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NYC BC §3321.2 · Local Law 196 of 2017 · SST Card Verification Required at Entry

PL-009

Project Address
General Contractor	DOB Job No.
SSM on Duty	SSM License No.
Date	Shift	AMPMNight

MANDATORY: Each worker must produce a valid SST Card prior to site entry. Check all cards against the DOB SST online portal before admitting workers. Workers with expired or absent cards shall not be permitted to enter. Per BC §3321.2 and Local Law 196 of 2017.

#	Worker Name (Print)	Company	Trade	SST Card #	SST ✓	Time In	Time Out	Signature
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#	Worker Name (Print)	Company	Trade	SST Card #	SST ✓	Time In	Time Out	Signature
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#	Worker Name (Print)	Company	Trade	SST Card #	SST ✓	Time In	Time Out	Signature
1
2
3
4
5
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10
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#	Worker Name (Print)	Company	Trade	SST Card #	SST ✓	Time In	Time Out	Signature
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40