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User Roles <br />Role Employee Due Date Completed Date Supervisor Active <br />Developer Pena, Kleimin A 2/11/2016 1/28/2016 Jacobsen, Brittani C ; <br />HASP Reviewer Henry, Jacob T 2/11/2016 2/10/2016 Putnam, Eric Dean ; <br />Quality Reviewer Lamoureux, David A 3/9/2016 3/9/2016 Fairchild, Aren L ; <br />Job Steps <br />Job Step No.Job Step Description Potential Hazard Critical Action H&S Reference <br />1 Mobilization of equipment <br />to survey area <br />1 Lifting hazards (heavy or <br />bulky equipment) <br />Use TRACK to plan lifts and routes to work <br />location. Use proper lifting techniques. <br />ARCADIS H&S <br />Standard <br />ARCHSFS019 <br />2 Awkward body positions and <br />twisting <br />Plan activity to avoid twisting of body or <br />awkward body positions. Use buddy system <br />or job rotation to reduce exposure to <br />conditions that cannot be avoided. <br />3 Trip and fall hazards from <br />uneven ground or restricted <br />view when carrying <br />equipment <br />Break loads down to manageable size that <br />does not obstruct view of ground. Plan route <br />and use TRACK, wear footwear with good <br />tread and ankle support. Use buddy system <br />for large or bulky items when carrying. <br />2 Set up survey grid and <br />control <br />1 Slip trip and fall hazards <br />from wet, uneven ground or <br />over vegetation. <br />See step one controls. <br />2 Crush hazard or contact <br />stress to hands/fingers from <br />inserting pins or stakes. <br />Wear leather gloves when inserting pins, <br />flagging, or stakes into the ground. Do not <br />hurry task if hammering. <br />3 Struck by hazards by <br />vehicles if working in traffic <br />area. <br />Establish traffic control and wear a Class II <br />traffic vest if in traffic area. Use vehicles to <br />block work area when practical. <br />4 Repetitive stress from <br />repeated bending or <br />squatting during grid <br />construction <br />Use job rotation when hazard exists, stretch <br />before performing work activity. Use paint <br />device that allows employee to stand up <br />while spraying. <br />5 Chemical exposure from <br />using spray paint <br />Stand up wind of paint spraying activities <br />3 Performing Utility Locate 1 Slips trips and falls on wet, <br />uneven or steep sloped <br />surfaces <br />See step one controls. <br />2 Scrapes or cuts to hands, <br />arms or legs from equipment <br />or vegetation in area. <br />Wear leather or other suitable gloves when <br />performing survey, wear long pants, wear <br />heavy long sleeve shirt if arm hazard exists. <br />3 Noise hazards from survey <br />equipment using percussion <br />devices <br />Wear hearing protection, keep unnecessary <br />workers away from devices when activated. <br />4 Ergonomic injury form <br />improper or prolonged use of <br />carried devices that are long <br />or bulky. <br />Use job rotation to reduce potential for injury. <br />Job Safety Analysis <br />General <br />JSA ID 13491 Status (3) Completed <br />Job Name Environment-Geophysical survey Created Date 12/30/2015 <br />Task Description Utility Location Completed Date 02/10/2016 <br />Template False Auto Closed False <br />Client / Project <br />Client NICHE NON-TIER GRIP <br />Project Number RC0006402014 <br />Project Name 1964 Williams Street GRIP <br />PIC SMITH, LEE <br />Project Manager NESKY, MICHAEL PAUL