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User Roles <br />Role Employee Due Date Completed Date Supervisor Active <br />Developer Mason, Brooke 12/25/2013 12/4/2013 Walter, Alexander ; <br />HASP Reviewer Beier, Katie 12/18/2013 Claypoole, Joseph ; <br />Job Steps <br />Job Step No.Job Step Description Potential Hazard Critical Action H&S Reference <br />1 Stage at pre-determined <br />sampling location and set up <br />work zone and sampling <br />equipment <br />1 Personnel could be hit by <br />vehicular traffic <br />Set up cones and establish work area. <br />Position vehicle so that field crew is <br />protected from site traffic. Unload as close to <br />work area as safely possible. <br />2 Sampling equipment, tools <br />and monitoring well covers <br />can cause tripping hazard <br />Keep equipment picked up and use TRACK <br />to assess changes. <br />2 Open wells to equilibrate and <br />gauge wells <br />1 When squatting, personnel <br />can be difficult to see by <br />vehicular traffic. <br />Wear class II traffic vest if wells are located <br />proximal to vehicular traffic. Use tall cones <br />and the buddy system if practicable. <br />2 Pinchpoints on well vault can <br />pinch or lacerate fingers <br />Use correct tools to open well vault/cap. <br />Wear leather gloves when removing well <br />vault lids, and chemical protective gloves <br />while gauging. Wear proper PPE including <br />safety boots, knee pads and safety glasses. <br />3 Lifting sampling equipment <br />can cause muscle strain <br />Unload as close to work area as safely <br />possible; use proper lifting and reaching <br />techniques and body positioning; don't carry <br />more than you can handle, and get help <br />moving heavy or awkward objects. <br />4 Pressure can build up inside <br />well causing cap to release <br />under pressure <br />Keep head away from well cap when <br />removing. If pressure relief valves are on well <br />use prior to opening well <br />3 Begin Purging Well and <br />Collecting Parameter <br />Measurements <br />1 Electrical shock can occur <br />when <br />connecting/disconnecting <br />pump from the battery. <br />Make sure equipment is turned off when <br />connecting/disconnecting. Wear leather <br />gloves. Use GFCIs when using powered <br />tools and pumps. Do not use in the rain or <br />run electrical cords through wet areas. <br />2 Purge water can spill or leak <br />from equipment <br />Stop purging activities immediately, stop <br />leakage and block any drainage grate with <br />absorbent pads. Call PM to notify them of <br />any reportable spill. <br />3 Water spilling on the ground <br />can cause muddy/slippery <br />conditions <br />Be careful walking in work area when using <br />plastic around well to protect from spillage <br />4 Lacerations can occur when <br />cutting materials such as <br />plastic tubing <br />When cutting tubing, use tubing cutter. No <br />open fixed blades should ever be used. <br />When possible wear work gloves, leather <br />type. <br />5 Purge water can splash into <br />eyes <br />Pour water slowly into buckets/drums to <br />minimize splashing. Wear safety glasses. <br />4 Collect GW 1 Working with bailer rope can <br />cause rope burns on hands. <br />Slowly raise and lower the rope or string for <br />the bailer. Wear appropriate gloves for the <br />task. <br />Job Safety Analysis <br />General <br />JSA ID 10370 Status (2) Review <br />Job Name Environmental-Groundwater Sampling and <br />free product recovery <br />Created Date 12/4/2013 <br />Task Description Groundwater Sampling Completed Date <br />Template False Auto Closed False <br />Client / Project <br />Client KOCH INDUSTRIES <br />Project Number KC0016660001 <br />Project Name SRG/Farmington Facility Transi <br />PIC CHEATHAM, CLAYTON R. <br />Project Manager SHONFELT, JOHN