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HEALTH AND SAFETY PROGRAM FOR <br /> BROWN AND Attachment 13--Site Safety and Health Plan <br /> CALDWELL Site Activit and Safety Briefing <br /> Name of Site Safety Officer Signature of Site Safety Officer <br /> Project Name Project Location Project Number <br /> Who attended the briefing? <br /> Names of Brown and Caldwell Employees Names of Subcontractor(s) Employees <br /> What items were discussed? <br /> ❑ Site Safety and Health Plan ❑ Hazardous Site Conditions/Activities <br /> ❑ Specific Accident/incident ❑ Changes/Solutions to Specific Accident(s) <br /> ❑ Protective Equipment to be Used ❑ Location of Emergency Telephone Number <br /> ❑ Emergency Hospital Route ❑ Work Schedule <br /> ❑ Other <br /> Do any items require assistance from BC Health and Safety staff? (If yes, describe the item and type of assistance <br /> required and contact the Health and Safety staff directly.) <br /> ❑YES ❑ NO <br /> NOTE: Place a copy of the completed form in the project file. HS-17 REV. 06/98 <br />