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WALTON `- - - - - — -- <br /> ,ENGINEERING , INC • <br /> Daily Site Safety Meeting <br /> Date / Time : ,lob #: 171155 = 075 <br /> Facility Name / ID #: 31155 -075 - 7 - Eleven Market #2369 / Store #35355 <br /> Facility Address / City : 3202 W . Hammer Lane - Stockton <br /> Activity <br /> r rr ( List the site activities to bel performed today) <br /> c i of � 1 U /r � 1G 'z CJI f/ <br /> Hazards <br /> ( List the hazards that could cause injury when the activities above are performed) <br /> CJ Qe nrig, / e' 1 7t' Irk 7 , <br /> Safety Precautions <br /> (List the control measures required to eliminate or minimize the risk of injury arising from the identified hazards) <br /> t� r < J? IM 4L ice. u . f? eA j%W \\ AJh <br /> Ofvlc) In ! ) <br /> General Safety Yes No <br /> Is the Chain- Link Fencing and/or Barricades w/Orange Safety Fence in place? <br /> Have all material & tools been picked up and put away? >C <br /> Has the work area been left tidy and safe? L <br /> Safety is Everyone 's Responsibilityl <br /> Site Members <br /> Name Signature Name Signature <br /> \\walton2lcom pa ny_informalion\forms\daily_sile_s afety_meeting_re port .doc <br /> ItlWI ( "mnInv.rce Or We, Wee! Sar rammIu, ( A 751j91 14116 1 172 1888 • t- ae 1 : t- I I ' : <br /> Mailing Arlrinn.. PT) Bo% In 2j , tiar r.anonlo. ( - A 9rofir11 <br />