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Lally Tailgate Meeting Form Page of Name of Project/Site: Project No: Project/Site Location: Employee Completing Form: (Print and Sign): Date: Employee Acknowledgement: The following signatures indicate that these personnel have read and/or been briefed on this Health and and understand the potential hazards/controls for the work to be performed. Important Notice to Subcontractor(s): Safety (H&S) Plan and equipment as necessary to protect their as well as manufacturer's specifications. Any operations and employees for the determination provide BC with a copy of their own H&S Plan for respect to the activities of BC's own employees at and general site hazards. The subcontractor For example, BC's H&S Plan does not (e.g., operation of a drill rig, excavator, crane or personnel are expected to comply fully with in the BC H&S Plan. Failure to do so may result in Subcontractors are responsible for developing, maintaining, and implementing their own health and safety programs, policies, procedures workers, and others, from their activities. Subcontractors shall operate equipment in accordance with their standard operating procedures project monitoring activities conducted by BC at the Site shall not in any way relieve subcontractors of their critical obligation to monitor their of exposure to hazards that may be present at the Site and to provide required guidance and protection. If requested, subcontractors will this project or other health and safety program documents for review. BC's Health and Safety Plan has been prepared specifically for this project and is intended to address health and safety issues solely with the site. A copy of BC's H&S Plan may be provided to subcontractors in an effort to help them identify expected conditions at the site shall remain responsible for identifying and evaluating hazards at the site as they pertain to their activities and for taking appropriate precautions. address specific hazards associated with tasks and equipment that are particular to the subcontractor's scope of work and site activities. other equipment). Subcontractors are not to rely on BC's H&S Plan to identify all hazards that may be present at the Site. Subcontractor subcontractors Health and Safety Plan and to observe the minimum safety guidelines applicable to their activities which may be identified the removal of the subcontractor or any of the subcontractor's workers from the job site. Print Sign Date Print Sign Date Plan of the Day (Describe the activities that are planned to be performed today) Potential Hazards and Topics Discussed (Describe the potential hazards and controls that may be associated with planned activities) 0 Electrical E Chemical 1:1 Biological II Physical II Other (specify): Distribution. Original — Project File HS-17 REV. 06/2006