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WALTON f , <br /> NGINEERING, INC ., REP <br /> Mai 0 201°1 <br /> Daily Site Safety Meeting r r; , LTH <br /> Date / Time : � ,� . / ' Job # : 171155 - 015 <br /> Facility Name / ID # : 31155 =075 - 7 - Eleven Market #2369 / Store #35355 <br /> Facility Address / City : 3202 W. Hammer Lane - Stockton <br /> Activity <br /> (List the site activities to be performed today) <br /> Hazards <br /> ( List the hazards that could cause injury when the activities above are perfonned) <br /> V Qr IC• t 7Jr +j 19 QA V1 <br /> Safety Precautions <br /> ( List the control measures required to eliminate or minimize the risk of injury arising from the identified hazards) <br /> i - J 1G v� P. <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? <br /> Has the work area been left tidy and safe ? <br /> Safety is Everyone 's Responsibility! <br /> Site Members <br /> Name Signature Name Signature <br /> \\walton2\company_information\forms\daily_site_safety_meeti ng_report .doc <br /> 4 , � ( � : - io% e l Sm r.rm.lnlrr, PCA 1) .-r691 PSI Ilii 37 r . IRRR • t ,r .. 3 ' 1. 1 r ' ,' <br /> .'x .% rl4ln •v, r' . r), Rtrx 1022 W4r 1 ti.l, r 1r11. 4n1rr4 (' \ II5111l l <br />