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PHYSICAL HAZARDS <br /> Heat f Siio,Trip Fall Excavations / Trenches <br /> Cold � Noise / Moving Equipment <br /> Rain Underground Hazards Other <br /> Fog Overhead Hazards <br /> PERSONAL PROTECTIVE EQL1P.NfENT - R = Required A = As Needed <br /> Hard Hat K Safety Eyewear (Type) <br /> Safety Boots _ }A Respirator (Type) JF -F , <br /> Orange Vest Filter Type o 9q 1L <br /> -o <br /> Hearing Protection Gloves (Type) <br /> Tyvek Coveralls Other <br /> 5 Minute Escape Respirator <br /> MONITORING EQUIPMENT <br /> Organic Vapor Analyzer PID with lamp of io • ..) eV <br /> Oxygen Meter Draeger Tube <br /> Combustible Gas Meter Passive Dosimeter <br /> H2S Meter Air Sampling Pump <br /> W.B .G .T. Filter Media <br /> ONSITE SAFETY MEETING ATTENDEES <br /> Signature Name (Printed) Date <br /> PERSONAL AIR MONITORING <br /> Sample # Sample # <br /> Name Name <br /> Date Date <br /> Time On Off Time On Off <br /> Laboratory Used <br /> MS (90)003 2nd Revision March 28 , 1990 <br />