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0 ARCADIS Job Safety Analysis <br /> Mfrastrucrure Water-Environment 8uifdin45 <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 Jason Artrip Project Environmental 06/05/2014 <br /> Scientist 2 Scientist <br /> MINIMUM REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> • High-visibility gloves(type • High-visibility vest or appropriate • Safety glasses,wraparound or with side shields labeled <br /> selected based on site high-visibility clothing with ANSI Z87.1 rating, or a certification card for lenses <br /> hazard assessment) 0 Long pants and frames <br /> • Hard hat 0 Long-sleeved shirts • 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: ❑ Hands and Arms—Type: ❑ Body as a whole—Type: <br /> ❑ Face—Type: ❑ Feet and Legs— Type: ❑ Respiratory System—Type: <br /> ❑ Head—Type: ❑ Body and Skin—Type: ❑ Ears and Hearing —Type: <br /> d Q, <br /> W )�r1 Af 4(o <br /> Biological Chemical Electrical Gravity Mechanical Motion Pressure Radiation Sound Temperature <br /> JOB STEPS 2 POTENTIAL HAZARDS 3 CRITICAL ACTIONS TO MITIGATE HAZARDS RESPONSIBLE <br /> PERSON(S) <br /> 1. Stage at Motion -Broken bones/ • Establish traffic control for exclusion zone per requirements; <br /> pre- death from being hit by use high-visibility cones;and park vehicle as barrier, if feasible. <br /> determined vehicular traffic. <br /> sampling <br /> location and Gravity-Broken • Keep sampling equipment organized and staged in one central <br /> set up work bones/lacerations from location to prevent tripping hazards. <br /> zone and tripping over sampling <br /> sampling equipment, tools, and . Store equipment with sharp edges protected. <br /> equipment. monitoring well covers. <br /> • Wear Type II cut-resistant gloves to protect hands from <br /> lacerations from potential fall. <br /> Motion -Muscle strain from • Unload as close to work area as safely possible. Use a buddy <br /> lifting sampling equipment. to lift loads greater than 50 pounds. Lift using legs and straight <br /> back. Limit twisting motions during lifting procedures. <br /> • Do not carry more weight than you can handle. <br /> • Plan route before lift, keep route clear. <br /> Electrical -Shock from . Turn off and unplug equipment when connecting or <br /> electrical cord contact with disconnecting power.Avoid use in the rain and do not run <br /> water. electrical cords through wet or muddy areas, use GFCI, test <br /> before use. <br /> 2. Open wells Gravity- Pinching or • Identify pinch points associated with well lid, do not place hands <br /> to lacerating fingers on well in these areas;wear protective gloves. <br /> equilibrate vault. <br /> and gauge • Use the right tools for the job(e.g., use a socket wrench that <br /> wells. matches bolt size to open well vault/cap, do not use <br /> screwdriver as a mallet). <br /> Seed JSA-Well Gauging and Sampling_020714.docx 1 - <br />