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Job Safety Analysis <br /> <br /> <br />PROJECT NAME or ID/LOCATION (City, State) PROJECT NUMBER DATE NEW/REVISED <br />Former Chevron Facility #307252 B0047774.0005 06/09/2014 NEW REVISED <br />Revision: 0 <br />WORK ACTIVITY (Description): <br />Well Gauging and Groundwater Sampling <br />DEVELOPMENT TEAM POSITION/TITLE REVIEWED BY POSITION/TITLE DATE <br />Josh Ferry Environmental <br />Scientist 2 <br />Jason Artrip Project Environmental <br />Scientist <br />06/05/2014 <br /> <br />MINIMUM REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />• High-visibility gloves (type <br />selected based on site <br />hazard assessment) <br />• Hard hat <br /> <br />• High-visibility vest or appropriate <br />high-visibility clothing <br />• Long pants <br />• Long-sleeved shirts <br />• Safety glasses, wraparound or with side shields labeled <br />with ANSI Z87.1 rating, or a certification card for lenses <br />and frames <br />• Safety footwear meeting ASTM F2413-05 standard with <br />chemical or oil resistant soles <br />Additional Required PPE for this task (refer to PPE HAZARD ASSESSMENT FORM in HASP):__________Initial/date verification <br /> Eyes – Type:______________ <br /> Face – Type:______________ <br /> Head – Type:______________ <br /> Hands and Arms – Type:__________ <br /> Feet and Legs – Type:___________ <br /> Body and Skin – Type:___________ <br /> Body as a whole – Type:____________ <br /> Respiratory System – Type:__________ <br /> Ears and Hearing – Type:___________ <br /> Biological Chemical Electrical Gravity Mechanical Motion <br /> Pressure Radiation Sound Temperature <br /> <br />¹ JOB STEPS ² POTENTIAL HAZARDS ³ CRITICAL ACTIONS TO MITIGATE HAZARDS 4 RESPONSIBLE <br />PERSON(S) <br />1. Stage at <br />pre- <br />determined <br />sampling <br />location and <br />set up work <br />zone and <br />sampling <br />equipment. <br />Motion - Broken bones/ <br />death from being hit by <br />vehicular traffic. <br />• Establish traffic control for exclusion zone per requirements; <br />use high-visibility cones; and park vehicle as barrier, if feasible. <br /> <br /> <br />Gravity - Broken <br />bones/lacerations from <br />tripping over sampling <br />equipment, tools, and <br />monitoring well covers. <br />• Keep sampling equipment organized and staged in one central <br />location to prevent tripping hazards. <br /> <br />• Store equipment with sharp edges protected. <br />• Wear Type II cut-resistant gloves to protect hands from <br />lacerations from potential fall. <br /> <br />Motion - Muscle strain from <br />lifting sampling equipment. <br />• Unload as close to work area as safely possible. Use a buddy <br />to lift loads greater than 50 pounds. Lift using legs and straight <br />back. Limit twisting motions during lifting procedures. <br /> <br />• Do not carry more weight than you can handle. <br /> <br />• Plan route before lift, keep route clear. <br /> <br />Electrical - Shock from <br />electrical cord contact with <br />water. <br />• Turn off and unplug equipment when connecting or <br />disconnecting power. Avoid use in the rain and do not run <br />electrical cords through wet or muddy areas, use GFCI, test <br />before use. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />2. Open wells <br />to <br />equilibrate <br />and gauge <br />wells. <br /> <br />Gravity - Pinching or <br />lacerating fingers on well <br />vault. <br />• Identify pinch points associated with well lid, do not place hands <br />in these areas; wear protective gloves. <br /> <br />• Use the right tools for the job (e.g., use a socket wrench that <br />matches bolt size to open well vault/cap, do not use <br />screwdriver as a mallet). <br /> <br /> <br />Seed JSA - Well Gauging and Sampling_020714.docx - 1 -