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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: 512ecify by task, Indicate type and/or material, as necessary. Use copies of this sheet, <br /> i f needed. <br /> TASK: I LEVEL: D (X) Primary ( ) Contingency <br /> RESPIRATORY: (X) Not { ) Cartridge: HEAD AND EYE: { ) Not GLOVES: ( ) Not Needed <br /> Needed Needed <br /> .—):-.-SCBA, .A:i-r-1-i-ne )---Esca e�Mask: . <br /> �"` (X)` Safety--Glasses <br /> n d er ` ones . --'Nitrite' <br /> ( ) APR: ( ) Other: ( ) Face Shield: ( ) Gloves : <br /> PROT. CLOTHING: (�) Not (�T) Encapsulated Suit: ( ) Goggles: ( ) Overgloves: <br /> Needed <br /> ( ) S 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 /> TASK: Z LEVEL: D (X) Primary ( ) Contingency: <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 /> ( ) S 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:1Proj315T0CKT0N\Br00ksitle Pump1HA5PBr0okside Pump.dac Page S of 10 <br />