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; ! <br /> Date: Task Assigned € Date: Task Assigned <br /> Name: € Name: <br /> ! <br /> PPE Requirements ; € PPE Requirements <br /> ❑Hardhat List the Hazards&Mitigations ❑Hardhat List the Hazards&Mitigations <br /> ❑Safety glasses Associated with the Assigned Task p Safety glasses Associated with the Assigned Task <br /> ❑Steel toed shoes/boots Hazard Mitigation € ❑Steel toed shoes/boots Hazard Mitigation <br /> ❑Hearing protection ; € ❑Hearing protection <br /> ❑Gloves ! ❑Gloves <br /> ❑Tyvek/Protective clothing ; ! ❑Tyvek/Protective clothing ; <br /> ❑Respirator ! ❑Respirator ; <br /> ❑Traffic vest/orange shirt ; € ❑Traffic vest/orange shut ; <br /> ❑Other € ❑Other ; <br /> ,,,Emergency Preparedness ; € Emergency Preparedness ; <br /> Location of nearest fire extinguisher? ; € 1)Location of nearest fire extinguisher? ; <br /> 2)Location of nearest eyewash station? ! 2)Location of nearest eyewash station? <br /> € <br /> 3)Location of nearest first-aid kit? ! 3)Location of nearest first-aid kit? <br /> 4)Who is the Site Safety Officer? ; € 4)Who is the Site Safety Officer? ; <br /> ' € <br /> e <br /> t .m,m. — .mr ® ate. ... ... - - - ... - - ® <br /> Date: ; Task Assigned € Date: Task Assigned <br /> Name: <br /> ! Name: <br /> t <br /> € <br /> PPE Requirements € PPE Requirements <br /> ❑Hardhat List the Hazards&Mitigations ! ❑Hardhat List the Hazards&Mitigations <br /> Assigned Task <br /> d i <br /> A <br /> Associated with the Assigned Task Associated with the Assi <br /> ❑Safety glasses ! ❑Safety glasses g <br /> ❑Steel toed shoes/boots € ❑Steel toed shoes/boots ; <br /> Hearin protection Hazard Mitigation Hazard Mitigation <br /> Hearing p € ❑Hearing protection <br /> Gloves ! ❑Gloves ; <br /> ❑Tyvek/Protective clothing € ❑Tyvek/Protective clothing ; <br /> ❑Respirator ; <br /> 13 tor <br /> ❑Traffic vest/orange shirt € ❑Traffic vest/orange shirt ; <br /> ❑Other E ! ❑Other <br /> ; ! <br /> Emergency Preparedness ; ! Emergency Preparedness <br /> 1)Location of nearest fire extinguisher? ; ! 1)Location of nearest fire extinguisher? ; <br /> 2}Location of nearest eyewash station? € 2)Location of nearest eyewash station? ' <br /> 3)Location of nearest first-aid kit? ! 3)Location of nearest fust-aid kit? <br /> 4)Who is the Site Safety Officer? ! 4)Who is the Site Safety Officer? ; <br /> ! <br />