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SSC SAFETY & HEALTH ACTIVITY HAZARD ANALYSIS - page 2 / 3

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CREW SIGN-IN BEFORE TASK

Task Start Date:

Task End Date:

I understand the safety precautions and have the training to perform this task incident free. (Signatures of all employees)

SSC-814 1/2010 (Informed Designer 4.2)

SSP-8715-0001

Copy - Files

Copy - Project Manager

Copy - Job Site

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