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A, <br />tf„,,,,f„,,,,tiv„7_,„is,71,1(71,c, bre. <br />Stop Work Issuance <br />Stop Work Issuance <br />Location of operation Date / Time <br />Informed <br />Supervisor Phone <br />Individual initiating stop <br />work <br />Individual(s) <br />performing work <br />Work operation or condition (include names of individuals performing work) <br />Hazard (as stated by individual initiating stop work) <br />Additional observations <br />Section 3: Follow-up Action/ Mitigation <br />Restart Authorization By: <br />Project Manager <br />Name: <br />Date <br />Site Supervisor Name: Date <br />Site Safety Officer: Date