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Job Safety Analysis <br /> PERMITS WELDING HAZARDS ELECTRICAL HAZARDS/BODY EMERGENCY RSONAL PROTECTIVE EQUIP. <br /> (ENVIRONMENTAL) EQUIPMENT (PPE) <br /> LJ Excavation/Trench LJ Flash burns H Electrical Shock H Locked&Tagged out I Fall Potential LJ Fire Extinguishers Rubber Gloves <br /> ("One Call"made) _ <br /> ElCold Work ❑ Combustibles [:1Heat Stress Try Start/Stop Pinch Points ❑ Safety Shower Leather Gloves <br /> Switch _ <br /> ❑ Hot Work ❑ Spark ❑ Heavy Objects GFCI Test Slip-Trip Potential ❑ Evacuation Route Special Purpose Gloves <br /> Containment <br /> ❑ Entry Permit/Confined ❑ Shields ❑ Hot/Cold Surf.or ❑ Assured Grounding Other Lifts/Rigging Slicker Suit <br /> Space _Mat._ <br /> ❑ Line Breaking ❑ Grounding ❑ Inadequate Lighting ❑ Extension Cord HAZARDS/CHEMICALS Critical Lift Acid Suit <br /> Inspection <br /> ❑ Signed Off When [IFire ❑ Line Breaking— Chemical Burn Skin ❑ Manual Lifting__„_-.__ Rubber Boots <br /> Complete Extinguisher Check List attached OTHER WORK IN AREA ❑ Softeners Metatarsals <br /> 1:1 - - -- --.--------.-- ❑ Chemical Burn Eyes <br /> LO/TO ❑ Water Hose <br /> ❑ Other ❑ Fire Blanket ❑ Noise Others Working 7 Flammable ❑ Proper Rigging Respirator <br /> Overhead Practices <br /> Fire Watch Sharp Objects Type Work Others Ingestion Chain fall,Come a %face <br /> ACCESS Leads routed Doing: long <br /> ❑ overhead 7'/ ❑ Other ❑ Inspected-in good Full Face <br /> not in waiK way ❑ viner _. conanion <br /> ❑ Scaffold(properly Sewer Covers Poor Access/Egress PPE Due to Other Inhalation Crane PAPR <br /> inspected I I Work _ <br /> ❑ Ladder(Tied offer OVERHEAD TOOLS ❑ Other Skin Contamination ❑ Forklift Fresh Air <br /> WORK <br /> ❑ Man lift (inspected) ❑ Barricades Proper Tools for the Confined Space Know the Following: Operator Certificate Hearing Protection <br /> _ Job <br /> ❑ Personnel Basket ❑ Hole Cover _ ❑ Good Tool Condition • Possible hazards within the confined space ❑ Condition of Safety Harness <br /> (inspected&approvedSigns First signs of exposure Equipment— <br /> ❑ <br /> • How to summons help Inspection Checklist Approved Anchor Points <br /> ❑ Operator Training Handrail Qualifications • How to track personnel Rigging and Lifting Mono Goggles(vented/non- <br /> Entering and exiting the confined space JSP-Required vented) <br /> Worksite Stretches: ❑ Current Inspection Maintain contact with all entrants by voice or Face Shield <br /> Before shift/Pre-task/End of shi Barricades <br /> ------ El El--- - — _ <br /> t visual ❑ <br /> • Stretch to a point where you feel a mild tension Tool Tethers Do not attempt to rescue unless you are a part of a ❑ Tags on all sides Kevlar Gloves <br /> and relax as you hold the stretch. Trained in confined space rescue. <br /> • Stretches should be held for 10-30 seconds. Tool Lanyards Remain at entry point;assume no duties that will take ❑ Stands Used Kevlar Sleeves <br /> v '.from fh.— <br /> 42' high• Always stretch within your comfort limits,never to I I I_ 9 <br /> kions Hosted to identify con fined mare? Fire Retardant Clnthinn <br />