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11 Heat:Preventing Responding to Heat attached Falling object: Any time work is being done overhead a hard hat must be worn at all times Excavation: During excavation you could encounter underground utilities. Call Underground Service Alert and have all utilities clearly marked prior to excavation. To avoid cave-in or collapse, follow guidelines on attached trenching safety sheet attached. If anyone is hurt on the jobsite call 911 if necessary, immediately notify your supervisor and fill out an accident report form. In an emergency notify Diane Lopez with Franzen -Hill at 559-688-2977 No smoking is permitted on the jobsite. No exceptions. Upon arrival on the job site the site foreman/site safety officer will determine the location of a Safety Zone where personnel can go in case of an emergency. The location should be in such a place that it is free & clear of any potential hazards. This location will be pointed out to all employees at the tail gate safety meeting prior to work start. A first aid kit and fire extinguisher must be on site at all times. All personnel must have their Franzen -Hill issued safety bag which includes all personal protective equipment. The closest health care facility to the jobsite is: Doctors Hospital 1205 East North Street, Manteca - (209) 823-3111 Memorial Hospital 1700 Coffee Rd, Modesto - (209) 526-4500 By signing below I acknowledge that I am aware of the potential hazards and dangers of the above mentioned jobsite, I have access to MSDS sheets, I have the proper safety equipment and I know the location of the safety zone. Signature Date Signature Date Signature Date Signature Date Signature Date Signature Date Signature Date Signature Date Signature Date Franzen -Hill Job # --- 1100 North J Street, Tulare, CA 93274 (559) 688-2977 or (800) 655-3436 Fax (559) 688-1467 www.franzen-hill.com