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* Tumutukoy sa kinakailangang tanong Daily Safety Report | Safety Officer Name * H | Job/Project Number * I | p23-017 Job/Project Description , 1 are i Main condenser cleaning and tube replacement lew August 22, 2023 Violator Fullname * Write “none” ifthere is no safety violator lyong sagot hitps:iidocs google. comi/formsier FAlpaLSdsAORUAXome-b2FekvgellRkeVev7IMFbbwidgSPHé0keLwfloemResponse us hiptdoes google conforms! TFAlpOL Sis AORWAX meEb2FkygefRkoVev7MFbbulQgSPHAOKeLWiormRespanse Time caught violating safety rule ras AM y PPE Use Violations Safety Shoes Hard Hat Safety Hames Safety Eye Wear Ear Muft/Plug Working Gloves Dust Mask/Respirator Uniform Safety Vest/Jacket Protective Suit Lacking/none/not Notin_ Improper wearing QO ooaoaaoooaoda PISAS Jobsite Stary Daly Report oo0ooa0oaqaoa0o ana Use oo0ooaoaoaqgaga Not Approved for Use Oo oo0o0codUCcUODUUODDUODULcUODUD LO Defective PPE oO oo0o0odoadcvUcuDmcUoOUUcUuODULUDoOULcO birty Oo oo0oaoaaoaoeggc a 0a iipitdoce. google. converses TFAlpOLSdsAOR{JAX mcb2FkygehRkoVv7MFbbwiGgSPH#OkeLwfomResponee us 26 PISAS Jobsite Safety Daly Report Time caught violating safety rule Oras AM PPE Use Violations Not Defect r t ' App d Toy ee anneal unsafe for Use Safety Shoes o oodoadou og Hard Hat Oo O 0 0 0 0 0 Safety Harness o ood ao,nd Safety Eye Wear ood o o Ear Muff/Plug im] oOo Oo oO oO Working Gloves oO oOo oO oO og Dust mavrepitr O OF OF O O 0 0 Uniform Oo Oo oO Oo oO Safety VestiJacket o O00 0 0 0 Protective Suit Oo oop oO oO oD o > docs google comforms/de/1FAlpLSdshORKIAX-mcEL2FBkvgeftRkaVsv7MEbbwiaSPH40kcL wormRespanse 215 ISAS Jobsite Safety Dally Report Violator Unsafe Acts No Mid Moderate Severe Horse Playing Oo oO mincowenees, o Oo Mindeess 0 Oo 0 Unruly Behaviour a a a o Uncooperative o Oo oO Tardiness o o o o Tool Box Meeting Oo Qa -Inattentiveness Actions taken against the violator List actions taken yong sagot Jobsite safety hazards found * List down observation of safety hazards found and action taken. Write "none" if you did not find. WAH - Use FBH 100% tie off Caught in between - Use proper ppe Poor illumination - Provide proper illumination Manual hauling - Proper manual hauling procedure Recommended Safety Tools/Equipment Needed * Write none” if you don't have any recommendation. lyong sagot htps:Idoes google. comiforms/dlFAlpALSds AORTIAX.mcEb2F6kvgettkoVs TIMFbbwiaigSPHé0keLlfoemResponse 35 23, 12:46 PM Herkings Jobsite Safety Day Report Overall Safety Assessment * ste OO @ O OO Batremety Unsafe Bumalik it eel Huwag isumite kailanman ang mga password sa pamamagitan ng Google Forms. Cinawa ang form na to sa Powerhaus industrial Sales and Services, ne. Lat apg Pag.abuse Google Forms hitpslldocs goose convforms/¢le/FAlpQLSdsAORLUAX-meEb2FEkvgellRkoVev7M FobwiQgSPH40kcLurformResponse 45

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