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HAZARD EVALUATION <br /> The following substance(s) are Known or suspected to be on site. The primary hazards <br /> of each are identified. <br /> Concentrations <br /> Substances Involved (if known) Primary Hazards <br /> Diesel, gas Unknown Skin irritation, headaches, nausea <br /> BTEX Unknown Irritation to eyes, nose and throat <br /> Physical Hazards: These hazards are primarily associated with on-site equipment and the <br /> general nature of construction work. Terranext personnel will follow all safety rules <br /> established in Terranext's training program. <br /> Heat X Slip, Trip, Fall Excavations/Trenches <br /> X Cold X Noise X Moving Equipment <br /> X Rain X Underground Hazards X Traffic <br /> X Fog I Overhead Hazards Other: <br /> The following additional hazards are expected on site: <br /> PERSONAL PROTECTIVE EQUIPMENT <br /> Based on evaluation of potential hazards, the following level of personal protection has <br /> been designated: <br /> 11 Level of Protection: ❑ A ❑ B ❑ C ❑X D <br /> Personal Protective Equipment: <br /> X Hard Hat X Safety Eyewear (Type): Safety glasses <br /> X Safety Boots Respirator (Type): <br /> X Orange Vest Filter Type: <br /> X Hearing Protection X Gloves (Type): Nitrile <br /> Tyvek Coveralls <br /> Other: <br /> 5 Minute Escape Respirator <br /> 808-001.hsp/03-13-97/u1keydat&hsp 2 <br />