| Project Address |
|
| General Contractor |
|
DOB Job No. |
|
| SSM Name |
|
SSM License No. |
|
| Date |
|
Training Topic / Description |
|
MANDATORY: Every worker entering the site must produce a valid, unexpired SST Card. Verification is required each work day. Workers unable to provide a valid card shall not be admitted to the site. Per Local Law 196 of 2017 and BC §3321.2.
| # |
Worker Name (Print) |
Company |
Trade |
SST Card No. |
Card Exp. Date |
Verified ✓ |
Initials |
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| 36 | | | | | | | |
| 37 | | | | | | | |
| 38 | | | | | | | |
| 39 | | | | | | | |
| 40 | | | | | | | |
| Cards Expiring This Week — Worker Name(s) |
|
| Action Taken (re-enrollment, removal from site, etc.) |
|
| SSM Name (print) | | License No. | |
| Signature | | Date | |