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Task Hazard Assessment AECOM Imagineed DRILLING, GROUTING, MONITORING WELLS 01-01-03-07 job/taskREMINDER: Use 4-Sight at the start of, and continuously throughout the Job Steps Potential Hazards Risk Critical Actions To Mitigate Hazards Risk List all steps required to perform How could you be hurt? (initial) List control measures required to eliminate, control or protect against the potential hazards (final) a task in the sequence they What would the injury be? associated with each job step to minimize the risk of are performed injury or environmental impact. Identify any`Stop Work'triggers. 5f. Cuts or contusions to hands, 8 5f.Wear cut resistant gloves at all times and watch hand placement to avoid sharp edges 4 fingers from assembling well and pinch points. Keep face, hands,fingers, and feet out of the line of fire of moving parts frame and tools On- Site Edits: 6. Debris handling and 6a.Cuts and abrasions and pinch 6 6a.Note pinch points and sharp edges on concrete, well vaults, protective casings, metal 4 disposal points during debris handling skirts, and bollard debris and avoid. Don leather gloves On- Site Edits: 7. Environmental Concerns 7a.Inclement weather 10 7a. Check weather forecast daily, have appropriate clothing and gear for weather 6 while on site conditions 7b.Hypothermia 10 7b. Discuss symptoms of hypothermia before deployment. Have a means of warming 5 (hot liquids, hand warmers, etc., and a set of dry clothing, etc. available on the vessel. Change into dry clothing if you become wet at cold temperatures. 6 7c. Provide drinking water and electrolytes. Have a heat stress control plan(including 4 7c. Heat stress/heat illness shelters,work rotation, methods of cooling). Review prevention, symptoms and treatment guidance before deployment. 7d.Sunburn 8 7d. Wear sunscreen and hat, prevent as much solar exposure as possible 5 7e.Biological Hazards 6 7e. Assess work area for poisonous plants and communicate observations to avoid them. 4 All field clothing and equipment should be thoroughly cleaned, removed and/or segregated from clean clothing, equipment and supplies to avoid transfer of hazardous plants oils and inspects. If contact with poisonous plants or ticks are unavoidable, use controls including the use of disposable(Tyvek)coveralls, insect repellent(23.8% DEET or similar), light colored clothing, barrier creams, and frequent tick checks. All employees should bath immediately following fieldwork and use soaps/cleansers designed to remove oils associated with poison oak, and conduct a DCSA Task Hazard Assessment Form Version 1—October 22,2018 4 of 6