Laserfiche WebLink
oetaii sheet 4 <br /> Work/Task Ha and Analy3l®s Ce U <br /> (Duplicate As Requited) A .- <br /> �'�r <br /> Operation I Task: S 01 L S n ,,P t 1 N(� <br /> Hazard: ums , yiz62or\.- Ix(PosurLF <br /> Action Level / Triggering Physical Condition (use secarate sheet for different severity of each condition): <br /> K_I N CZQ-1 AC-T <br /> An!::i;,a:aa 1.9ee! i Curing Normal Cperation: <br /> . 100PPm Arn45) HJTp1rt, -- r0arvt, <br /> Normal Precautionary Measures Used to Avoid Hazard: <br /> G ov S , Wo SmOIsiLING Sl 6N& <br /> Corrective Actions) if Action Level / Triggering Condition Exceeded: <br /> x! (00 (PP rn A m e l a 0 7- );t rL, <br /> Additional Personal Protective Equipment If Action Level / Triggering Condition Exceeded: <br /> Respirator(Mm) iso n.TN -A--Eye Protection(type) �( c <br /> -�-mos(type} PoL.y 7y Pf, <br /> ,_Cover ( ) <br /> Foot Protection (type) Head Protection(type) U&&P q-m <br /> other(describe): <br /> Monitoring Method For Hazard: observation <br /> direct reading instrument <br /> A-0010rimetric tube dosimeter air sampling pump 3 media <br /> X other(describe): („W!O-L . <br /> Frequency of Monitoring: continuous start of shift <br /> hourly half-hourly k 15 minute intervals <br /> other(describey <br /> Monitoring Device: GASTEC4-t wJ 02. rnE.T£/L <br /> Calibration Method / Frequency of Calibration: AT LucT oNCp- A Ynow-(.[4 <br /> Person On-Site Responsible For Evaluating Monitoring Data:Refem <br /> nee: AWn9d3C0untYRequirwn9nt3 17(d).t'(e),a 17(0. 29 CFR t9to.t2o(bX4XuXA).(C)3(E) <br /> etotvt.t <br />