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PERSONAL PROTECTIVE EQUIPMENT <br /> The required personal protective equipment level is: [ ]A,[ IBJ[ ]C,W D. <br /> Specific protective equipment required: _N44'o 1401", S N L r u! 13J-37 GL.+e.r I <br /> Protective clothing required: -� <br /> Respiratory equipment required: Y7- 150-4.rL <br /> Cartridge type: yucr <br /> This cartridge is expected to provide protection for_�hrs <br /> " All site personnel have been trained in the use of protective equipment <br /> DECONTAMINATION PROCEDURES <br /> Personnel and equipment shall be decontaminated as follows:.)Wash and rinse all exposed skin and equipment. <br /> []Other: <br /> HEAT STRESS MONITORING <br /> The anticipated air temperature is 70 degrees F. <br /> Adjusted air temperature[Tadj_Tair(fo)+ (13 X%Sunshine)]is not expected to exceed 9�5- degrees F. <br /> [] A Health Alert Warning(temperature over 95 degrees F)has been issued by the weather service. <br /> [] Workers are trained to recognize and treat heat stress symptoms. The site safety officer will monitor pulse and temperature <br /> of workers showing signs of heat stress. No person shall work with a temperature exceeding 100 degrees F. <br /> Drinking water is available at: S �` <br /> EMERGENCY PROCEDURES <br /> Injury. The Site Safety Officer and Project Team Leader should evaluate the injury and contact an ambulance and/or the designated <br /> medical facility as needed. An incident report form should be filed for any injury. <br /> Fire/EVlosion: All personnel should immediately move to a safe location away from threat of fire and/or explosion. Sound alarm if <br /> available and call fire department. <br /> Emergency escape route and meeting place: <br /> EMERGENCY MEDICAL FACILITIES <br /> Hospital name and location: iL 1s,., f-��, �e•� �J�S � n 5.� l C ��ie �/- .i o1�► /t'0�1�� <br /> Hospital phone number: e.c., 1-e-4� <br /> A map to the hospital is attached. <br /> a first aid kit,eye wash and other emergency equipment is located in the Site Safety Officer's vehicle. <br /> Police Number: 9// Fire Number. /I <br /> Office Number:S/o- e120-O 700 Client Number: s/D-6 7S-E//6 <br /> Any injury sustained while working are covered under Worker's Compensation insurance. Any injured Cambria employee should <br /> inform the medical care facility that this is a Worker's Compensation claim and that our insurance policy is . Copies of the <br /> doctor's report on the injury should be forwarded to our insurance carrier at Cambria employees must notify <br /> on the same day so that we can properly file this claim. <br /> Any injured sub-contractor or sub-contractor employee will be covered under their employer's policy. <br /> Emergency medical treatment due to chemical exposure to compounds anticipated to be at the site is presented on the attached MSDS <br /> forms. <br /> All site workers have read the plan and are familiar with and will abide by its provisions. <br /> Name Signature <br /> Project Team Leader <br /> Site Safety Officer <br /> Field Team Leader <br /> Field Team Member <br /> Field Team Member <br />