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Task Hazard Assessment 'L=CoM °�Is�Qa. <br /> Site Walk — General Site Visit 01-01-10-06 <br /> Project Name: Former Unocal Chemical Facility#0905 Client: Chevron CEMREC Date: <br /> Permits Required? Work <br /> (list): Location: <br /> This THA must be fully reviewed with all staff members. All job steps, hazards, work practices, and PPE are clearly understood and <br /> have been implemented. All necessary revisions have been written on the THA. <br /> Required PPE: 0 Hard Hat 0 Safety Glasses 0 HiVis Vest 0 Safety Toe Boots 0 Gloves: leather 0 Hearing Protection ❑ Other:PPE for expected weather <br /> conditions <br /> Tools&Equipment: camera notebook/pen <br /> REMINDER: Use 4-Sight at the start of, and continuously throughout the job/task to identify additional and/or hazards to act on! <br /> Job Steps Potential Hazards Risk Critical Actions To Mitigate Hazards Risk <br /> List all steps required to perform How could you be hurt? (initial) List control measures required to eliminate, control or protect against the (final) <br /> a task in the sequence they What would the injury be? potential hazards associated with each job step to minimize the risk of <br /> are performed injury or environmental impact. Identify any`Stop Work'triggers. <br /> 1. Plan the site walk 1a. Personal injury from not 4 1a. Determine what the basic PPE requirements are in advance and have available 4 <br /> having proper PPE or know that they will be available to you to borrow once on site. <br /> 1 b. Vehicle getting stuck or 4 1 b. Determine what type of vehicle is needed for site conditions(4-wheel drive,truck 4 <br /> damaged due to or car). <br /> terrain/site conditions <br /> 1c. Heat/cold stress, insect 4 <br /> 1 c. Determine what materials and supplies you must bring versus what is available 4 <br /> bites, sunburn from on site such as insect spray, sunscreen,drinking water,food,etc. <br /> inadequate <br /> materials/supplies <br /> 1d. Lack of site escort if 4 1d. Prearrange trip in advance where possible, determine who will be meeting you 4 <br /> needed on site and when. <br /> 1 e. Inclement weather 6 1 e. Plan for the anticipated weather conditions. Check the predicted weather for the 2 <br /> worksite prior to departing. Reschedule site visit if severe weather such as <br /> lightning storms, sleet/ice storms, blizzards, etc., are predicted. <br /> On- <br /> Site <br /> Edits: <br /> 2. Arriving at site 2a.Getting stuck or sustaining 6 2a.Know where you are supposed to park prior to arrival or check in at site. Park in an 2 <br /> slip/trip/fall injuries from parking area with firm, level surface, and with a good surface(avoiding wet/muddy conditions, <br /> in inappropriate areas poor walking surfaces, etc)available when you exit the vehicle. <br /> DCSA Task Hazard Assessment Form <br /> Version 1—October 22,2018 1 of 4 <br />