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CG ICS SSP: 1.Incident Name 2.Date/Time Prepared 3.Operational 4. Safety Officer(include method of contact) <br /> PERSONAL Period <br /> PROTECTIVE <br /> EQUIPMENT <br /> 5. Supervisor/Leader 6.Location and Size of Site 7.Hazards Addressed: 8.For Emergencies Contact: <br /> 9.Equipment: 10.References Consulted: <br /> 11.Inspection Procedures: 12.Donning Procedures: 13.Doffing Procedures: 14.Limitations and Precautions(include <br /> maximum stay time in PPE): <br /> 15.Prepared By: 16.Date/Time Briefed: Potential Health Effects: Bruise/Lacerations,Organ Damage,Central ICS-208-CG SSP-F• <br /> Nervous System Effects,Cancer,Reproductive Damage,Low Back (Rev 9/06) <br /> Pain,Temporary Hearing Loss,Dermatitis,Respiratory Effects,Bone page of <br /> Breaks,Eye Burnin <br />