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APEX <br />COMPLETE DAILY BEFORE FIELD OPERATIONS BEGIN <br />Date: Time: Job Number: <br />Client: Facility: <br />Address: <br />Specific Location: <br />Type of Work: <br />Special Equipment: <br />Chemicals Used: <br />MANDATORY SAFETY TOPICS: <br />0 Emergency exit route and protocol 0 Eye wash station locations 0 Fire extinguisher locations <br />0 First Aid, MSDS and PPE location LI Site safety plan review and location LI Public safety and fences <br />Protective Clothing Equipment: <br />Chemical Hazards: <br />Physical Hazards: <br />Emergency Procedures: <br />Hospital / Clinic: <br />Hospital Address <br />Paramedic Name and Phone <br />SITE SPECIFIC TOPICS: <br />0 Manual lifting: strains / sprains 0 Excavation / trenching 0 Confined space entry <br />0 Electrical hazards 0 Noise Hazards CI Heat and cold stress <br />LI Heavy Equipment / drill rigs 0 Hot work permits LI Dust and vapor control <br />0 Orderly site and housekeeping 0 Portable tool safety and awareness 0 Utility location <br />0 Smoking in designated areas 0 Decontamination procedures 0 Stored energy <br />Discussion/Comments/Follow-up Actions: <br />NAME <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />Phone: <br />items