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W2rkRa@k Hazard Anatvsla Dotatl <br /> T (D a As Required) ovnz k; <br /> Operation/Task: ZNS T n L.L) N lf. -'t►q V N TA N k., TS mSzr°,n n h�� <br /> Hazard: <br /> Action Level/Triggering Physical Condition (use separate sheet for different severity of each Wnditian;: <br /> >vL TIPPIIVC' oven-. , SHIFTiN (s OF TANIL <br /> Anticipated Level / Condition During Normal Operation: <br /> NONE <br /> Normal Precautionary Measures Used to Avoid Hazard: <br /> G(U'JN%- 15 LA E. ENauGN To LIC-T TWNK , CLOSE &N )OUGN TO )3\1010 <br /> TIPP)Ntr CONTn©L. TANK. LO ROPE <br /> Corrective Actlon(s) H Action Level / Triggering Condition Exceeded: <br /> TA ry k 14 N M®v E. Gw S V%_ , G ET LA n to E,n. CjtA N L <br /> Additional Personal Protective Equipment If Action Level / Triggering Condition Exceeded: <br /> R ) -Eys,Protection (type) <br /> est ) C = Coveralls( ) <br /> Foot Protection ) �'>,�' r°/ ,S' 3 Head Protection(type) u A rt� <br /> other(describe): <br /> Monitoring Method For Hazard: X observation direct reading instrument <br /> colorimetric tube dosimeter air sampring pump if medis <br /> other(describe): <br /> Frequency of Monitoring: �C ,continuous start of shift <br /> hcur:y half-hourly 15 minute intervals <br /> other(describe): <br /> Monitoring Device: IF-4 is <br /> Calibration Method t Frequency of Calibration: <br /> Person On-Site Responsible For Evaluating Monitoring Data: STt..v>. l j® <br /> county PAqukWrWft 17(d),nisi.8 inch• 29 CFR t9t0.t20(b)(sxBxA),(t)a cE) eto\vt.t <br />