Laserfiche WebLink
PHYSICAL HAZARD EVALUATIQ./ 1,/ <br /> I ] For borings or other excavations,the Subsurface Clearance Checklist has been completed and outstanding issued are resolved. <br /> [ ] Personnel are aware of the safety hazards associated with lifting heavy objects, moving machinery and equipment,slipping, <br /> falling and operating or working new electrical equipment. <br /> [] Confined space entry is I ],is not[ ]required. Standard Cambria training prohibits staff from performing work in confined <br /> space- If required, a confined entry checklist is attached and proper confined space entry procedures will be followed by <br /> specifically trained personnel- <br /> PERSONAL PROTECTIVE EQUIPMENT(PPE) 1 ! <br /> Required respiratory protection level: [ ]A* I JB* i IC D <br /> Specific respiratory protection equipment required: _ tn'S.►.•!Z vG-d.J�' <br /> Cartridge type: <br /> This cartridge is expected to provide protection for his <br /> Protective clothing required: F2.�- <br /> [fj-All site personnel are currently certified in the use of specified PPE. <br /> *=Attach detailed employee training plan and air monitoring plan. Must be approved in advance by Company Safety Officer. <br /> AIR QUALITY MONITORING <br /> Instrument �]nle vats <br /> I r4 PID iMonitoringA <br /> I ] FID <br /> [ ] LEL Meter <br /> [ J Colorimetric tubes(see below) <br /> Substance Concentration Ranges Pomo Strokes <br /> DECONTAMINATION PROCEDURES <br /> Personnel and equipment shall be decontaminated as follows: I)f-Wash and rinse all exposed skin and equipment. <br /> [J Other: <br /> Disposable PPE(gloves,tyvek coveralls,spent respirator cartridges,etc. must be disposed of with other waste materials at site). <br /> HEAT STRESS MONITORING <br /> The anticipated air temperature isIA 7 degrees R // '�. <br /> Adjusted air temperature IT,q=T„(170)+ (13 X %Sunshine)]is not expected to exceeds degrees F. <br /> i] Workers are trained to recognize and treat heat stress symptoms. The site safety officer will monitor pulse and temperature <br /> of workers showing signs of heat stress. No person shall work with a temperature exceeding 100 degrees F without specific <br /> approval of a Safety Committee representativ . <br /> i] Drinking water is available at: --A'�' �✓`� �LdwiJL� <br /> EMERGENCY PROCEDURES <br /> Injury: The Site Safety Officer and On-site Project Manager should evaluate the injury and contact an ambulance and/or the <br /> designated medical facility as needed. Conduct First Aid and CPR if necessary and only if qualified,but not in lieu of getting <br /> professional medical attention. <br /> See Incident Reporting and Workers Compensation instructions below. <br /> Fire/Explosion: All personnel must immediately move to a safe location away from threat of fire and/or explosion. Sound alarm if <br /> available and safely accessible. Call fire department. ff I �y/nJ ���� � � "",�, <br /> Emergency escape route and meeting place: � C!,-4- /✓otf — ", ka"3� <br /> Hitting a utility line: <br /> 1. Stop operations and clear people from the area (Do not touch equipment if an electrical line has been hit) <br /> 2. If possible tum off the affected utility <br /> 3. Inform the facility manager <br /> 4. Call 911 for natural gas,electrical,or product lines(Otherwise call affected utility) <br /> 5. Call the project manager,your supervisor and Cambria Safety Officer <br /> 6. Notify the client <br /> 7. Document incident circumstances in daily field report.Take photographs(if safe to do so). Fill out incident report who 24 hours. <br /> 2 <br />