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PHYSICAL HAZARDS / <br /> Heat V Slip,Tnp,Fall Excavations/Trenches <br /> V" Cold Noise Moving Equipment <br /> Rain Underground Hazards Other <br /> Fog Overhead Hazards <br /> PERSONAL PROTECTIVE EQUIPMENT- R = Required A = As Needed <br /> Hard Hat Safety Eyewear (Type) <br /> Safety Boots _�Respirator (Type) <br /> Orange Vest Filter Type <br /> A Hearing Protection A Gloves ('lope) <br /> A Tyvek Coveralls Other <br /> A .5 Minute Escape Respirator <br /> MONITORING EQUIPMENT <br /> Organic Vapor Analyzer PID with lamp of eV <br /> Oxygen Meter Draeger Tube <br /> Combustible Gas Meter Passive Dosimeter <br /> HZS Meter Air Samphng Pump <br /> W.B.G.T. Filter Media <br /> ONSITE SAFETY MEETING ATTENDEES <br /> Signature Name (Printed) Date <br /> PERSONAL AIR MONITORING <br /> Sample # Sample # <br /> Name Name <br />*Date Date <br /> Time On Off Time On Off <br /> Laboratory Used <br /> MS(90)003 2nd Revision March 2891990 <br />