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TAILGATE SAFETY MEETING FORM <br /> Project Name/Number: Date: Time: <br /> Client: <br /> Work Activities: <br /> HospitaiName/Address: <br /> Hospital Phone No.: Ambulance Phone No.: <br /> Safety Topics Presented <br /> Chemical <br /> Hazards <br /> Physical <br /> Hazards: <br /> Personal Protective Equipment: <br /> Activity: PPE Level: <br /> Activity: PPE Level: <br /> Activity: PPE Level: <br /> Activity: PPE Level: <br /> Activity: PPE Level: <br /> New Equipment: <br /> Other SafetyTopic(s): <br /> Attendees <br /> PRINTED NAME SIGNATURE <br /> Meeting conducted by: <br />