to be discussed): text <br />Date: <br />text <br />Project Name: <br />Soil Gas Sampling <br />Job Number: <br />17042 <br /> <br />Meeting Duration: <br />text <br />Today's Task: text <br />Will Any Conditions Change the muster Point for Today? 0Yes 0No 111 Where? text <br />Risk Assessment: text <br />Have newly identified risks been documented on the JSA? <br />Has a member of the workforce conducting each task participated in the JSA review? <br />Have all crews confirmed understanding of the work scope, hazards, and risk controls? <br />Does everyone understand the emergency procedures for the site? <br />Have equipment checks been completed, documented and reviewed? <br />Work Permits (identify any permitted activities) <br />Permit Type: text <br />SITE HAZARDS <br />Chemical: <br />SDS's on Site EIYes ONO <br />EIVOC's <br />00xygen EDeficiency 0Enrichment <br />0Explosives Type: text <br />0Gases 0Flammable EIToxic <br />0Flammables E Liquids ESolids <br />00xidizers EOrganic Peroxides <br />0Toxic EInfectious Substances <br />0Radioactive Type: text <br />0Corrosives PH: text <br />ClOther: text 111Confined Space Type: text <br />00ther: Tex r <br />0Yes ENo <br />EYes EINo <br />EYes 0No <br />111Yes ENo <br />ElYes ElNo <br />0 No Permits Issued <br />Physical Hazards: <br />Heat Stress 0Cold Stress <br />Traffic Hazards 0Street 0Freeway 0Site <br />EINatural Hazards 0Plants CI Animals 0 Insects <br />ODemolition E Mechanical 111 Soft <br />Trench & Excavation <br />El Noise <br />0Heavy Equipment Use <br />Slip Trips & Falls <br />00verhead Hazards Type: text <br />DElevated Surfaces Type: text