KORO JHA

KORO BAS JHA
Date

MonthDayYear
Date
Your name*

First NameLast Name
Supervisor Email (DFR Recipient)*
example@example.com
Customer / Project*
Team members on Site

Jack ArlandPhil MillerTJ ColwellBrian LaJinessIsaiah SoudersKevin MeyersCayden LeslieFrancis SilvaOpen JGBrandon MillerSam EngleBrian ArlandRob EricksonChris CampbellDaniel CizmarMichael CoronadoDemian WelkerDylan CarpenterRudy ReyesBaru MuelaCaelan CarpenterOpen GHOther
Customer to Email

Robert Siemsen- McCarthy
Brian LaJiness
TJ Colwell
Kevin Meyers
Jack Arland
Brandon Miller
Cayden Leslie
Open JG
Phil Miller
Isaiah Souders
Fancis Silva
Chris Campbell
Sam Engle
Brian Arland
Rob Erickson
Daniel Cizmar
Michael Coronado
Demian Welker
Dylan Carpenter
Rudy Reyes
Baru Muela
Caelan Carpenter
Open GH
Other
Robert Siemsen
Workers on site to email
Customers to email
Todays Tasks
Hazards*

HeatFall hazardFalling objectsharp objectElectrical ShockRepetitive MotionPower ToolsConfined SpaceLadder workHazards MaterialsProtecting the PublicOther
Heat
Sharp Object
Power Tools
Hazard Materials
Fall Hazard
Electrical Shock
Confined Space
Protecting the Public
Falling Object
Repetitive Motion
Ladder Work
OTHER
Mitigation Heat

0/0
Mitigation Sharp Object

0/0
Mitigation Power Tools

0/0
Mitigation Hazardous Materials

0/0
Mitigation Fall Hazard

0/0
Mitigation Electrical Shock

0/0
Mitigation Confined Space

0/0
Mitigation Protecting the Public

0/0
Mitigation Falling Object

0/0
Mitigation Repetitive Motion

0/0
Mitigation Ladder Work

0/0
Jack Arland

Clear
Phil Miller

Clear
TJ Colwell

Clear
Brian LaJiness

Clear
Isaiah Sauders

Clear
Kevin Meyers

Clear
Cayden Leslie

Clear
Fancis Silva

Clear
Open JG

Clear
Sam Engle

Clear
Brian Arland

Clear
Rob Erickson

Clear
Brandon Miller

Clear
Chris Campbell

Clear
Daniel Cizmar

Clear
Michael Coronado

Clear
Demian Welker

Clear
Dylan Carpenter

Clear
Rudy Reyes

Clear
Baru Muela

Clear
Caelan Carpenter

Clear
Other

Clear
Open GH

Clear
Should be Empty:

KORO BAS JHA