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❑NEW JOB SAFETY ANALYSIS Ctrl. No. GEN-015 DATE:05/28/2025 ®REVISED PAGE 1 of 2 JSA TYPE CATEGORY WORK TYPE WORK ACTIVITY(Description) GENERIC Site Recon Mobilization/Demobilization REQUIRED AND/OR RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT ❑ LIFE VEST ❑ GOGGLES ❑ AIR PURIFYING ® GLOVES:Cut-resistant ® HARD HAT ❑ FACE SHIELD RESPIRATOR Level II,nitrile ❑ LIFELINE/BODY HARNESS ® HEARING PROTECTION(as ❑ SUPPLIED RESPIRATOR ❑ OTHER ® SAFETY GLASSES needed) ® PPE CLOTHING: ® SAFETY SHOES:Steel Toe or Fluorescent reflective vest composite toe of high-visibility clothing; long-sleeved shirt;long pants REQUIRED AND/OR RECOMMENDED EQUIPMENT Required Equipment: Varies COMMITMENT TO SAFETY-All personnel onsite will actively participate in hazard recognition and mitigation throughout the day by verbalizing LRAs EXCLUSION ZONE(EZ): Maintain a Minimum Heavy Equipment Exclusion Zone around equipment and loads while in motion.The HEEZ must be greater than the swing zone of any moving part of the equipment,the tip zone of the equipment,the fall zone of the equipment,and the contents. Assess Analyze Act I ZPOTENTIAL HAZARDS 3 CRIT CCTIONS 1. Mobilize/demobilize and la. FALL: Slip/trips/falls from 1a. Use 3 points-of-contact/ensure secure footing when establish a work area obstructions, uneven terrain, entering and exiting the vehicle. weather conditions, heavy 1a. Inspect walking path for uneven terrain, steep hills, loads, and/or poor obstructions, and/or weather-related hazards (i.e., ice, housekeeping. snow, and puddles)prior to mobilizing equipment. Use established pathways.Walk on stable/secure ground. 1a. Do not climb over stored materials/equipment;walk around. Practice good housekeeping; organize and store equipment neatly in one area at its lowest potential energy. 1a. Wear boots with adequate treads. 1a. Delineate unsafe areas with traffic safety cones, caution tape, and/or flagging. 1b. CONTACT: Personal injury 1b. Observe and maintain the posted speed limits. and/or property damage 1 b. When first arriving onsite, park vehicles in designated caused by being struck by Site parking spaces and/or out of the way locations. Use traffic or equipment used in parking brake on all vehicles and tire chocks on work Site activities. trucks and trailers. 1 b. Check in with Site Manager/Supervisor to ensure coordination with other Site activities and to discuss any special hazards. Ensure that short-service employees (SSE)are identified. 1 b. Identify potential traffic sources. 1 b. Wear PPE, including high visibility clothing or reflective vest,when around vehicles or operating equipment 1 b. Use a spotter while moving work vehicles; plan to avoid backing whenever possible. 1 b. Maintain a minimum exclusion zone when vehicles are in motion (i.e., greater than the swing/tip radius of the equipment). When backing up the truck rig with an attached trailer, use a second spotter if there is tight clearance simultaneously on multiple sides of the equipment or if turning angles limit driver-to-spotter visibility. 1 b. Delineate work area with traffic cones,flags, caution tape, and/or other barriers. 1 b. Position"Work Area"signs at Site entrances, if possible, or at either side of the work area. 1 b. Position the largest vehicle to protect against oncoming traffic. 1 b. Face traffic, maintain eye contact with oncoming vehicles, use a spotter, and establish a safe exit route. ' 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.