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F. OTHER HAZARDS <br /> Heat Stress? x❑ Yes ❑ No If yes, please specify precautions to be taken: <br /> • Take a break in a cool place; monitor personnel using pulse rate and/or blood pressure, body <br /> temperature take frequent brakes in a shaded area. Provide drinking water and/or electrolyte <br /> replacement drink. Record time and duration of all breaks and results of personnel monitoring. <br /> Heat stroke victims must receive emergency medical care. <br /> Cold Stress? ❑ Yes [�] No If yes, please specify precautions to be taken: <br /> Excessive Noise? F`x] Yes F-� No If yes, please specify precautions to be taken: <br /> Wear ear plugs <br /> Confined Space Entry? ❑ Yesx❑ No If yes, attach copy of Confined Space Entry Permit. <br /> Excavations 4' or greater in depth? ❑ Yesx❑ No If yes, specify precautions to be taken: <br /> Welding, Cutting & Brazing? ❑ Yesx❑ No If yes, specify precautions to be taken: <br /> Heavy Equipment Operation? ❑ Yesx❑ No If yes, specify precautions to be taken: <br /> Slip, Trip or Fall Hazards? x Yes No If yes, specify precautions to be taken: <br /> Cones, caution tape, and Duct tape to secure electrical cords. And other trip hazards. <br /> Presence of Overhead Utilities <br /> Are overhead utilities present at the project site? x❑ Yes ❑ No <br /> *If so, always maintain suitable clearance from overhead lines. Reference manual section 12.* <br /> Specify location: <br /> iAppendix 7-4 (Form HS 003) <br /> Page 4 of 11 <br /> Revised: 10105 <br />