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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 <br /> User Roles <br /> Role Employee Due Date Completed .. <br /> Developer Pena, Kleimin A 2/11/2016 1/28/2016 Jacobsen, Brittani C D <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 D <br /> Job Steps <br /> .. Step No. Job Step Description Potential Hazard Critical Action H&S Reference <br /> 1 Mobilization of equipment 1 Lifting hazards(heavy or Use TRACK to plan lifts and routes to work ARCADIS H&S <br /> to survey area bulky equipment) location. Use proper lifting techniques. Standard <br /> ARCHSFS019 <br /> 2 Awkward body positions and Plan activity to avoid twisting of body or <br /> twisting 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 Break loads down to manageable size that <br /> uneven ground or restricted does not obstruct view of ground. Plan route <br /> view when carrying and use TRACK,wear footwear with good <br /> equipment tread and ankle support.Use buddy system <br /> for large or bulky items when carrying. <br /> 2 Set up survey grid and 1 Slip trip and fall hazards See step one controls. <br /> control from wet,uneven ground or <br /> over vegetation. <br /> 2 Crush hazard or contact Wear leather gloves when inserting pins, <br /> stress to hands/fingers from flagging,or stakes into the ground.Do not <br /> inserting pins or stakes. hurry task if hammering. <br /> 3 Struck by hazards by Establish traffic control and wear a Class II <br /> vehicles if working in traffic traffic vest if in traffic area. Use vehicles to <br /> area. block work area when practical. <br /> 4 Repetitive stress from Use job rotation when hazard exists,stretch <br /> repeated bending or before performing work activity. Use paint <br /> squatting during grid device that allows employee to stand up <br /> construction while spraying. <br /> 5 Chemical exposure from Stand up wind of paint spraying activities <br /> using spray paint <br /> 3 Performing Utility Locate 1 Slips trips and falls on wet, See step one controls. <br /> uneven or steep sloped <br /> surfaces <br /> 2 Scrapes or cuts to hands, Wear leather or other suitable gloves when <br /> arms or legs from equipment performing survey,wear long pants,wear <br /> or vegetation in area. heavy long sleeve shirt if arm hazard exists. <br /> 3 Noise hazards from survey Wear hearing protection,keep unnecessary <br /> equipment using percussion workers away from devices when activated. <br /> devices <br /> 4 Ergonomic injury form Use job rotation to reduce potential for injury. <br /> improper or prolonged use of <br /> carried devices that are long <br /> or bulky. <br />