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Job Safety Analysis <br /> Pre-Job Preparation Safety Access/Location Employee Authorization to STOP Work <br /> 1. Get Permit for Job Drill Gas Recovery Wells/Completing Gas Wells: I have been given authorization,without fear of reprimand or retaliation,to immediately <br /> 2. Fill out JSA <br /> 3. Review JSA(EVERYONE) STOP any work activity that presents a danger to me,my co-worker or the public;get <br /> 4. Sign JSA(EVERYONE) Wind Direction: involved,question and rectify any situation that is identified as not being in compliance <br /> with our safety and health policies;to report any unsafe conditions or acts to supervision <br /> Evacuation Route: and question any activity that involves violation of established Safety and Health policies. <br /> Assembly Point: <br /> Job Tasks: (What are you doing?) Potential Hazards: Recommended Action or Procedure to <br /> eliminate/miti ate Hazards <br /> Drilling Gas Recovery Wells Overhead/underground Power Lines, • Complete utility mark-out monitor landfill <br /> Methane/Hydrogen Sulfide Gas, Lighting, Pinch Points gases,watch pinch point, maintain three <br /> Slips, Trips, Falls, Severe Slopes, Rotation Parts, Fire point contact, use well covers, place guards <br /> Traffic, and Noise over rotating parts, maintain charged fire <br /> extinguisher, safety distance from traffic, <br /> hearing protection <br /> Completing Gas Wells Slips,Trips, Falls, Severe Slopes, Overhead Objects, Complete utility mark-out, monitor landfill <br /> Well Casing, Methane/Hydrogen Sulfide Gas, gasses, check lifting slings, maintain eye <br /> Equipment Operator, Proper Lifting, Use Well Gates contact with operator, proper lifting, use well <br /> rates. <br /> Crew Name Signatures <br /> Job Close Out <br /> Any incidents/Injuries/Near miss/STOP work reported? Job Audited Recommendations: <br /> List: Time: <br /> Supervisor/Auditor Signature: <br /> Before starting work: Is this the SAFEST way to do this JOB? <br /> `I will not put myself or let my co-workers perform any task that I would not allow my son or daughter in, on or around." <br /> Consider the following and check the items which apply to the job, then review with the work crew. <br />