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616 udgm iii air Iiiiii aw woo Mir Aw ow ow wit war Maw mrr= <br /> Pre-Job Preparation <br /> HAZARDS REQUIRING ACTION: CONTROL MEASURES: RESPONSIBLE PARTY: <br /> USA North Utility Locate Call-In Completed required call. Paul Anderson <br /> Third-Party Utility Locate Will perform third-party locate to clear each soil probe location. Subdynamic Locating Services,Inca <br /> Direct-Push Probing to 6'Depth Follow TEG health&safety protocols and wear required PPE. TEG and Brendon Wilder <br /> Soil Vapor Sampling Activities Follow PSC health&safety protocols and project work plan. Brendon Wilder <br /> l otcA Arr. .0 L/,lo t � le-ct <br /> ice& .r far✓ <br /> 5tL, Eh / <br /> ce _5 J�`v t/ ����C �C Gry itis <br /> IDLH REQUIREMENTS: <br /> LOTO <br /> Confined Space Entry <br /> Fall Protection <br /> Other <br /> Mid-Shift Job Inspection <br /> Has anything changed or have new hazards been introduced? If so, xp)aln below. 3 <br /> Supervisor/Foreman: Audit the Job While in Pro ress Time: S. t9 Initials: <br /> What has Changed? Identify Potential Risks Preventive Measures to Eliminate Risks <br /> Was there any impact to the environment?Yes No Was there any potential for impact?Yes No Is area clean?Yes No <br /> List any Short Service Employees(90 days or less): <br /> What steps will be taken to ensure safety'. <br /> Close-Out Job <br /> End the Job Properly Time: /4.y Q Initials: e—J <br /> ALL CREW MEMBERS PRINT NAME&SIGN BELOW <br /> 9. <br /> 10. <br /> 2. r <br /> 7. 11. <br /> 3. <br /> 4. <br /> 8. 12. <br />