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	Installer Jobsite Hazard

Case Number:	Author:	Date/Time:
Address:	Customer Name:	Job Number:
Roof Pitch:	Supervisor Name:	Supervisor Number:
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:
Personal Protective Equipment

Hazard Assessment
Hazard Assessment Mitigations
Installation Work
Oxygen Level
Hydrogen Sulfide Level
Carbon Monoxide Level
Combustable Gas Level
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...
Onsite Names

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Your legal name

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Timestamp

Audit

July 7, 2020 2:33 pm PDT

ja-{{ninja-field-id-90}} Uploaded by James Kinler - jkinler@getunwired.com IP 64.203.112.2