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0 LFR SITE SAFETY <br /> LEVINE•FRICKE CHECKLIST <br /> Project Name LFR Project No. <br /> Project Activities <br /> YES NO N/A <br /> Written Health and Safety Plan(HSP) is on site ❑ R R <br /> Addenda to the HSP are documented on site El n 0 <br /> information in the HSP matches conditions and activities at the site ❑ El <br /> LISP has been read and signed by all site personnel, including visitors <br /> Daily tailgate safety meetings have been held and documented <br /> iite personnel have appropriate training and medical clearance ❑ 7 <br /> Air monitoring is performed and documented as described in the HSP El ❑ ❑ <br /> Air monitoring equipment has been calibrated daily 0 ❑ ❑ <br /> ite zones are set up and observed where appropriate 0 ❑ ❑ <br /> Access to the work area limited to authorized personnel El R ❑ <br /> )econtamination procedures are followed and match the requirements of the HSP ❑ El R <br /> )econtamination stations (including hand/face wash) are set up and used F-1 ❑ 0 <br /> 'ersonal protective equipment used matches HSP requirements ❑ ❑ M <br /> fearing protection used where appropriate R F� El <br /> respirators are properly cleaned and stored El F� n <br /> Itility locator has cleared subject locations El ❑ 0 <br /> )verhead utilities do not present a hazard to field equipment/personnel M ❑ F-1 <br /> Taffic control measures have been implemented El 0 M <br /> Tenches and excavations are in compliance with federal, <br /> state, and local safety requirements before worker entry El ❑ El <br /> ooils are placed no closer than 2 feet from the edge of an excavation 11 M ❑ <br /> mergency and first aid equipment is on site as described in the HSP El 0 0 <br /> Irinking water is readily available E] ❑ F-1 <br /> ccessible phone is readily available for emergency use D D ❑ <br /> ,oper drum and material handling techniques are used 0 El ❑ <br /> rums and waste containers are labeled appropriately ❑ 0 M <br /> ctension cords are grounded and protected from water and vehicle traffic F ❑ R <br /> )ols and equipment are in good working order D E� ❑ <br /> otes(All "no"answers must be addressed and corrected immediately. Note additional health and safety <br /> )servation here): <br /> inducted By: Signature: Date: <br /> Do umentl:)EE;3103 <br />