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® NEW <br /> JOB SAFETY ANALYSIS Ctrl. No. LA-015 DATE: 8/14/2020 1 ❑ REVISED PAGE 1 of <br /> JSA TYPE CATEGORY: WORK TYPE WORK ACTIVITY(Description) <br /> GENERIC Gauging and Sampling Sub-Slab Vapor Pin Installation Sr Sampling <br /> DEVELOPMENT TEAM POSITION/TITLE REVIEWED BY: POSITION/TITLE <br /> Austin Mok Staff Engineer Mark Nishibayashi Office Health and Safety <br /> Manager <br /> REQUIRED AND/OR RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑ LIFE VEST ❑ GOGGLES ® AIR PURIFYING RESPIRATOR ® GLOVES: Leather,Cut-resistant <br /> ® HARD HAT ❑ FACE SHIELD El SUPPLIED RESPIRATOR &Nitriles <br /> El LIFELINE/BODY HARNESS ® HEARING PROTECTION ® PPE CLOTHING: Fluorescent ® OTHER: Knee Pads or kneeling <br /> ® SAFETY GLASSES ® SAFETY SHOES: Steel-toe boots reflective vest or high visibility pad <br /> clothin <br /> REQUIRED AND/OR RECOMMENDED EQUIPMENT <br /> Roto-Hammer,ShopVac, Portable Generator,Soil Vapor Pin MaIlet/Screwdriver,Silicone Tubing, Flush Seal,Summa Canisters and Flow Controllers, <br /> Photo Ionization Detector(PID),Tubing Cutter,Safety Cones, Caution Tape or Retractable Cone Bars <br /> COMMITMENT TO SAFETY-All personnel onsite will actively participate in hazard recognition and mitigation throughout the day by verbalizing SPSAs. <br /> Work Zone(WZ): A 5-foot exclusion zone will be maintained for non-essential personnel. <br /> Assess Analyze Act <br /> ' 2POTENTIAL HAZARDS 3CRITICAL ACTIONS <br /> 1. Define and secure work la. FALL: 1a. Ensure work area is secure and inform others (third party) <br /> area. Potential tripping hazards. of work activity. <br /> 1 a. Remove tripping hazards and inspect walking path for <br /> uneven terrain and obstructions prior to mobilizing <br /> equipment. <br /> 1 b. CONTACT: 1 b. If working alongside roads, look both ways before entering <br /> Potential contact with moving roadways,face traffic, and utilize work vehicle to protect <br /> vehicles or pedestrians. employees. <br /> 1 b. Delineate work area (including vehicles)with traffic safety <br /> cones and caution tape or retractable cone bars. <br /> 1 b. Maintain a 5-foot work zone. <br /> 1 b. Wear high visibility clothing or reflective safety vest. <br /> 1c. ERGONOMICS: 1c. When carrying equipment to/from work area, keep back <br /> Muscle strain while lifting and straight, lift with legs, keep load close to body, never <br /> carrying equipment. reach with a load. Ensure that loads are balanced. Use <br /> mechanical assistance/make multiple trips to carry <br /> equipment. <br /> ' Each Job or Operation consists of a set of tasks/steps. Be sure to list all the steps needed to perform job. <br /> ' A hazard is a potential danger. Break hazards into six types: Contact-victim is struck by or strikes an object; <br /> 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 <br /> techniques;Exposure-inhalation/skin hazards;Energy Source—Electricity,pressure,tension/compression,torque. <br /> 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 <br /> to be done-such as"use two persons to lift". Avoid general statements such as,"be careful'. <br /> ROUX ASSOCIATES, INC. <br />