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❑ NEW JOB SAFETY ANALYSIS Ctrl. No. GEN-013 DATE 05/28/2025 ® REVISED PAGE 1 of 2 JSA TYPE CATEGORY WORK TYPE: WORK ACTIVITY(Description): Generic I Gauging and Sampling Gauging and Sampling REQUIRED AND/OR RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT ® LIFE VEST ❑ GOGGLES ❑ AIR PURIFYING RESPIRATOR ® GLOVES: Nitrile and cut- ® HARD HAT ❑ FACE SHIELD El SUPPLIED RESPIRATOR resistant level II ❑ LIFELINE/BODY HARNESS ❑ HEARING PROTECTION ® PPE CLOTHING: Fluorescent ® OTHER: Knee pads,Insect ® SAFETY GLASSES ED SAFETY SHOES: Composite-toed or reflective vest or high visibility Repellant,sunscreen(as needed) steel-toed boots clothing REQUIRED AND/OR RECOMMENDED EQUIPMENT Traffic Safety Cones,Caution Tape, Interface Probe with Ground Clamp,and/or Water Level Meter,20-lb.type ABC Fire Extinguisher,Buckets.Tools as needed: Socket Wrench,Screw Driver,Crow Bar, Mallet,and Wire Brush. COMMITMENT TO SAFETY-All personnel onsite will actively participate in hazard recognition and mitigation throughout the day by verbalizing LMRAs Analyze 2POTENTIAL HAZARDS 1. Mobilization to monitoring la. FALL: Personal injury from 1 a. Inspect the pathway and plan for the most suitable designated well(s). slip/trip/fall due to uneven terrain pathway prior to mobilization. and/or obstructions. 1 a. Use established pathways,walk and/or drive on stable,secure ground,and avoid steep hills or uneven terrain. 1 a. If working near open water with an unguarded edge,wear a personal flotation device(PFD). 1b. CONTACT: With traffic/third 1b. Identify potential traffic sources and delineate the work area with parties. traffic safety cones. Position the vehicle to protect against oncoming traffic. Use caution tape to provide a more visible delineation of the work area if necessary. 1 b. Wear appropriate PPE, including high visibility clothing and reflective vest,when exposed to traffic 1 b. Face traffic,maintain eye contact with oncoming vehicles,and establish a safe exit route. 1c. EXERTION: Muscle strain from 1c. Use proper lifting techniques when handling/moving equipment; lifting equipment bend knees and keep back straight. 1 c. Use mechanical assistance or team lifting techniques when equipment is 40 lbs.or heavier. 1 c. Make multiple trips to carry equipment. 1d. EXPOSURE: 1d. Inspect work area for bees and insects. To biological hazards. 1d. Use insect/tick repellent,as necessary. 1d. Treat clothing with permethrin prior to mobilization. 1d. Don T vek/mos uito nets,as applicable. 2. Open/close well. 2a. EXERTION: Muscle strain. 2a. Use proper lifting techniques; keep back straight,lift with legs,and bend knees when reaching to open/close the well. 2b. CAUGHT: Pinch/crush points 2b. Wear cut-resistant level II gloves when working with well cover and associated with removing/replacing hand tools. manholes and working with hand 2b. Use proper tools(ratchet and pry bar or magnet for well cover)and tools. inspect before use. 2b. Do not put fingers under the well cover. 2c. CAUGHT: Pinch points associated 2c. See 2b. with placing the J-plug back onto 2c. Keep fingers out of line-of-fire when securing cap. the PVC pipe. 2d. EXPOSURE: To potential 2d. No open flames/heat sources. hazardous vapors. 2d. To minimize exposure to vapors,allow the well to vent after opening it and before sampling activities begin. 2d. Stand upwind if possible,to avoid inhaling vapors. 2d. Monitor atmosphere with multi-gas meter/PID. 3. Gauge well. 3a. CONTACT: With contamination 3a. Wear chemical-resistant disposable gloves(over cut-resistant (e.g.,contaminated groundwater). gloves)and safety glasses when gauging well. 3a. Insert and remove the probe slowly to avoid splashing. 3a. Use an absorbent pad to clean probe. 3b. CONTACT:With traffic. 3b. See 1b. 3c. Exposure:To static electricity,fire, 3c. Ground interface probe to a designated grounding point/rod,well or explosion. casing,or electrically conductive surface to dissipate static electricity. ' Each Job or Operation consists of a set of tasks/steps. Be sure to list all the steps needed to perform job. ' A hazard is a potential danger. Break hazards into six types: Contact-victim is struck by or strikes an object; Caught-victim is caught on,caught in or caught between objects;Fall-victim falls to ground or lower level(includes slips and trips);Exertion-excessive strain or stress/ergonomics/lifting techniques; Exposure-inhalation/skin hazards;Energy Source-electricity,pressure,compression/tension. Using the first two columns as a guide,decide what actions or procedures are necessary to eliminate or minimize the risk. List the recommended safe operating procedures. Say exactly what needs to be done-such as"use two persons to lift". Avoid general statements such as,"be careful'. ROUX ASSOCIATES, INC.