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Cnnlracto"License #692238 _ P.O.Box 7169 <br /> U �a <br /> (916) 878-6834 Fuc (916)878.6438 �S Aubun%Callfomie 95601 <br /> JOBSITZ EVALUATION Or HEALTH AND SArg" HAZARDS <br /> Date: f <br /> Jobsite: <br /> 0 <br /> The following method( s) have been employed to evaluate health and <br /> safety hazards on the jobsite: <br /> " Review of the relevant C81/09MA safety ord§rs for an <br /> assessment of hazards and how they may` be 'minimited through <br /> compliance with regulatory requirements <br /> Review of trede and health/safety reference publications for <br /> / information on typical jobaite 'hftmards <br /> y/ Response to 'employee eafety'qusationa raised by direct <br /> employee-management conversations` and in tailgate safety <br /> meetings <br /> ✓//investigation of jobsite injuriar and workmreiatsd illnesses <br /> Inspection of the worksite for compliance`with ithe bompany' s <br /> Code of Safe Practices <br /> Use of the attached checklist and corrective action form <br /> Evaluation completed by: Qpc � ,` <br />