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Job Safety Analysis---(Concrete Breaking and Removal) Field staff must review job-specific work plan and coordinate with project manager to verify that all up-front logistics are completed prior to staging work including, but not limited to, permitting, success agreements and notification to required contacts (e.g., site managers, inspectors, clients, subcontractors,etc.).Additionally, a tailgate safety meeting must be performed and documented at the beginning of each work day. Safe Performance Self Assessment(SPSA) procedures must be used during field activities.Also consider weather conditions(heat, cold, rain, and lightning). Date: Work Type: Concrete Breaking and Removal Work Site: Organization: Wayne Perry,Inc. Personal Protective Equipment (PPE), Level (a) Hard Hat [A Yes ❑ No Steel-toed Boots ® Yes ❑ No Hearing Protection—specific to task 0 Yes ❑ No High Visibility Traffic Safety Vest ® Yes ❑ No Protective Gloves—Leather work gloves H Yes ❑ No Safety Glasses & Screen Face Shield Yes ❑ No Other: . . Steps Potential Hazard(s) Critical Action(s) Concrete Replacement 1 Perform Safe Vehiclelpedestrian traffic, slips, trips Perform an SPSA to ensure that Performance Self and falls on uneven and wet surfaces, there is adequate work space to Assessment(SPSA) or other construction equipment on safely perform the task that inspection upon site. Lack of complete awareness and individuals are trained to perform arrival focus of potential hazards. the task and that work site personnel have all the necessary tools and equipment to complete the task safely... 2 Site Check-in Potential vehicle and pedestrian Wear Safety Vest when walking hazards. Conflict with deliveries or through facility. Choose a walk other site/station operations. path away from the flow of traffic. Make eye contact with vehicle traffic to ensure that they see work site personnel prior to walking through lot. Notify Station Manager or other personnel upon arrival and, if required, sign visitor's log. 3 Inspect, assess and Bodily injuries, toes, eyes, extremities Review all PPE ensuring it is in put on PPE and/or death. Hand injury from broken good working condition. Put on concrete and rebar. Foot injury from required operable PPE: hard hat heavy concrete. Hearing damage is required at all times, fully and/or loss from engine/machinery enclosed goggles must be worn noise. Respiratory injury/illness from when working around loose dust inhalation. Dehydration from concrete cutting machinery, wear excessive heat_ Sunburn from working leather gloves when handling in direct sun. concrete chunks and rebar, hearing protection (ear muffs) must be worn if working around