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Gettler-Ryan Inc. Daily Report <br /> Work Order JSA# SAFETY FIRST <br /> PO# Date: �-( • I1 -7 c( <br /> Site#'1 �0 Location: W i;Cv� b),) ❑S❑M❑ w❑TH❑F❑ s <br /> Temp. <br /> Supervisor P.M. Weather: Osun ❑ Rain ❑ Fog ❑ Cloudy ❑ Windy <br /> Employee Travel Time Onsite Time Hours Task Steps: S Safety Meeting <br /> U) 120 Z s Z13�� ti`, Complete ❑v E] N Breaks& Lunch Observed E]Y E] N <br /> W <br /> W wig GS <br /> O <br /> J <br /> a <br /> 2 <br /> W <br /> Log# QQ Work Performed Hours <br /> w �i� � Vq.L r✓ev5ocs <br /> W <br /> D <br /> O <br /> W <br /> C7 <br /> Z <br /> Q <br /> U <br /> Materials Used Ref. Number Complete/Return Visit& Description <br /> Cn <br /> J <br /> Q <br /> W <br /> H <br /> Rental Equip./Temp. Utilities Term# Hazards Not Covered by JSA: <br /> � L <br /> Company Equipment Used Mileage <br /> ❑ ServiceTruck(s) Truck Numbers <br /> H <br /> Z Examples of Higher/Medium Risk Tasks: <br /> W ❑ Backhoe ❑ Skid Steer ❑ Test Equip.❑ Safety Equ. <br /> a ❑ compressor❑ Generator ❑ Laser Equip.❑ Blower Set Work at Heights ❑ Trenchin ng/Excavating El9 9 9 <br /> a OTHER EQUIPMENT Hoisting/Rigging ❑ Work in Confined Space ❑ <br /> W Hot Work ❑ LPG System Work ❑ <br /> Remarks I Accidents I Visitors <br /> CJ PPE Required 4�rsafety Vest [).6loves Hard Hat ❑ Ear Plugs <br /> ^� Boots lasses ❑ Respirator ❑ Other <br /> Date: <br /> Customer Signature <br />