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CLOSING:CONFERENCE WORKSHEET <br />1926 STANDARDS, CONSTRUCTION, SAFETY& HEALTH -- <br />State Form 4727a(itl4.09) <br />»o <br />Ispection number Name of Company <br />." 3 ice oq R SSS 5�L,4- t77 VCWJp41 eeMdS%l¢dh4�9Lm�f,�w'-�/ <br />1. Safety & Health Provisions. <br />2. Environmental Controls <br />3. PPE & Life Safety Equipment <br />4. Fire Protection <br />5. Signs, Signals & Barricades <br />G. Material Handling <br />7. Tools, Hand & Power <br />8. Welding & Cutting <br />9. Electrical <br />10. Scaffolding <br />11. Fall Protection <br />12. Cranes, Derricks & Hoists <br />13. Motor Vehicles & Mechanical Equipment <br />14. Excavations <br />15. Concrete & Masonry <br />16. Steel -Erection <br />Type of inspection Location�%/1!l /r f)n,IA--ram <br />17. <br />Underground CanshcliOn <br />18. <br />Demolition <br />19. <br />Blasting & Explosives <br />20. <br />Power Transmission <br />21. <br />Rollover Protection <br />22. <br />Stairways & Ladders <br />23. <br />Toxic ) Hazardous Substances <br />24. <br />General Duty <br />iazard _ _ /j � , (- �Oi - - - -(e <br />FE3_ �I =L- <br />:omments 4z 2I�- <br />?. Type of Inspection / Location <br />_. <br />14ve _g F 6� <br />- <br />HazardFa) LI d e _ �P3!^ <br />I _ _zi .. . <br />..om .n s / C"A i, t> I e A r <br />> U (ICAO OUt�� , Qtl k IDS' <br />3. Typo of inspection <br />Location 6 <br />a <br />Hazard - - �-� _ �-�-� �� - � C � •-l. �'"_` <br />Comments <br />f j <br />4. Typeofinspection <br />Location <br />Hazard <br />•--------------------------------------------- <br />Comments <br />5. Type ofinspection <br />Location <br />Hazard------------------------------------------------------------------ <br />Comments <br />G. Type <br />Hazard- ------------------------------------------------------------------ <br />The aforementioned hazards were noted by the [OSHA Compliance Officer during the onsite inspection of yourworksite. The compliance o ifcees recommendations <br />regarding the above referenced hazards are subject to review by the IOSHA supervisory personnel. You may receive Safety Orders and Notification of <br />Penalties related to ibis IOSHA inspection. <br />Received by i n Date (month, day, ye a r) <br />�f .t IJ/la l 9.7 <br />nIRTRIRI ITiON:Ahite - Employer copy, Canary- Employee Represefitative, Pink- Office <br />