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8 LFR SITE SAFETY <br /> LEVINE•FRICKE CHECKLIST <br /> Project Name LFR Project No. <br /> Project Activities <br /> YES NO N/A <br /> Written Health and Safety Plan (HSP) is on site ❑ ❑ ❑ <br /> Addenda to the HSP are documented on site ❑ ❑ ❑ <br /> Information in the HSP matches conditions and activities at the site ❑ ❑ ❑ <br /> HSP has been read and signed by all site personnel, including visitors ❑ ❑ ❑ <br /> Daily tailgate safety meetings have been held and documented ❑ ❑ ❑ <br /> Site personnel have appropriate training and medical clearance ❑ ❑ ❑ <br /> Air monitoring is performed and documented as described in the HSP ❑ ❑ ❑ <br /> Air monitoring equipment has been calibrated daily ❑ ❑ ❑ <br /> Site zones are set up and observed where appropriate ❑ ❑ ❑ <br /> Access to the work area limited to authorized personnel ❑ ❑ ❑ <br /> Decontamination procedures are followed and match the requirements of the HSP ❑ ❑ ❑ <br /> Decontamination stations (including hand/face wash)are set up and used ❑ ❑ ❑ <br /> Personal protective equipment used matches HSP requirements ❑ ❑ ❑ <br /> Hearing protection used where appropriate ❑ ❑ ❑ <br /> Respirators are properly cleaned and stored ❑ ❑ ❑ <br /> Utility locator has cleared subject locations ❑ ❑ ❑ <br /> Overhead utilities do not present a hazard to field equipment/personnel ❑ ❑ ❑ <br /> Traffic control measures have been implemented ❑ ❑ ❑ <br /> Trenches and excavations are in compliance with federal, <br /> state, and local safety requirements before worker entry ❑ ❑ ❑ <br /> Spoils are placed no closer than 2 feet from the edge of an excavation ❑ ❑ ❑ <br /> Emergency and first aid equipment is on site as described in the HSP ❑ ❑ ❑ <br /> Drinking water is readily available ❑ ❑ ❑ <br /> Accessible phone is readily available for emergency use ❑ ❑ ❑ <br /> Proper drum and material handling techniques are used ❑ ❑ ❑ <br /> Drums and waste containers are labeled appropriately ❑ ❑ ❑ <br /> Extension cords are grounded and protected from water and vehicle traffic ❑ ❑ ❑ <br /> Tools and equipment are in good working order ❑ ❑ ❑ <br /> Notes (All "no"answers must be addressed and corrected immediately. Note additional health and safety <br /> observations here): <br /> Conducted By: Signature: Date: <br /> Da umenM LFR;7/06 <br />