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Attachment 9-1 <br />C & E Excavating, Inc. SITE SAFETY PLAN <br />Date: <br />Site Name: <br />Company Representative <br />*(This person is responsible for keeping attendance at the <br />site and for filling out all paperwork/permits that may be required) <br />Other Employees: <br />Emergency Communication: <br />Location: <br />DESCRIPTIONS YES — NO - N/A - COMMENTS <br />• Is the scope of work fully understood? <br />• Has the Job Duties been reviewed? Has the site manager been contacted? <br />• Are employees are aware of communication systems? Have site hazards been reviewed? <br />• Are all employees aware of the materials required? <br />■ Are all employees aware of the hazards that may be encountered? Is a vehicle being used to perform the <br />Job Duties? <br />q Is Fire Extinguisher on board the vehicle, if required? Has Fire Extinguisher been charged, if required? <br />• Is the First Aid Kit on board vehicle and has it been re -stocked? Has a Vehicle inspection been conducted? <br />® Has the proper personal protective equipment (PPE) been issued? Have Employees been trained on <br />proper use, maintenance and storage of PPE? <br />• Are employees aware of emergency procedures associated with the location? <br />(Add other Descriptions as needed below) <br />Arrival Time: Site Contact: <br />Departure Time: <br />C&E Excavating Representative (Signature): <br />Additional Special Instructions/Comments: <br />REMEMBER: SMOKING IS PROHIBITED AT ALL JOB SITES <br />3e] <br />