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RESETSAVEPRINT Issue Date:Power City Electric Safety Management SystemMay 2014Revision Date: Revision No. Policy Doc:PreJob Hazard Analysis Preparation: Safety Mgr.EMAILAuthority: PresidentPJPForms.

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This guide aims to provide clear and concise instructions on how to effectively complete the Template 03 online. By following these steps, users will be able to fill out the form accurately and efficiently.

Follow the steps to complete Template 03 with ease.

  1. Press the ‘Get Form’ button to access the Template 03 and open it in your preferred online editor.
  2. Fill in the issue date at the top of the document, then input the job information including the date, job number, job name, and physical address.
  3. Identify and enter the longitude and latitude coordinates related to the job site, followed by the supervisor's name.
  4. In the project personnel acknowledgment section, list the names and companies of all personnel involved, ensuring that each individual signs after the job briefing.
  5. Outline emergency procedures by listing relevant telephone numbers and providing directions to the site. Ensure to confirm if Emergency 911 systems are functional with cell phone use.
  6. Check the types of work being performed, such as working at heights, heavy lifts, or electrical work, and document any potential hazards along with preventive measures.
  7. Identify job site exposures by selecting items related to physical and health hazards. Provide detailed descriptions where necessary.
  8. Document hazard control measures, including the personal protective equipment to be used, and any tools or equipment necessary for safety.
  9. For civil work, complete the section detailing excavation types and cave-in control measures, ensuring to describe any environmental concerns.
  10. If working at heights, complete the fall protection section by detailing the fall protection plan and the type of equipment used.
  11. Gather reviews and signatures from supervisors and onsite personnel. Ensure all necessary individuals have acknowledged and signed the form.
  12. Once all fields are completed and verified, save changes, and use the options to download, print, or share the completed form.

Start filling out Template 03 online to ensure your project's safety compliance.

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