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Geosyntec <br /> consultants <br /> Geosyntec H&S Procedures referenced herein are available on Geosyntec's H&S SharePoint site TASK HAZARD ANALYSIS <br /> and should be consulted,as appropriate,to ensure requirements are met.This THA has been (Ver.3.1,1-4-2021) <br /> prepared per"HS-204-Work-Specific Hazard and Risk Assessment,Written Safety Plans." <br /> Part A - PROJECT/TASK INFORMATION <br /> Project/Site Name: Lincoln Center Project Number/Org.: SAC111 <br /> Site Address: 6471 Pacific Ave,Stockton,CA <br /> Task&Worksite Well Destruction activities <br /> Description: Geosyntec will oversee well destruction and surface patching activities <br /> Geosyntec Personnel: Name Office Phone Cell Phone <br /> Site Safety Lead/Officer Katherine Clark 916-287-2946 740-590-4323 <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ <br /> Task Technical Lead Richard Hodges 916-637-8349 916-945-1645 <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ <br /> Project Manager Jamie Purcell 916-637-8349 916-945-1645 <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ <br /> Project Director Srinivasa Varadhan 916-637-8340 312-282-8929 <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ <br /> Local H&S Coordinator Saman Nedjati 916-637-8344 916-291-9891 <br /> Regional H&S Manager Joe Esseichick 720-509-8906 734-417-0909 <br /> g g <br /> Corporate H&S Director Bob Poll 1 831-379-4420 813-240-9231 <br /> On-Site Subcontractor(s): N Applicable;provide company name,work task and contact information for each Geosyntec subcontractor below: <br /> ❑ Not Applicable <br /> Client,Contact(s): Joe Niland 916-637-8048 1 916-302-6314 <br /> ETHICS POINT HOTLINE US&Canada:844-231-3371 Australia:800-551-155 or 800.811.011 <br /> UK:800-89-0011 or 800-89-0011 Ireland:800-222-55288 or 800-500-000 <br /> Part iB - EMERGENCY RESPONSE and FIRST AID <br /> IMPORTANT:After initial emergency response actions and incident stabilization,contact appropriate project and H&S personnel listed in Part A <br /> Site-Specific Notes,Clarifications:Consider relevant risk factors&response procedures(fire%xplosion,medical,chemicals/spills,security,site factors, <br /> weather,communications),as well as client/regulatory requirements and available of onsite/offsite emergency services(and the possible need for emergency <br /> contact numbers other than 911): <br /> Emergency Communication/Alerting N Verbal N Cell Phone ❑Land Line ❑2-Way Radio ❑Satellite Phone ❑On-site alarm/signal system <br /> ❑Other: <br /> To Summon Police,Fire,Ambulance N DIAL 911,for external responders ❑Other: <br /> Workfare(for non-emergency injuries) 24/7:888-449-7787 <br /> Other Emergency Contacts(such as <br /> security,spill responder,utility-related): <br /> Nearest EMERGENCY ROOM Medical Hospital Name:Dameron Hospital <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................. <br /> Services Address:525 West Acacia St Stockton CA 95203 <br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................. <br /> Phone#:209 944 5550 N See Attached Directions <br /> Emergency Evacuation-Route, Meet at rally point on Gettysburg Place <br /> Rally/Muster Point,Shelter Location(s) <br /> EMERGENCY and FIRST AID EQUIPMENT required for this work task is listed in PART C.2.—SAFETY EQUIPMENT LIST <br /> PART C- TASK/HAZARD/CONTROL SUMMARY and EQUIPMENT LIST <br /> C.. SUMMARY OF TASKS, HAZARDS AND CONTROLS <br /> 1.TASKS/WORK ASPECTS 2. HAZARDS/RISKS 3.CONTROLS <br /> Well destruction via shot perforation • Slip/trip/fall • Watch where you walk,work during daylight hours <br /> and over drilling • Heat stress • Wear sunscreen.Take frequent breaks as necessary.Hydrate <br /> • Cold stress frequently. <br /> • Heavy equipment • Only properly trained workers will use heavy equipment. <br /> Exposure to potentially hazardous Other workers will maintain safe working distances from <br /> soil,water,and vapors machinery while in operation and make eye contact with <br /> • Traffic safety <br /> Task/Project Name: SAC 111 <br /> Geosyntec THA Date: Page 1 <br /> consultants <br />