
SITE VISITOR FORM Company Representative Visitor Phone Company Purpose of visit Date Time In am pm Time Out I have received a Site Orientation and understand the following Site Specific Hazards Site Emergency Procedures Personal Protective Equipment PPE Requirements Restricted Areas Smoking Areas Applicable Safe Work Procedures General Site Safety Rules Other Initial I will report any safety concerns to the superintendent or safety Coordinator prior to leaving the site. I understand that I am to keep my PPE on at all times. I understand I am not to go into areas that I have not been given authority to enter. I understand where I am to go in the event of an emergency. site. By signing below you acknowledge that you have been orientated to the safety requirements of this site and your expected conduct while on this site. You also acknowledge that you will comply with the WorkSafeBC Regulation and our OH S program and all site rules. I understand that I am to keep my PPE on at all times....
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How to fill out the Dominion Masonry Form-0022 online
In this guide, we will provide you with clear and detailed instructions on how to successfully complete the Dominion Masonry Form-0022 online. Each step is designed to help you navigate the form with ease, ensuring that all necessary information is accurately captured.
Follow the steps to complete the form seamlessly.
- Click ‘Get Form’ button to obtain the form and open it in the editing interface.
- Begin by entering your name in the 'Company Representative' field, followed by your contact phone number in the 'Phone #' field. This information identifies you as the representative for the visitor.
- In the 'Visitor' section, input the name of the person visiting the site.
- Fill in the 'Company' field with the name of the visitor's employer to provide context for their visit.
- Specify the 'Purpose of visit' by briefly describing the nature of the visit.
- Enter the 'Date' of the visit in the specified format to ensure it is clear.
- Select the 'Time In' by checking the appropriate box for 'am' or 'pm' to denote the start time of the visit.
- Check the corresponding box for 'Time Out' indicating when the visit ends, selecting either 'am' or 'pm' as relevant.
- Review the list under the 'I have received a Site Orientation and understand the following' section. Check each item to confirm your understanding of site-specific requirements.
- Initial next to the checked items indicating your acknowledgment of each aspect of the site orientation.
- Read the statements regarding safety concerns, PPE requirements, authority to enter specified areas, and emergency procedures. Confirm your understanding by signing in the designated section.
- To complete the form, the visitor must provide their signature in the 'Visitor Signature' section, and the 'Company Representative Signature' must also be provided.
- Once all fields are filled out, ensure you save your changes. You can then download, print, or share the form as needed.
Complete your documents online today for a smooth and efficient process.
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