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Job Hazard Analysis (JHA) Activity/Work Task: DPT Sampling Overall Risk Assessment Code (RAC) (Use highest code) M Project Location: Risk Assessment Code (RAC) Matrix Contract Number: Probability Severity Unlike) Date Prepared: Frequent Likely Occasional Seldom Prepared by(Name/Title): M. Dotson / EnSafe/GR2 Corporate Safety Catastrophic I M M Critical H M L Reviewed by(Name/Title): Marginal t H M M L L Negligible M L L L L Notes: (Field Notes, Review Comments, etc.) Step 1: Review each"Hazard"with identified safety"Controls"and determine RAC(See above) EnSafe will perform sampling while working with a drilling subcontractor. EnSafe personnel will stay clear of all DPT operations "Probability"is the likelihood to cause an incident, near miss,or accident and RAC Chart and will follow directions provided by the drilling supervisor while identified as: Frequent, Likely,Occasional,Seldom or Unlikely. approaching DPT equipment in operation. "Severity'is the outcome/degree if an incident, near miss,or accident did occur and identified as:Catastrophic,Critical, Marginal,or Negligible H=High Risk Step 2: Identify the RAC(Probability/Severity)as E, H,M,or L for each M= Moderate Risk "Hazard"on AHA. Annotate the overall highest RAC at the top of AHA. L=Low Risk Recommended PPE: X Safety Glasses With Sideshields X Safet -Toed Boots X Hard Hat X Nitrile Gloves X Hearing Protection X High Visibility Vest Job Steps Hazards Controls RAC Mobilization /Site Set Up 1. Struck By 1. Stay clear of rig while it is moving around the site. Keep M eye contact with the operator at all times. Wear high visibility vest so that you may be easily spotted by the drillers. 2. Utility clearance 2. Inspect for buried and overhead utilities in the vicinity of the drilling location. An underground utility clearance approval shall be obtained from the client and/or utility companies prior to initiating intrusive operations. 3. Slips, trips, falls 3. Clear ground hazards from the drilling location. Practice good housekeeping to keep the area around the drilling site clear of obstructions, equipment and other tripping hazards. Wear appropriate foot protection to prevent slips and trips. Use caution when working on uneven and wet ground surfaces. 4. Biological 4. Remain observant for hazardous biological life forms at all times. Do not attempt to relocate snakes or any other reptile. If a wild boar, mountain lion, or any other potentially deadly mammal is seen, exit the area and take appropriate shelter immediately.