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Exhibit A. REQUEST TO BE A SAN JOSE WORKS FOR. K. EXPERIENCE SITE. DEADLINE: Friday, May 31 by 5:00 p.m. Return to: San Jose Works. ATTN: Juan Avila 1694 Adrian Way
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How to fill out the SJ Works-Worksite form:

01
Begin by gathering all the necessary information. You will need details about the worksite, including the address, contact information, and project start and end dates.
02
Next, provide information about the employer. This includes the name, address, contact details, and employer identification number (EIN) if applicable.
03
Specify the type of work being carried out at the worksite. Is it construction, manufacturing, or another industry? Provide a brief description of the work being done.
04
Indicate the number of employees working at the worksite. This includes both full-time and part-time workers.
05
Describe any hazards or risks associated with the worksite. Are there any specific safety concerns that need to be addressed? Provide accurate and detailed information to ensure the safety of everyone involved.
06
Mention any safety protocols, training, or protective measures in place at the worksite. This includes providing information about safety training programs, safety equipment, and emergency procedures.
07
If applicable, include any additional information that may be relevant to the worksite or the work being performed. This could include any certifications, licenses, or permits required for the job.
08
Finally, review the completed form for accuracy and make any necessary corrections before submitting it.

Who needs the SJ Works-Worksite form:

01
Employers who have worksites where employees perform tasks that may involve potential safety hazards or risks.
02
Contractors or subcontractors who work on various projects and need to document worksite details and safety measures.
03
Government agencies or organizations responsible for enforcing workplace safety regulations may require employers to fill out the SJ Works-Worksite form to ensure compliance and ensure the well-being of workers.
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