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i <br /> PERSONAL PROTECTIVE EQUIPMENT <br /> The required personal protective equipment level is: ` [ ]A,[ ]B,[ ]C,AJ D. <br /> Specific protective equipment required: �R''�-/�►•,d' • --5 f�e�`fr�od h�� = 5 A,e S <br /> 7. <br /> Protective clothing required: A-"e'n <br /> Respiratory equipment required: t'e T <br /> Cartridge type: <br /> This cartridge is expected to provide protection for hrs <br /> AAll site personnel have been train ed 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 degrees F. <br /> Adjusted air temperature[Tadj_Tair(fo)+ (13 X%Sunshine)]is not expected to exceed 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: <br /> EMERGENCY PROCEDURES <br /> i <br /> . . I <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/Explosion: 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: '6noAS R/ S <br /> EMERGENCY MEDICAL FACILITIES <br /> Hospital name and location: .,44paole,, 5oi L., <br /> Hospital phone number: f2O��Z 3 - 3///3 — 3/// <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 Oflicer's vehicle. <br /> Police Number. /� Fire Number.- <br /> Office <br /> umber.Office Number. //�— �/W-070C&entNumber: SlO6>5`—lJr6� <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 carver 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 /> i <br /> Field Team Member <br /> ., i <br />