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HEALTH AND SAFETY PLAN FORM This document is for the exclusive CAMP DRESSER & McKEE INC. <br /> CDM Health and Safety <br /> use of CDM and its subcontractors <br /> Plan <br /> PROTECTIVE EQUIPMENT: Specify by task, Indicate type and/or material, as necessary. Use copies of this sheet, <br /> if needed. <br /> TASK: 1 LEVEL: D ( ) Primary (X) Contingency <br /> Leave the area <br /> RESPIRATORY: (X) Not ( ) Cartridge: HEAD AND EYE: ( ) Not GLOVES: ( ) Not Needed <br /> Needed Needed <br /> ( ) SOBA, Airline: ( ) Escape Mask: (X) Safety Glasses (X) Under loves : Nitrile <br /> ( ) APR: ( ) Other : { } Face Shield : { ) Gloves : <br /> PROT. CLOTHING: ( ) Not { ) Encapsulated Suit: ( ) Goggles : { ) Overgloves: <br /> Needed <br /> F) Saranex <br /> sh Suit : ( ) A ron: (X) Hard Hat BOOTS: ( ) Not Needed <br /> k Coverall { ) Coverall : ( ) Other: Boots : (X) Steel Toe <br /> Coverall (X) Other : Work Overboots : <br /> Clothes <br /> TASK: Z <br /> LEVEL: D ( ) Primary (X) Contingency: <br /> Leave the area <br /> RESPIRATORY: (X) Not ( ) Cartridge: GMC-H HEAD AND EYE : { ) Not GLOVES: ( ) Not Needed <br /> Needed Needed <br /> ( } SCBA, Airline: ( ) Escape Mask: (X) Safety Glasses : (X) Under loves : Nitrile <br /> { ) APR: ( ) Other : <br /> ( ) Face Shield : ( } Gloves : <br /> PROT. CLOTHING: (X) Not ( ) Encapsulated Suit: ( ) Goggles: ( } Overgloves : <br /> Needed <br /> ( ) 5 lash Suit: ( ) Apron: (X) Hard Hat BOOTS: ( ) Not Needed <br /> ( ) T vek Coverall ( ) Coverall : ( ) Other: Boots: (X) Steel Toe <br /> { ) Saranex Coverall (X) Other : Work Overboots : <br /> Clothes <br /> N:NPraj3\5T0CK70N18r00k5ide Pump\HASP8rncks1de Pump.doc Page h of 10 <br />