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Waste Containerization and Sampling JSA_pv Page: <br />1/4 <br />TEAM Chevron -Job Safety Analysis <br />JSA Description: Waste Containerization and Sampling Date of JSA Development: 2/9/2022 <br />Project Name: Chevron Facility #211606 PMCoW: <br />Site Address: 311 S. 5th Ave, Sterling, CO Project No: 30045694 <br />Development Team (Include employer & email if not employed by Arcadis.) <br />Austin Ramm Environmental Engineer 1 <br />Reviewed By (Include employer & email if not employed by Arcadis.)Position/Title: Review Date (MM/DD/YYYY) <br />Paul Vallin Project Engineer 02/14/2022 <br />Permits/Plans Required (general, <br />Specialized, etc.): <br />Specialized tools/equipment: <br />MINIMUM REQUIRED PERSONAL <br />PROTECTIVE EQUIPMENT <br /> ANSI/ISEA 107-2010 Class 2 or 3 vest or <br />ANSI/ISEA 107-2015 Type R, Class 1 or 2 <br />vest <br /> Long pants <br /> Long-sleeved shirts <br /> Safety glasses, wraparound or with side <br />shields labeled with ANSI Z87.1 rating, or <br />a certification card for lenses and frames <br /> Safety footwear meeting ASTM F2413-05 <br />standard with chemical or oil resistant <br />soles <br /> High visibility work gloves (when high <br />visibility glove options exist for a particular <br />glove type) <br />Hard hat that complies with ANSI Z89.1 <br />TASK SPECIFIC: Personal <br />Protective Equipment (PPE) <br />Determination* <br />Eye Protection <br />Must comply with ANSI Z87.1 <br />Impact Goggles <br />Flexible goggles <br />Welding goggles/helmet or face shield. <br />Tinted lenses required <br />Laser safety glasses <br />Head Protection <br />□ Type E Hardhat (Electrical) <br />Hardhat with chin strap, miner’s helmet with <br />chin strap or mountaineering helmet with chin <br />strap <br />Hazardous Atmosphere <br />Photoionization Detector (PID) <br />Flame Ionization Detector (FID) <br />Dust Monitor <br />LEL / O2 Meter <br />□ H2S Meter <br />Hearing Protection <br />Ear Plugs (noise 80 db) <br />Ear Muffs with Ear Plugs (noise 105 db) <br />Body Protection <br />Chemical resistant cloting recommended on <br />SDS <br />Chain saw chaps <br />Snake chaps or boots marketed as “snake <br />proof”3 <br />ANSI/ISEA 107-2010 Class 3 vest or <br />ANSI/ISEA 107-2015 Type R, Class 2 vest if <br />low light conditions or traffic flow at 50 mph <br />or more <br />ANSI/ISEA 107-2010 Class 2 or 3 <br />BREAKAWAY vest or ANSI/ISEA 107-2015 <br />Type R, Class 1 or 2 vest <br />Sunscreen lotion >= SPF30 <br />Insect repellant (DEET: flying insects) <br />Insecticide (Permethrin: ticks) <br />US Coast Guard approved personal flotation <br />device (PFD) – Type I, II or III <br />Face Protection <br />Chemical protective goggles that comply with <br />ANSI Z87.1 <br />Face Shield over safety glasses <br />Respiratory Protection <br />Half-face Air Purifying Respirator <br />Full-face Air Purifying respirator <br />SCBA or Supplied Air <br />Fall Protection <br />Personal fall arrest system designed or <br />approved by a qualified person OR other <br />means of fall protection determined by <br />qualified person <br />Hand Protection <br />Chemical resistant gloves per SDS <br />Cut-resistant gloves or liners <br />Leather/Work gloves <br />Welding gloves <br />Leather gloves, insulated <br />Nitrile gloves <br />Impact resistant gloves <br />Foot Protection <br />Safety shoes or boots with metatarsal guards <br />Safety boots with puncture-resistant midsoles <br />or that have built-in puncture resistance (PR <br />rated) <br />Safety boots with electric hazard (EH) <br />protection (standard in most footwear) <br />□ Rubber-sole boots or grips <br />Chemical resistant boot covers <br />Lace-up safety boots conforming to ASTM <br />F2413-05 or equivalent in non-US <br />jurisdictions <br />Heat, Flame, Flash Fire or Arc Hazard <br />Cooling vest <br />Fire retardant clothing (FRC) <br />*If an item is checked, it is relevant for all job steps. If an item is specific to a particular job step it must be noted in the Critical Action(s) <br />column in the JSA.