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LOCKOUT/TAGOUT(LO/TO)OF ❑Prepare site-specific written LO/TO program,and equipment-specific written LO/TO procedures(as
<br /> ELECTRICAL ENERGY To prevent applicable);implement control procedures for hazardous energy sources,provide locks/tags,train workers,
<br /> unplanned start-up or release of designate"authorized"personnel,notify"affected"personnel.
<br /> energy when equipment is under
<br /> maintenance/repair.
<br /> Geosyntec Procedure(s):HS-119-LockoutTagout,HS-121-Electrical Safety
<br /> ® WARNING! Confirmed or possible IN Follow safe work practices per D.11."Utility-Related Hazards."
<br /> close proximity to OVERHEAD
<br /> ELECTRICAL UTILITY LINES. Geosyntec Procedure(s):HS-304-Overhead/Underground Utility Hazards
<br /> D.11. UTILITY-RELATED HAZARDS ® Applicable ❑ Not Applicable, Not Anticipated
<br /> Site-Specific Notes&Clarifications:
<br /> OVERHEAD,ABOVE-GROUND ❑Arrange for power company/utility owner to de-energize power line.
<br /> UTILITIES ❑Do not cross approach boundaries with personnel or equipment;employ other appropriate precautions for
<br /> the conditions(specify above).
<br /> ❑Use additional controls,as applicable:shielding,flagging,observer/monitor.
<br /> Geosyntec Procedure(s):HS 304-Overhead/Underground Utility Hazards
<br /> ® UNDERGROUND UTILITIES ®Confirm appropriate underground utility clearance procedures have been completed prior to ground
<br /> penetrations,and employ other utility clearance/locator practices,as appropriate for conditions.
<br /> M Hand digging/augering or vacuum post-holing within 3'of utility locations or other high-risk condition.
<br /> Geosyntec Procedure(s):HS 304-Overhead/Underground Utility Hazards
<br /> D.12. CONFINED 1 ENCLOSED SPACES(Including Hazardous Indoor Spaces) ❑Applicable ® Not Applicable, Not Anticipated
<br /> D.13. INFECTIOUS/PATHOGENIC BIOHAZARDS ® Applicable ❑ Not Applicable, Not Anticipated
<br /> Site-Specific Notes&Clarifications: COVID-19
<br /> ® HAZARD TYPE: ®Follow Field Work COVID 19 General Prevention Measures(as applicable);list project specific COVID
<br /> IN COVID-19 interventions above,communicate/coordinate with project team prior to initiation of work.
<br /> El Wastewater,sewer ❑Use"Universal Precautions"as applicable for potential exposures to infectious/pathogenic hazards.
<br /> ❑Bird guano ❑Low hazard—use basic hygiene practices,protective gloves,provide for hand washing.
<br /> El Mold,fungi,valley fever ❑More severe hazard—add protective clothing,respirator/dust mask,decon,as appropriate.
<br /> ❑For bloodborne human pathogens follow Bloodborne Pathogen Program.
<br /> ❑Bloodborne pathogens ❑Arrange with Human Resources for project-specific immunization.
<br /> ❑Discarded syringes ❑Implement remedial actions(remove syringes,clean up guano,decon/disinfect surfaces,etc.)as appropriate
<br /> ❑Medical waste for the scope/scale of work.
<br /> ❑Other(describe above) Geosyntec Procedure(s):HS-133-Bloodborne Pathogens,COVID-19 Considerations
<br /> and Mitigations for On-Going Business Operations,Field Work Covid-19 General Prevention Measures
<br /> D.14. COMMERCIAL CHEMICAL PRODUCTS(per HAMOM or WHMIS) ® Applicable — Not Applicable, Not Anticipated
<br /> Site-Specific Notes&Clarifications:
<br /> ® ; PRODUCTS REGULATED BY IN Safety Data Sheets(SDSs)available,either on site or readily available within same work shift,containers
<br /> HAZCOM1(US)or WHMISZ(CAN) labelled properly,workers trained/oriented on hazards.
<br /> ❑For subcontractor/contractor use of chemical products,confirm SDS availability for affected onsite workers.
<br /> 'OSHA Hazard Communication Standard(United States);z Workplace Hazardous Material Information System(Canada)
<br /> ® GENERAL SAFE WORK PRACTICES 1 IN Consult SDS for H&S hazards,symptoms of exposure;ensure workers have been apprised of safe practices.
<br /> FOR FIELD USE OF CHEMICALS IN Handle with care,maintain good housekeeping,provide adequate illumination in work area.
<br /> ❑Pour/dispense/transfer liquid chemicals on stable work surface.
<br /> ❑Use chemicals in well ventilated area;use fans/blowers/exhaust for active ventilation,as appropriate.
<br /> ❑Have eyewash bottles,eyewash station,deluge capabilities,commensurate for the hazard,readily available.
<br /> ❑Have spill/neutralization equipment,appropriate for the chemicals,readily available.
<br /> ❑Conduct air monitoring as appropriate;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> STORAGE/TRANSPORT OF ❑Transport chemicals only in sealed containers,secured to prevent shifting/breakage during travel.
<br /> CHEMICALS/HAZMAT ❑Store chemicals only in sealed containers;overnight storage in squirt/spray bottles prohibited.
<br /> ❑Non-Emergency(Routine) ❑Store flammable/combustible liquids in chemical storage cabinets,or other appropriate storage arrangement.
<br /> Chemical Storage Risk of personal ❑For liquids,provide secondary containment during storage.
<br /> contact and/or incidental release ❑Segregate incompatible chemicals during storage.
<br /> ❑HAZMAT Transport ❑For incidental release/spill;maintain spill kit suitable for low flammability/toxicity/quantity/volatility release.
<br /> ❑DOT/TDG/IATA-Regulated transport:see D.17."Hazmat/Dangerous Goods Shipping/Transportation.
<br /> ❑Risk of Emergency Spill/Release ❑For emergency spills:describe spill/release hazard and response plan/procedure above,and indicate
<br /> ❑CFTAS(Chemical Facility Anti- emergency response contact in Part B,"Emergency Response and First Aid."
<br /> Terrorism Standards)Applicability: ❑Locate emergency gear(eyewash,fire extinguisher,spill kit,safety signage)near storage area,as applicable.
<br /> Project/Task Name:WR2501B; UST817B Investigation
<br /> Geosyntec THA Date:3/4/2022 Page 8
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