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HAZARDS EMERGENCY RSONAL PROTECTIVE EQUIP. PERMITS WELDING (ENVIRONMENTAL) ELECTRICAL HAZARDS/BODY EQUIPMENT PPE Excavation/Trench("One LJ Flash bums L Electrical Shock Locked&Tagged out LJ Fall Potential LJ Fire Extinguishers Rubber Gloves Call"made) ❑ Cold Work ❑ Combustibles Heat Stress Try Start/Stop Switch El Pinch Points ❑ Safety Shower Leather Gloves ❑ Hot Work C1 Spark Heavy Objects ❑ GFCI Test ❑ Slip-Trip Potential Evacuation Route Special Purpose Gloves Containment ❑ Entry Permit/Confined ❑ Shields Hot/Cold Surf.or Mat. ❑ Assured Grounding ❑ Other Lifts/Rigging Slicker Suit Space ❑ Line Breaking ❑ Grounding E Inadequate Lighting ❑ Extension Cord RDS/CHEMICALS Li Critical Lift Acid Suit Inspection ❑ Signed Off When ❑ Fire Line Breaking— 0 Chemical Bum Skin ❑ Manual Lifting Rubber Boots Complete Extinguisher Check List attached OTHER WORK IN AREA ❑ Softeners Metatarsals ❑ t nemicai tsurn t;yes LO/TO ❑ Water Hose ❑ Other ❑ Fire Blanket E Noise Others Working ❑ Flammable ❑ Proper Rigging Respirator Overhead Practices .......-._..---- Fire Watch Sharp Objects Type Work Others Ingestion Chain fall,Come a %face ACCESS Leads routed Doing: long ❑ overhead 7'/not E Other ❑ Inspected-in good Full Face in waiK way _ ____ utner comm�on ❑ Scaffold(properly ❑ Sewer Covers Poor Access/Egress ❑ PPE Due to Other ❑ Inhalation ❑ Crane PAPR inspected_) Work —_. ---. ❑ Ladder(Tied off_) OVERHEAD TOOLS ❑ Other ❑ Skin Contamination ❑ Forklift Fresh Air WORK ❑ Operator Certificate Man lift (inspected) LJ Barricades Proper Tools for the Job Confined Space Know the Following: ❑ ficate Hearing Protection ❑ Personnel Basket Hole Cover Good Tool Condition • Possible hazards within the confined space Condition of Safety Harness (inspected&approved Signs • First signs of exposure Equipment— _) • How to summons help Inspection Checklist Approved Anchor Points ❑ Operator Training ❑ Handrail E Qualifications • How to track personnel ❑ Rigging and Lifting Mono Goggles(vented/non- e Entering and exiting the confined space JSP-Required vented) Worksite Stretches: E Current Inspection . Maintain contact with all entrants by voice or visual Barricades Face Shield • Before shift/Pre-task/End of shift Do not attempt to rescue unless you are a part of a Trained in ❑ • Stretch to a point where you feel a mild tension and Tool Tethers confined space rescue. ❑ Tags on all sides Kevlar Gloves relax as you hold the stretch. Remain at entry point;assume no duties that will take you • Stretches should be held for 10-30 seconds. Tool Lanyards from there. Stands Used Kevlar Sleeves Sims posted to identifv confin P „arP9 ❑ • Alpoint of pain.ways stretch within your comfort limits,never to the 42 high Fire Retardant Clothing Caution/Yellow Safety glasses with ANSI app. Side Shields Danger/Red Welding hood Taken down at the end Burning Goggles of shift Other