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S <br /> Chemical Exposures • <br /> 1. Remove exposed person to safe area; <br /> 2. If applicable,immediately flush exposed area with water,especially if eyes are affected; <br /> 3. Remove contaminated clothing; <br /> 4. Identify the chemical; <br /> 5. Notify appropriate responders. <br /> 6. Implement injury procedures above if necessary, <br /> 7. Call project manager,supervisor,and Safety Committee representative <br /> 8. Notify the client <br /> 9. Document the circumstances of the incident in your daily field report and fill out an incident report whir 24 hours. <br /> EMERGENCY MEDICAL FACILITIES <br /> Hospital name and location: Sutter Tracy Community Hosn, 1420 N Tracy Blvd,Tracy,CA 95376 <br /> Hospital phone number: (209)835-1500 <br /> A map to the hospital is attached.Yes <br /> A first aid kit shall be provided by the Site Safety Officer's and available within exclusion zone at all times. <br /> Police Number. 911 from land line/Direct:(209)831-4550 Fire Number: 911 from land line/Direct(209)831-6700 <br /> Office Number. 707-933-2370 Contact Name:Jacquelyn England <br /> Client Number: Contact Name: <br /> Emergency medical treatment due to chemical exposure to compounds anticipated to be at the site are presented on the attached <br /> MSDS(or equivalent)forms. <br /> APPLICABLE JOB SAFETY ANALYSIS FORMS AND LOSS PREVENTION ANALYSIS FORMS <br /> Check all 1SA forms required forjob at hand and ensure that they are on site. <br /> [X] Boring/Well Installation [ ] HZO,Injection <br /> [ ] Excavation Observation [ ] Remediation System O&M <br /> [ ] Geoprobe/Hydropunch Sampling [ ] Tank Removal Observation <br /> [ ] GWE/SVE Pilot Testing [ ] Well Abandonment <br /> [ ] GWE and/or SVE System Installation [ ] Well Sampling/Gauging <br /> [ ] Hand Augering/Jack Hammering [X] Vacuum Truck Hole Clearing <br /> Other required safety fors <br /> • Incident/Near Miss For <br /> • Subsurface Clearance Checklist <br /> • Workers Compensation referral for <br /> INCIDENT REPORTING <br /> 1. Report any injury to Human Resources,CRA Safety Officer(CSO)and the employee supervisor within 8 hours to initiate LPS, <br /> Workers Compensation and client reporting. <br /> 2. All incidents including"near misses"to be reported to assigned Safety Committee representative and supervisor as soon as <br /> possible and no later than 24 his after occurrence. <br /> Any injury sustained while working is covered under Worker's Compensation insurance. Any injured CRA employee must inform the <br /> medical care facility that this is a Workers Compensation claim and that our insurance Policy#Ol WGBX4385(ITT Hartford) <br /> Effective 9/30/07-9/30/08. Copies of the doctor's report on the injury must be forwarded to our insurance carrier. CRA employees <br /> must notify CRA's Human Resources Department and the Company Safety Officer on the same day so that we can properly file this <br /> claim. <br /> Any injured sub-contractor or sub-contractor employee will be covered under their employer's policy. <br /> WORKERS'COMPENSATION(applicable to CRA employees only) <br /> 1) Take or send the injured worker for appropriate medical care. <br /> ♦ For non-emergency care,use facilities in the Kaiser occupational health alliance. <br /> ♦ If time allows fill out a referral form,send with employee and call the nearest facility to inform them that someone will be <br /> coming. This makes it easier for the employee to receive care. <br /> • Reference CRA's workers compensation policy—Policy#01 WGBX4385(ITT Hartford)Effective 9/30/07-9/30/08.Within <br /> one day,give the employee the Employees Claim for Workers'Compensation Benefits <br /> 2) Report injury as stated before. HR or the CSO will prepare an Employer's Report of Occupational Injury or Illness and track the <br /> claim. <br />