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Ima <br /> /'7�COM Del9e ed. <br /> Task Hazard Assessment <br /> Investigation Derived Waste Management 01-01-14-02 <br /> Project Name: Client: 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: ® Hard Hat ® Safety Glasses ❑ HiVis Vest ® Safety Toe Boots ® Gloves: Leather or work ❑ Hearing Protection ® Other:Tyvek as needed to <br /> gloves with Nitrile protect skin and clothing <br /> undergloves <br /> Tools&Equipment: Socket set 55-gallon open top drum Emergency eyewash and rinse Spill kit Photoionization detector <br /> water with 11.7 eV lamp <br /> job/taskREMINDER: Use 4-Sight at the start of, and continuously throughout the . . . . . hazards <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. Secure work area from traffic 1 a.Struck by traffic 10 1 a. Establish work area so that each site vehicle used for activity are in close 4 <br /> proximity of each other;this would prevent unnecessary trips outside of work <br /> zone and into potential traffic area. Establish barricaded area using cones <br /> and barricade tape. Wear required highly visible clothing. <br /> On- <br /> Site <br /> Edits: <br /> 2. Prepare work area 2a.Trips&falls 6 2a.Clear any trip/fall hazards from work area. Scan ground prior to moving or walking 4 <br /> 2b.Tools and emergency 8 2b.Obtain tools and emergency equipment and stage adjacent to work area 4 <br /> equipment not present <br /> On- <br /> Site <br /> Edits: <br /> 3. Remove drum lid 3a. Pinch points at drum ring 6 3a.Use socket set to loosen drum ring, avoid placing fingers in to pinch points. Make 4 <br /> 3b.Sharp edges on drum ring or sure cut-resistant gloves fit properly(not too big so fingertips get caught) <br /> rim 7 3b.Evaluate rim and ring for sharp edges, avoid handling as much as possible. Wear cut 4 <br /> resistant gloves <br /> DCSA Task Hazard Assessment Form <br /> Version 1—October 22,2018 1 of 5 <br />