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�2Spt� h�T 4 0 <br /> `rG <br /> O 7 <br /> ,ntraclors License #692238 0 t�G. <br /> 916) 878-6839 Fax (916)878-6438 P.O. Box 7169 <br /> RUCTIO Auburn, California 95504 <br /> DOCUMENTATION OF JOSSITE INSPECTION <br /> FOR COMPLIANCE WITH THE <br /> INJURY AND ILLNESS PREVENTION PROGRAM <br /> Date: <br /> Jobsite: <br /> The Code of Safe Practices Is available <br /> ✓ Responsible Person has been designated <br /> The Injury and Illness Prevention Program Is available <br /> Heatlh and safely (raining has been performed and documented <br /> ✓✓✓/ Site workers are aware of the locations and availability of the Code of Safe Practices. IIPP. <br /> and other written health and safely, programs (e.g., hazard communication) <br /> Appropriate personal protective equipment Is available and In good condition. <br /> Records of accidents and near accidents, their Investigation, and any corrective actions <br /> taken are current <br /> Records of routine Jobsite Inspections for the presence of safely and health hazards are <br /> i current <br /> ✓/ Methods by which jobslle hazards are communicated to employees are established In <br /> compliance with the company IIPP and are readily understandable to all employees <br /> Methods by which jobslle hazards are communicated by employees to the company are <br /> established In compliance with the company IIPP <br /> Employees are aware that they are encouraged to report health and safety Issues to <br /> / management and that they may do so without fear of reprisal <br /> ✓/ All IIPP-related records are maintained for three years, with the exception of records <br /> presented upon termination to an employee who has worked leas than one year <br /> V The IIPP has been updaled to address the Introduction of significant new health and safely <br /> Issues to a jobalte. If any <br /> Inspection completed by: 17. 4� „� � , <br />