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r <br /> HAZARD EVALUATION <br /> v <br /> The following substance(s) are known or suspected to be on site. The primary hazards <br /> of each are identified. <br /> V <br /> Concentrations <br /> r <br /> Substances Involved (if known) Primary Hazards <br /> Diesel, gas Unknown Skin irritation, headaches, nausea <br /> BTEX Unknown Irritation to eyes, nose and throat <br /> V <br /> Phenol Unknown Inhalation, absorption, muscular aches, <br /> irritation to eyes, nose, and throat <br /> r <br /> Physical Hazards: These hazards are primarily associated with on-site equipment and the <br /> general nature of construction work. Terranext personnel will follow all safety rules <br /> established in Terranext's training program. <br /> Heat X Slip, Trip, Fall Excavations/Trenches <br /> �1 <br /> X Cold X Noise X Moving Equipment <br /> X Rain X Underground Hazards X Traffic <br /> X Fog 1 Overhead Hazards Other: <br /> The following additional hazards are expected on site: <br /> PERSONAL PROTECTIVE EQUIPMENT <br /> Yr <br /> Based on evaluation of potential hazards, the following level of personal protection has <br /> been designated: <br /> Level of Protection: ❑ A ❑ B ❑ C E D <br /> v <br /> Personal Protective Equipment: <br /> r <br /> X Hard Hat X Safety Eyewear (Type): Safety glasses <br /> X Safety Boots Respirator (Type): <br /> X Orange Vest Filter Type: <br /> X I Hearing Protection X Gloves (Type): Nitrile <br /> `w Tyvek Coveralls <br /> Other: <br /> 5 Minute Escape Respirator <br /> r <br /> 809-001.hsp/03-06-97/u/keydata/hsp 2 <br /> V <br /> TerraNext <br /> V <br />