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Job Hazard Analysis (JHA) <br /> Activity/Work Task: DPT Sampling Overall Risk Assessment Code (RAC) (Use highest code) M <br /> Project Location: Risk Assessment Code (RAC) Matrix <br /> Project Number: Probability Severity Unlikel <br /> Date Prepared: Click here to enter a date. Frequent Likely Occasional Seldom <br /> Prepared by(Name/Title): M. Dotson/EnSafe Corp H&S Catastrophic H M <br /> Critical H M L <br /> Reviewed by(Name/Title): Marginal H M M L L <br /> Negligible M L L L L <br /> Notes: (Field Notes, Review Comments,etc.) Step 1: Review each"Hazard"with identified safety"Controls"and determine RAC(See above) <br /> "Probability"is the likelihood to cause an incident, near miss,or accident and RAC Chart <br /> identified as: Frequent, Likely,Occasional,Seldom or Unlikely. <br /> "Severity"is the outcome/degree if an incident,near miss,or accident did re=Extremely Hlgl <br /> occur and identified as:Catastrophic,Critical,Marginal,or Negligible H=High Risk <br /> Step 2: Identify the RAC(Probability/Severity)as E, H, M,or L for each M= Moderate Risk <br /> "Hazard"on AHA. Annotate the overall highest RAC at the top of AHA. L=Low Risk <br /> Recommended PPE: <br /> X Safety Glasses With Sideshields X Safety-Toed Boots X Hard Hat X Nitrile Gloves _Leather Gloves X Hearing Protection Flame Retardant Clothing <br /> Job Steps Hazards Controls RAC <br /> 1. Mobilization /Site Set Up a. Loose material/equipment 1. All equipment will be properly secured during transport. L <br /> All vehicles and equipment will comply with DOT <br /> requirements. <br /> b. Equipment failure 2. Never move the DPT rig with the mast upright. Ensure <br /> the sampling site foundation is stable and as level as <br /> possible. <br /> c. Equipment striking other objects 3. Use a ground guide along with a functioning back-up <br /> alarm during equipment backing. <br /> d. Slips, Trips, Falls 4. Clear trees, roots, weeds, limbs and other ground hazards <br /> from the drilling location. Practice good housekeeping to <br /> keep the ground around the drilling site clear of <br /> obstructions, equipment and other tripping hazards. Wear <br /> slip resistance footwear. Use caution when working on <br /> uneven and wet ground surfaces. <br /> SP-110-A3 JHA Rev. 1 090118 <br />