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HEALTH AND SAFETY EQUIPMENT CHECKLIST <br /> *THE FOLLOWING SAFETYEQUIFMENT IS REQUIRED ON YOUR JOB SITE* <br /> 0 Photoionization Detector or Flame Ionization Detector or Draeger/Sensidyne Pump and Detector Tubes) <br /> ❑ Combustible Gas Detector- <br /> ❑ Oxygen indicator- <br /> ❑X Respirator-If PID or Draeger Tube readings exceed 10 ppm in breathing zone upgrade to modified Level C <br /> If PID or Draeger Tube readings exceed 50 ppm in breathing zone stop work <br /> ❑X Protective Clothing-Flame resistant Coveralls,Reflective Safety vest required at all times <br /> ❑X Chemical Protective Gloves-Nitrile gloves <br /> El Decontamination Equipment-Bring soap and water to wash hands and face if no facilities are available <br /> 0 Protective footwear-Required on all job sites <br /> ❑X Hearing Protection-Use when action level exceeds 85 dBa (near loud equipment or when shouting is <br /> needed to communicate to someone 3 feet away) <br /> 0 Safety Glasses or goggles when the potential for particulates vapors or gas could migrate splash or absorb <br /> into the eyes <br /> El Hard Hat-Required when drilling <br /> El Caution Tape,Traffic Cones,or Barriers- Required in traffic areas <br /> 0 Emergency Eye Wash Fountain- Located in Drill Rig or ETG field vehicle <br /> 0 FirstAfd Kit-Located in Drill Rig or ETG field vehicle <br /> ❑x Fire Extinguisher- Located in Drill Rig or ETG field vehicle <br /> ❑X Drinking Water-Located in ETG field vehicle <br /> PLAN APPROVALS <br /> Project Manager <br /> Title Signature Date <br /> Soil Boing and Well install HASP 2012 Rev,0,05/16/12 <br />