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_ o�SotA I PETRo`G <br /> Contractors License #692238 n0ti N�V P.O. Box 7169 <br /> (916) 878-6834 • Fax (916) 878-6438 �RUI T10� Auburn,California 95604 <br /> JOHSITE EVALUATION OF HEALTH AND SAFETY HAZARDS <br /> Date: <br /> Jobsite: <br /> The following method( s ) have been employed to evaluate health and <br /> safety hazards on the jobsite: <br /> _ Review of the relevant Cal/OSHA safety orders for an <br /> assessment of hazards and how they may be minimized through <br /> compliance with regulatory requirements <br /> _ Review of trade and health/safety reference publications for <br /> information on typical jobsite hazards <br /> _ Response to employee safety questions raised by direct <br /> employee-management conversations and in tailgate safety <br /> meetings <br /> Investigation of jobsite injuries and work-related illnesses <br /> Inspection of the worksite for compliance with 'the company' s <br /> Code of Safe Practices <br /> Use of the attached checklist and corrective action form <br /> Evaluation completed by: <br />