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Z <br /> ;ROUTINE PPE Z Standard work clothes appropriate for task Z Work gloves appropriate for task <br /> j Z Hard-toed boots/shoes Z Noise/hearing protection <br /> ®Hardhat Z High-visibility/reflective vest <br /> i®Safety glasses <br /> El Ice creepers(boot attachments) <br /> -.......---._...__..._....._._......._._........_.._.................................... <br /> ....................................................................................................................................... <br /> ....... <br /> ................... <br /> ..............................._.............. <br /> ❑Basic PPE for protection from low-hazard chemical contact&dust (nitrile gloves,Tyvek suit,dust mask,boot covers). <br /> ® ROUTINE H&S 1 ®First Aid Kit Z Sun protection(sunscreen,shade canopy,other) <br /> EQUIPMENT/GEAR ®Fire extinguisher Z Project-supplied drinking water and/or hygiene facilities <br /> ®Emergency eyewash bottle(s) ❑Poison ivy skin wash(Technu or similar) <br /> Z Insect control(repellant,wasp spray,other) ❑Vehicle emergency kit(flares,lights,reflective device) <br /> ❑Caution tape ❑Traffic control warning devices(cones,or similar) <br /> .................................................................................................................................................................................................................................................................................................................................................................................................................. <br /> ❑Other: <br /> ® NON-ROUTINE ElGoggles and/or face shield El Disposable n-95 dust mask ❑Fire retardant clothing <br /> PERSONAL PROTECTIVE Z Chemical protective gloves ❑Half-face respirator(APR),cartridges ❑Arc Flash Protection <br /> EQUIPMENT(PPE) ❑Coveralls(Tyvek,or other) ❑Full-face respirator(APR),cartridges ❑Electrical-Hazard-rated boots,gloves <br /> (Indicate specific types of PPE in i❑Outer boots,boot covers ❑ Personal flotation device ❑ Personal fall apparatus <br /> .............................................................................................._......._........_..........................................................,............................................_..._................._._........................................................................................................................ <br /> ...--....._.......... <br /> Explanatory Notes,Clarifications) ; ❑Other:See Above <br /> ® i SPECIAL HAZARD CONTROLS I ®Portable GFCI ❑Lockout/tagout equipment Z Ventilation equipment(portable fan)-To <br /> be used as needed dependent on PID <br /> ........ <br /> .....__.............-.........._......................._........._...... - I readings <br /> -..__........_........................_............................._....._.........................................,.......................................................................... .. ........ <br /> ...... <br /> ❑Eyewash 15 min.flow El Emergency deluge shower ❑Air horn,alarm <br /> i.._.._........._............. <br /> ................................................................. <br /> _...... <br /> __.......... <br /> ❑Other: <br /> DECON, 1 Z Receptacle for disposable PPE Z Hand washing provisions ❑ Decon solution,related supplies <br /> ® :.................................................................._............._.....................................:.............................................................................._...............................__._..............................................................._................................._........................................................... <br /> ......... <br /> PPE DISPOSAL i • ❑Other: <br /> ® AIR MONITORING EQUIPMENT,OTHER List equipment/devices to be brought to worksite;Use in accordance with procedures in Part C: <br /> EQUIPMENT FOR WORKER EXPOSURE TESTING Photo Ionization Detector(PID)with 11.7 eV lamp <br /> PART B— HAZARD ANALYSIS and CONTROLS Complete Section a.1.,then subsequent sections as applicable to the task(s). <br /> B.1.ROUTINE HAZARD PREPAREDNESS This section required for all tasks. <br /> Explanatory Notes,Clarifications: Movement of the drill rig and development equipment from location to location will require <br /> workers to be aware of their position so as to avoid this equipment while in transit. A number of potential pinch points may exist <br /> during drilling,and these shall be identified (and labelled where possible)to prevent worker injury. A variety of small equipment <br /> and supplies will need to be moved from location to location as necessary,and this may require workers to perform lifting <br /> motions;proper lifting technique will be employed, including two-person lifts and proper ergonomics. Other routine hazards <br /> may potentially be present and workers shall remain vigilant for them. All workers have the right to stop work for any perceived <br /> unsafe conditions. <br /> General Safety,Wellness, Preparedness—Delineate site-specific HS aspects,as appropriate,in"Explanatory Notes,Clarifications,"above. <br /> ®General premises hazards-housekeeping,rough terrain,trip hazards,steep slope. <br /> ®Weather/climate-related hazards—Warm temperatures <br /> ®Plant/Insect/Animal Hazards- Precautions:Check for ticks;be observant for snakes(avoid heavy brush). <br /> ®Worksite traffic hazards—Some monitoring wells are located near perimeter roadway(all are marked with flagging) <br /> ❑Illumination hazards/night work-Illuminate work areas and/or access routes,use reflective/hi-visibility clothing or on-person lighting,as appropriate. <br /> ® Lifting,manual material handling—use proper lifting procedures,seek help for>50 lbs. <br /> Geosyntec Procedures:HS-124-Heat Stress,HS-125-Cold Stress, HS-127-Ticks,HS-208-Housekeeping, <br /> HS-210-Walking and Working Surfaces,HS-401-Back Injury Prevention,HS 517 Traffic Safety <br /> Routine Personal Protection—Delineate site-specific HS aspects,as appropriate,in"Explanatory Notes,Clarifications,"above. <br /> ®Head protection from overhead hazards-Wear hardhat or"bump cap"as appropriate for hazard. <br /> ®Hand protection-Wear protective work gloves appropriate for the hazard and work tasks. <br /> ®Eye protection-Wear safety glasses(with side shield or wrap around,either clear or shaded for sun protection),or other appropriate eye protection. <br /> ®Foot protection,rough terrain-Wear work boots/shoes with hard toes,ankle support,puncture resistance,traction,as appropriate for conditions. <br /> ® Hearing protection—use earplugs,earmuffs(or both)as appropriate for conditions;at a minimum where noise levels exceed 85dBA. <br /> ❑Dust,unsanitary conditions—For general protection against minimal non-specific hazards,use protective clothing and/or disposable dust mask,as needed. <br /> Geosyntec Procedures: HS-109-Hearing Conservation,HS 112-Respiratory Protection, <br /> HS-113-Personal Protective Equipment,HS-207-Working Alone,HS-105-Driver and Vehicle Safety <br /> Tools, Equipment,Machinery—Delineate site-specific HS aspects,as appropriate,in"Explanatory Notes,Clarifications,"above. <br /> ®Manual hand tools-proper tool for the job,maintain in good condition,use vise/clamp to hold work piece,proper follow through,stay clear of"line of fire." <br /> ❑Knives,cutting tools-Utility/folding/collapsible knives and fixed open-bladed knives/cutting tools are not permitted,unless specifically authorized. Cutting <br /> tools with automatically-retracting blades,or with enclosed/guarded blades are permitted. See HS-502-Manual Hand Tools for additional Information. <br /> ®.Working near powered tools/equipment/machinery— safe distance,heed warning signs,stay out of'line of fire,"use PPE(for eye/hearing/dust protection). <br /> ®Operation/use of powered tools/equipment/machinery—See Section B.S. <br /> Geosyntecc' THA—Drilling/Development Operations Safety 1/29/2019 <br /> GSH Stockton Phyto,TR0712C Page 4 <br /> consultants <br />