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)
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<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)
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<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
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<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
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<br /> ❑Eyewash 15 min.flow El Emergency deluge shower ❑Air horn,alarm
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<br /> ❑Other:
<br /> DECON, 1 Z Receptacle for disposable PPE Z Hand washing provisions ❑ Decon solution,related supplies
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<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
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