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ARCHIVED REPORTS_2016_1
Environmental Health - Public
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2016_1
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Last modified
7/18/2020 3:36:38 PM
Creation date
7/3/2020 10:46:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2016_1
RECORD_ID
PR0440004
PE
4433
FACILITY_ID
FA0004517
FACILITY_NAME
FOOTHILL LANDFILL
STREET_NUMBER
6484
Direction
N
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09344002
CURRENT_STATUS
01
SITE_LOCATION
6484 N WAVERLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440004_6484 N WAVERLY_2016_1.tif
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EHD - Public
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I INCIDENT REP <br /> CAUSAL ANALYSIS (IF APPLICABLE) cont. <br /> Were PERSONAL FACTORS adequate? Were JOB FACTORS adequate? ❑Yes ❑No <br /> ❑Yes ❑No <br /> If no,reasons personal factors not adequate If no,reasons job factors not adequate <br /> ❑ Physical Capability ❑ Training/Knowledge Transfer ❑Purchasing/Material Handling(Cont) <br /> ❑ Vision ❑ Knowledge transfer ❑ Material packing <br /> ❑ Hearing ❑ Recall of training ❑ Material shelf-life exceeded <br /> ❑ Other sensory impact(smell/touch) ❑ Training provided for work ❑ Ident.of hazardous material <br /> ❑ Respiratory capacity ❑ Leadership(Mgmt) ❑ Salvage and/or waste disposal <br /> ❑ Physical disabilities ❑ Conflicting roles or responsibilities ❑ Use of ES&H data <br /> ❑ Temporary disability (broken leg) ❑ Leadership practices ❑ Tools and Equipment <br /> ❑ Inability to sustain body positions ❑ Correct of reported hazard ❑ Assessment of needs/risks <br /> ❑ Restricted range—body movement ❑ Identification of hazards ❑ Ergonomic considerations <br /> ❑ Substance sensitivities or allergies ❑ Management of change ❑ Standards/specifications <br /> ❑ Size or strength ❑ Incident reporting/invest. ❑ Availability(Tools/equipment) <br /> ❑ Medication ❑ Safety meetings ❑ Adjustment/repair/maintenance <br /> ❑ Physical Condition ❑ Performance Measurement ❑ Salvage and reclamation <br /> ❑ Previous injury or illness ❑ Contractor Selection/Oversight ❑ Removal/replaced wrong item <br /> ❑ Fatigue(workload,lack of rest) ❑ Contractor pre-qualifications ❑ Equipment record history <br /> ❑ Performance loss(temp.,02 level) ❑ Contractor selection LJ Policies/Standards/Procedures <br /> ❑ Blood sugar deficiency ❑ Non-approved contractor LJ PSP for the work performed <br /> ❑ Impairment(drug or alcohol use) ❑ Oversight ❑ Development of PSP <br /> LJ Behavioral Aspects LJ Engineering/Design ❑ Implementation of PSP <br /> LJ Examples by supervision LJ Technical design ❑ Enforcement of PSP <br /> ❑ Critical behaviors not identified ❑ Standards/specs/criteria ❑ Communication of PSP <br /> ❑ Critical behaviors not reinforced ❑ Assessment of potential failures LJ Communication <br /> ❑ Unsafe behaviors not identified ❑ Ergonomic design LJ Horizontal(peer-to-peer) <br /> ❑ Response to unsafe acts ❑ Monitoring of construction ❑ Vertical(employee to super) <br /> ❑ Productivity incentives ❑ Assessment/operational readiness ❑ Between organizations <br /> ❑ Time and cost constraints ❑ Monitoring of initial operation ❑ Between work groups <br /> LJ Skill Level ❑ Evaluation/documentation change ❑ Between shifts <br /> Assessment of required skills LJ Work Planning ❑ Communication methods <br /> ❑ Practice of required skills LJ Work planning ❑ Communication method available <br /> ❑ Performance of skills ❑ Preventative maintenance ❑ Instructions <br /> ❑ Skill ❑ Repairs ❑ Job turnover <br /> LJ Other ❑ Wear and tear ❑ Communication of ES&H data <br /> LJ Judgment ❑ Reference materials ❑ Standard terminology <br /> ❑ Memory ❑ Audit/inspection/monitoring ❑ Verification practices <br /> ❑ Poor condition or reaction time ❑ Job placement(personnel) ❑ Language differences <br /> ❑ Emotional upset LJ Purchasing/Material Handling <br /> ❑ Fears and phobias H Item(s)received <br /> ❑ Preoccupied with problems/concerns ❑ Research on requirements <br /> ❑ Conflicting directions/demands ❑ Mode or route of shipment <br /> ❑ Confusing directions/demands ❑ Handling of materials <br /> ❑ Frustration ❑ Storage of materials/parts <br />
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