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Job Safety Analysis <br /> PERMITS WELDING HAZARDS ELECTRICAL HAZARDS/BODY EMERGENCY RSONAL PROTECTIVE EQUIP. <br /> (ENVIRONMENTAL) EQUIPMENT (PPE) <br /> Excavation/Trench LJ Flash burns LJ Electrical Shock H Locked&Tagged out Fall Potential Fire Extinguishers Rubber Gloves <br /> ("One Call"made) <br /> ❑ Cold Work ❑ Combustibles ❑ Heat Stress 0 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 El Critical Lift Acid Suit <br /> _ <br /> Inspection <br /> ❑ Signed Off When ❑ Fire ❑ Line Breaking— Chemical Burn Skin ❑ Manual Lifting Rubber Boots <br /> Complete Extinguisher Check List attached OTHER WORK IN AREA ❑ <br /> ❑ ❑ Chemical Burn Eyes Softeners Metatarsals <br /> LO/TO ❑ Water Hose <br /> ❑ Other ❑ Fire Blanket ❑ Noise Others Working D Flammable ❑ Proper Rigging Respirator <br /> Overhead Practices <br /> Fire Watch Sharp Objects Type Work Others Ingestion Chain fall,Come a '/2 face <br /> ACCESS Leads routed Doing: long <br /> ❑ overhead 7'/ ❑ Other ❑ Inspected-in good Full Face <br /> not in wa1K way ❑ vtner conanion <br /> ❑ Scaffold(properly Sewer Covers Poor Access/Egress PPE Due to Other Inhalation Crane PAPR <br /> inspected_) Work _ <br /> ❑ Ladder(Tied offer OVERHEAD TOOLS ❑ Other Skin Contamination ❑ Forklift Fresh Air <br /> WORK __., <br /> ❑ Man lift (inspected) ❑ Barricades 0 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 /> e Entering and exiting the confined space JSP-Required vented) <br /> Worksite Stretches: ❑ Current Inspection • Maintain contact with all entrants by voice or Face <br /> Before shift/Pre-task/End of shi Barricades M_� <br /> 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 /> vnfrom+hnrc <br /> • Always stretch within your comfort limits,never to ' i I I 42"high I <br /> Sians posted to identify can fined space? Fira Retardant Clothinn <br />