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AECOM Pre-Job Hazard Assessment - Soil Gas Sampling <br /> THAType: ® Investigation ❑ O&M ❑Office ❑ Construction❑ Other: ® New ❑ Revised Date: 08/23/2017 <br /> Developed By: Kimberly DeVillier I Reviewed By: Sheri Janowski <br /> Is this JHA an attachment to a Safe Work Plan: ® Yes, RELLC Richmond HASP ❑ No <br /> Work Activity: Soil Gas Sampling <br /> Personal Protective Equipment(PPE): <br /> ® Hard Hat ® Safety Glasses ❑ Ear Muffs ® Long Pants/Sleeves ® Inner Glove(4—6 mil, Nitrile) ❑ Fall Protection ❑ Wide Brim Hat <br /> ® Leather Glove ❑ Safety Goggles ❑ Ear Plugs ❑ Coveralls(coated) ❑ Outer Glove(4—6 mil, Nitrile) ❑ Cooling Vest ❑ Half/Full Face Respirator <br /> ❑ Kevlar Glove ® Safety Toe Boots ® Traffic Vest ❑ Flame Resistant Clothing ❑ Face Shield ❑ Welding PPE Cartridge/Filter Type: <br /> OVA/H EPA <br /> Other PPE: Chemical Protective Clothing Pol coated T vek , if handling large quantities of water <br /> Safety Equipment: <br /> ® First Aid Kit ❑ Eyewash Station ® Eyewash Bottles ® Fire Extinguisher(A-B-C) ❑ Pop-up Shade ® Sunscreen ® Drinking Water <br /> ❑ Air Horn ❑ Trekking Poles ❑ Insect Repellent ❑ Wheel Chocks ❑ Cargo Net ❑ Stretch First Safety First <br /> Other Safety Equipment: Material Safety Data Sheet for dissolved oxygen test kit, Manufacturer operational manual for sampling equipment <br /> AECOM SH&E Policies&Procedures: 113 Heat Stress <br /> 001 Safe Work Standards and Rules 014 Manual Lifting <br /> 002 Stop Work Authority for Unsafe Work 208 Personal Protective Equipment Program <br /> 005 Vehicle and Driver Safety Program 209 Risk Assessment& Management 305 Hand and Power Tools <br /> 012 First Aid 306 Highway and Road Work <br /> 011 Fire Protection <br /> Risk Level Calculation-Select Risk Level for each job step, prior to controls <br /> Severity Likelihood Severity <br /> 1 Remote potential for injury, property damage/$loss,or env damage 1 Very unlikely 5 Risk Level (RL) <br /> 2 Potential for minor first aid injury, property damage/$loss,or environmental damage 2 Unlikely o 2 6 8 10 <br /> 0 <br /> 3 Potential for moderate personnel injuries(medical treatment),property damage/$loss, <br /> environmental damage,or negative public impact 3 Likely Y 3 6 9 12 1 Medium (5-15) <br /> 4 Potential for a serious injury, major property damage/$loss,serious impact to the <br /> 4 Very likely Zi 4 8 12 16 20 High (16-25) <br /> environment,and public health <br /> 5 Catastrophic damage to people, property/equipment,environment,or public health 5 Certain 5 10 20 2 <br /> Principal Steps Potential Hazards Recommended Controls RL <br /> Soil Vapor Sampling—Set • Un-authorized personnel in • Set up exclusion zone per written plan. <br /> Up work area • Use proper lifting and body positioning. <br /> • Back strain • Wear appropriate gloves, safety glasses and other PPE as required <br /> • Hand tools • Inspect sample containers for integrity and contaminants prior to use. <br /> • Sample containers • Provide air monitoring in the work area using task appropriate air monitors. <br /> • Chemical exposure by • Have fire extinguishers placed within 25-feet of work location. <br /> inhalation <br />