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Get"Ier-Ryan Inc. Daily Report <br /> Jo JSA# SAFETY FIRST <br /> _DATE-Z,—lO—Z�— - ----- <br /> ISite# Location: s MDT❑W Tr+ F s <br /> ISU efNisor P.M. W atther: ❑ sun �-Raln❑ Fog ❑ Cloudy ❑ Wind <br /> Y <br /> Employee Travel Time jonsite Time Hours Task Steps: Safety Meeting <br /> Complete N Breaks&Lunch Observed N <br /> LLJ <br /> V lrc 9 0 <br /> w ( <br /> Log# Work Performed Hours r - C <br /> -s-2 VMW1rs c4t���I- I <br /> 131 <br /> f � <br /> 0 Hazards Not Covered by JSA: ,I <br /> CA QUO <br /> � I <br /> (� 0 <br /> . - <br /> Materials Used Ref. Number How to Reduce/Eliminate Risk-Include Extra PPE <br /> _ W <br /> `�W1� <br /> Rental Equip.ITemp. Utilities Term# Complete/Return Visit&Description <br /> -- companyEgttfi)rriPrtt Used <br /> Mileage FEB j <br /> ❑ service Trucks) ITiuck Numbers <br /> H / <br /> Safety Equ, By <br /> Z <br /> W ❑ Backhoe ❑ Skid Steer �] Test Equip. ❑ <br /> IL ❑ Compressor ❑Generator ❑ Laser Equip. ❑ Blower set <br /> d OTHER EQUIPMENT <br /> U.i <br /> Examples of HigherlMedium Ris k Tasks: <br /> TrenchinglExcavating El <br /> Work at Heights ❑ Work in Confined Space ❑ <br /> Remarks I Accidents I Visitors Hoisting/Rigging ❑ LPG System Work ❑ <br /> Hot Work ❑ over and Hat ❑ Ear I'llPPE Required Safety Vest <br /> lasses <br /> ❑ Respirator ❑ Other <br /> V oots <br /> _ -ZS <br /> Date: <br /> `"" Customer Signature <br />