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Gettler-Ryan Inc. Daily Report <br /> Job# 1, JSA# SAFETY FIRST <br /> PO# nib v 6b- V ___ _DATE: l0-Z�- - - ------ <br /> ISite# Location: s MDTE1w TH F s <br /> Supervisor , mp <br /> P.M. Weather: ❑ sun Fe�Raln❑ Fog ❑ Cloudy ❑ Wlndy <br /> Employee Travel Time jonsite Time Hours Task Steps: Safety Meeting <br /> Complete N Breaks&Lunch Observed N <br /> V lrc 9 oLLJ <br /> LL, <br /> � C', l� ( ylv-�(4 <br /> w ?, -(-a I <br /> o igopta(,1 -- <br /> Log# Work Performed Hours r kb . - noC <br /> A e8fy <br /> __-_�Ira ' <br /> rzp _ <br /> Hazards Not Covered by JSA: ` <br /> \ 0 - <br /> � rLa <br /> — ItiQ 5 \� <br /> Materials Used Ref.Number How to Reduce/Eliminate Risk-include Extra PPE <br /> I Term# Complete/Return Visit&Description <br /> I�nntal Equip.lTemp. Utilities <br /> Company E-gttipli-writ Used <br /> Mileage FEB 1 <br /> ❑ service Trucks) ITiuck Numbers <br /> H / <br /> safety Equ, By <br /> Z <br /> W 0 Backhoe ❑ skid Steer �] Test Equip. ❑ <br /> IL ❑ Compressor ❑Generator ❑ Laser Equip. ❑ Blower Set <br /> d OTHER EQUIPMENT <br /> uJ <br /> Examples of HigherlMedium Ris k Tasks: <br /> Trenching/Excavating ❑ <br /> Work at Heights ❑ Work in Confined Space ❑ <br /> Remarks!Accidents/Visitors Hoisting/Rigging ❑ LPG System WWI( ❑ <br /> Hot Work ❑ ❑ Ear Ph <br /> PPE Required _ Safety vest oves and Hat <br /> V lasses <br /> ❑ Respirator ❑ Other <br /> oots <br /> _ -ZS <br /> Date: <br /> -" Customer Signature <br />