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Appe ndix A: Table of Hazards and Controls to be completed at the project location prior to commencement of work. [This can be <br /> used as a toot to trigger situational awareness pertaining to .. . , <br /> This Table of Hazards and Controls can assist the JHA work group to manage hazards for the proposed work. The table does not include all possible hazards and only acts as a guideline. Its <br /> intent is to aid in the JHA thought process to determine Job Task Hazards that may be present and identify implementation controls for consideration. <br /> ❑© Pressurized Poor Lighting ® O ® Simultaneous <br /> Equipment ❑ or visibility ❑ Personnel ❑ Confined Space ❑ } Operations ❑ Environment ❑ Ignition Sources <br /> (SIMOPS) <br /> ❑ Perform isolation—LO/TO, ❑Provide alternate lighting ❑Provide induction or training ❑Discuss confined space ❑Interface between groups ❑Implement controls for ❑ Remove,isolate,or contain <br /> blinding,or defeat ❑Wait or defer until visibility for new workers entry safe work practice ❑Use barriers and signs to slippery surfaces combustible materials <br /> ❑Depressurize,drain,purge, improves ❑Mentor,coach,or supervise ❑Monitor access or entry segregate activities ❑High winds—goggles ❑ Provide fire-fighting <br /> and vent ❑No work over water that ❑Verify competencies,skills, ❑Protect surfaces from ❑Have permit counter signed by ❑Heat—hydration,breaks equipment <br /> ❑Relieve trapped pressure could require rescue and experience inadvertent contact leader of affected groups ❑Cold—PPE,heaters ❑ Construct a fire-safe habitat <br /> ❑Avoid auto-refrigeration ❑Address applicable ❑Do not locate mobile ❑Lightning—tool selection, ❑ Provide a fire watch during <br /> when depressurizing limitations engines near confined defer work and after hot work <br /> ❑Anticipate residual (fatigue,exhaustion,and space ❑Wildlife encounters ❑ Conduct continuous gas <br /> pressure or fluids restricted duty) ❑Provide observer testing <br /> ❑Manage multiple languages ❑Develop rescue plan ❑ Bond or earth for static <br /> electricity or cathodic <br /> protection <br /> ❑Intrinsically safe tools, <br /> equipment,etc? <br /> t— Hazardous Equipment Falling or Lifting <br /> Substance Q Potential Spills E:] a Hot or Cold 0 High Noise ❑ pp f ❑ q p ❑ Work at Heights <br /> ❑ ❑ � ❑ � i Dro ed Objects E ui ment <br /> ❑ Drain or purge equipment ❑ Drain equipment ❑ Heat or cool equipment ❑Wear correct hearing PPE ❑ Use signs and barriers to ❑Confirm lifting equipment ❑ Discuss working at heights <br /> ❑Follow MSDS controls ❑Provide spill containment before work starts ❑Manage exposure times restrict entry or access under condition and certification safe work practice <br /> equipment ❑Install barriers work at elevation Obtain approval for lifts ❑Verify fall restraint and arrest <br /> ❑Implement health hazardsEl equipment ❑ PP fY <br /> controls(Lead,Asbestos, ❑Have spill clean up materials ❑Provide warning signs ❑Use"quiet"tools ❑Use lifting equipment to raise over processing equipment certification <br /> HzS,Iron Sulphide. and equipment on hand tools to or from the work equipment ❑A abseiling safe work <br /> P ❑Implement cold temperature ❑Sound barriers or curtains Apply g <br /> Sulfur Dioxide,NORM) platform ❑Have a documented and practice <br /> ❑Restrain and isolate hoses and brittle failure controls P <br /> ❑Test or analyze material when not in use El is use suitable El Secure tools(tie-off) approved lift plan <br /> ❑Wear thermal gloves communication techniques <br /> ❑O Portable Electrical ❑ ��� ❑ ® Moving Objects ❑ O rCy Equipment ❑ ® Vibrating ❑ O Slips,Trips, <br /> Radiation Hazard Manual Handling ❑ �fi <br /> Equipment • or Equipment and Tools Equipment and Falls <br /> ❑Inspect equipment for ❑Use barriers and signs to ❑Confirm machinery guard ❑Assess manual handling ❑ Inspect equipment and tools ❑Manage exposure times ❑ Identify and shield uneven <br /> condition and test date restrict access integrity task ❑No use of modified tools ❑Assess affect of vibration surface or projections <br /> currency ❑Notify personnel who may ❑Provide protective barriers ❑Limit load size ❑Use protective guards on equipment ❑Secure or cover cables,cords, <br /> ❑Implement continuous gas be affected ❑Observer to monitor ❑Manage posture and tubin <br /> ❑Use correct tools and El low vibration 9 <br /> testing ❑Implement NORM controls proximity of people and ❑Confirm stability of load equipment for task equipment ❑Clean up liquids <br /> ❑Protect electrical leads ❑Conduct RAD testing equipment and work platform ❑Protect or remove sharp ❑Apply noise controls ❑Barricade or rope-off oper <br /> from impactor damage ❑Shut down or lockoutand holes <br /> El Use GFI's equipment ❑Get assistance or edges <br /> mechanical aid to avoid <br /> pinch points <br /> ❑© High Energy or Waste Clean Up Other Energy Mobile wxnr Emergency <br /> High Voltage ❑ Excavations ❑ � and Disposal ❑ ® Sources ❑ Equipment ❑ ro Other Hazards ❑ Response <br /> Safe Work Plan Liberty Rd Galt Site Cleanup Jul 2016 Page 7 of 7 <br />