| Case Number: 00718521 |
Author: Alexander Artherton |
Date/Time: 3/24/2023 7:02 PM |
| Address: 36.53135-120.435451 |
Customer Name: Jesus Rivera |
Job Number: |
| Roof Pitch: |
Supervisor Name: Damon Paz |
Supervisor Number: null |
| Expected Temperature: |
Expected Weather Conditions: |
Workscope: |
| All sites upon leaving MUST be cleaner than when we arrived. No unWired Broadband property shall be left onsite. |
| Emergency Action Plan |
| Make sure your site diagram is uploaded to Schedulo. This needs to be an overhead shot of the jobsites that includes: |
 An X for the jobsite safe meeting area where all parties will meet in case of emergency |
A drawn route of the emergency escape route from the jobsite to the safe meeting area in case of emergency. The nearest first responders contact information is located in the job. |
| Personal Protective Equipment |
| Drinking Water | Safety Boots | Body Harness |
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| Hazard Assessment |
| Falling From Height | Awkward Lifiting | Slips Trips or Falls |
| Hazard Assessment Mitigations |
| Falling From Height Mitigations: |
| Awkward Lifting Mitigations: |
| Installation Work |
| Vehicle maintenance up to date |
| Pre use inspection has been completed |
| Tools inspected |
| Extension cords inspected |
| Personnel trained or qualified to use tools on site |
| Fall protection is needed |
| Fall protection has been inspected prior to use |
| Ladder has been inspected prior to use |
| Ladder placement will be in a position where the 4 to 1 ratio will be used |
| Oxygen Level |
| Hydrogen Sulfide Level |
| Carbon Monoxide Level |
| Combustable Gas Level |
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Our Anchor point will be which we have deemed to be capable of 5,000lbs per person attached. If no anchor point can be used, engineered fall protection must be used such as handrails, scaffolding, ect...
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| Onsite Names |
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