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• • Project 20939-001.001 <br /> SITE SAFETY AND OPERATIONS PLAN Page 5 of 6 <br /> Safety/Health Equipment Check-out List <br /> General Safety: <br /> First aid kit ❑x Eye wash station ❑ <br /> Safety glasses/face shield ❑O Drinking water ❑x <br /> Safety shoes/gloves O Tyvek suits/vinyl gloves ❑O <br /> Personal clothing change ❑ Hearing protectionx❑ <br /> Wash/decontamination materials ❑ Other ❑ <br /> Specific Safety Equipment: <br /> ❑x Respirator:type (dust, cartridge, SCBA, etc.) <br /> ❑ Combustible gas/explosimeter <br /> ❑ Oxygen indicator <br /> ❑ Dosimeter badge(s) <br /> ❑ Draeger/Sensidyne pump and benzene, chlorinated solvent detector tubes <br /> ❑ Duct tape, brushes, buckets, water, soap, paper towels, caution tape, traffic cones <br /> ❑O Photoionization detector <br /> O Fire extinguisher <br /> 11 <br /> Special conditions and comments: <br /> Note: This H&S plan has been developed for the use of EMCON personnel only. EMCON makes this plan <br /> available for review by other personnel on a work site: however, this plan does not cover the employees <br /> of any other employer on the work site. <br /> Date: <br /> Project Manager: <br /> Region HSM: <br /> Supplemental signature page included? ❑x Yes ❑ No <br /> SAMNAN0\0939\09390110.1 BS-98\pzusmer:l Rev.0,04/08/98 <br />