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Oeta�sheet <br /> Work/Tack Hazard Analvct_s p�+e „ <br /> (Duplicate As Required) 00016.26 <br /> F. :;. Operation/Task: 1\f Sibll. iloVN®�AtJK�(Tq_Vn&nnja n L4 ._ <br /> Hazard: N}1 ANDS OfL iN <br /> Action Level / Triggering Physical Condition (use separate sheet for different severity of each condition): <br /> _D MQ t N0-('Ek^(PO r,14 nnA 'Tb 0V , L1 F71 1,ri G w tT l-t (,a+moo t�to Eq u►P rn Lvv'1� <br /> Anticipated Level / 'Condition During Normal Operation: <br /> NO NE, <br /> Normal Precautionary asures Used to Avold Hazard: <br /> LA%n.b t- u& W S4 v l Am E4,4 � <br /> Corrective Actions) H Action Leve( / Triggering Condition Exceeded: <br /> bs� Two Pt0P u_ To ry OV i✓4 <br /> T.9NK s, <br /> Additional Personal Protective Equipment If Action Level / Tri_ggering Condition Exceeded: <br /> C Respirator(type) <br /> cloves Era Protection(type) <br /> G <br /> (type) Coo a iJ <br /> —Coveralls(type) <br /> Foot Protection hype) 5.9Fvrsl ,Syg,ac Tocl' <br /> head Protection(type) �Q 11p• NAT <br /> other(describe): <br /> Monitoring Method For Hazard: <br /> observation direct reading instrument <br /> calorimetric tuba dosimeter <br /> alt sampling pump!t moria <br /> other(describe): <br /> Frequency of Monitoring: continuous <br /> start of shift <br /> hourly <br /> haN-hourly IS minute intervals <br /> other(des-be): <br /> Monitoring Device: Z-4 <br /> Calibration Method / Frequency of Calibration: N'A <br /> Person On_Sit® Responsible For £valuating Monitoring Data: 'J-T im-G`-W5,L <br /> AWneda County Reqs+ +ts 17(d).17(e).a 17(!). 29 CFR 1910.120(D)(4)(i)(A).(C)a(E) ` <br /> etowl 1 <br />