Laserfiche WebLink
1 <br /> l <br /> Gettler-Ryan Inc. Daily Report <br /> Work Order l4S._bfz�"� JSA# SAFETY FIRST <br /> PO# Date: /� - --_ <br /> -- - -- - - - - - - -_ - 1"1 Z <br /> Site# Location: L� i ❑S❑M❑T❑W�iH❑F❑ S - - <br /> ___ <br /> Temp. <br /> Supervisor P.M. Weather: 121's-n ❑ Rain ❑ Fog ❑ cloudy ❑ Windy <br /> Employee Travel Time Onsite Time Hours Task Steps: Safety Meeting <br /> 2 (,� Complete ❑y ❑ N Breaks&Lunch Observed ❑v ❑ N <br /> yL Z --v ZZ <br /> W <br /> O <br /> J <br /> W <br /> Log# Work Performed Hours <br /> che,050' <br /> W <br /> O <br /> W <br /> (D <br /> Z <br /> X <br /> CJ <br /> Materials Used Ref. Number Complete/Return Visit& Description <br /> W <br /> Rental Equip./Temp. Utilities Term# Hazards Not Covered by JSA: <br /> 1 Z. <br /> -r <br /> Company Equipment Used Mileage <br /> ❑ Service Truck(s) Truck Numbers <br /> Backhoe ❑ q p ❑ Safety q Examples of nigher/Medium Risk Tasks;' <br /> W ❑ ❑ Skid Steer Test Equip. Safe E u. <br /> ❑ compressor❑ Generator ❑ Laser Equip.❑ Blower Set <br /> Work at Heights ❑ Trenching/Excavating ❑ <br /> O O HER EQUIPMENT Hoisting/Rigging ❑ Work in Confined Space ❑ <br /> W Hot Work ❑ LPG System Work ❑ <br /> / Remarks I Accidents 1 Visitors <br /> V PPE Required( ❑Safety Vest ❑ Gloves ❑ Hard Hat ❑ Ear Plugs <br /> U <br /> ❑Boots ❑ Glasses ❑ Respirator ❑ Other <br /> Date: 10- 1 <br /> Customer Signature <br />