Laserfiche WebLink
Bradburn, Briller&Johnson,# • Health&Safety Plan <br /> HEALTH AND SAFETY SUMMARY REPORT <br /> To be completed by Field Safety Coordinator(after completion offwm work) <br /> Project No.: R1005160 HSP Log No.: 10-700-2 <br /> Client Name: Project Name/Location:Manteca,CA Phase 11 ESA <br /> Field Safety Coordinator(FSC):Genevieve de la Torre Dates of Field Work: <br /> 1. Were there any violations of the HSP by BB&J Personnel? YES_or NO <br /> If Yes, Explain: <br /> 2. Were there any violations of the HSP by subcontractors? YES_or NO <br /> If Yes,Explain: <br /> 3. Was there any obvious,significant exposure to COCs? YES_or NO— <br /> If <br /> O_If Yes, Explain: <br /> 4. Were there any OSHA reportable accidents or injuries? YES_or NO— <br /> If <br /> O_If Yes,Explain: <br /> If Yes was answered in any of the aforementioned questions, provide a detailed explanation of the <br /> situation, including circumstances, personnel involved, causes,type of contamination (if applicable), and <br /> corrective action taken(i.e.,first aid or medical assistance required). <br /> Signature Date <br /> Field Safety Coordinator <br /> ** RETURN A COPY TO HEALTH AND SAFETY OFFICER UPON COMPLETION OF WORK <br /> To be completed by Health &Safety Officer <br /> Was an audit conducted? YES or NO <br /> Signature Date <br /> Health&Safety Officer <br /> Bradburn, Briller&Johnson,LLC <br />