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Job Safety Analysis PERMITS WELDING HAZARDS ELECTRICAL HAZARDS/BODY EMERGENCY RSONAL PROTECTIVE EQUIP. (ENVIRONMENTAL) I EQUIPMENT rr (PPE) Excavation/Trench LJ Flash burns Electrical Shock Locked&Tagged out Fall Potential Fire Extinguishers J Rubber Gloves ("One Call"made) ❑ Cold Work ❑ Combustibles ❑ Heat Stress Try Start/Stop Pinch Points ❑ Safety Shower Leather Gloves Switch El Hot Work ❑ Spark ❑ Heavy Objects GFCI Test Slip-Trip Potential 1:1Evacuation Route Special Purpose Gloves Containment — ❑ Entry Permit/Confined ❑ Shields ❑ Hot/Cold Surf.or ❑ Assured Grounding Other Lifts/Rigging Slicker Suit Space Mat._ ❑ Line Breaking ❑ Grounding El Inadequate Lighting ❑ Extension Cord HAZARDS/CHEMICALS El Critical Lift Acid Suit Inspection ❑ Signed Off When ❑ Fire El Line Breaking– Chemical Burn Skin ❑ an Lifting Rubber Boots Complete Extinguisher El Burn Eyes Check List attached OTHER WORK IN AREA ❑ Softeners Metatarsals ❑ _____ _______ LOTTO ❑ Water Hose ❑ Other ❑ Fire Blanket ❑ Noise El Others Working Flammable ❑ Proper Rigging Respirator Overhead Practices Fire Watch Sharp Objects Type Work Others Ingestion Chain fall,Come a '/2 face ACCESS Leads routed Doing: long ❑ overhead 7'/ ❑ Other ❑ Inspected-in good Full Face not in waiK way ❑ __ utner conaiiion ❑ Scaffold(properly Sewer Covers Poor Access/Egress PPE Due to Other Inhalation Crane PAPR inspected ) WorkI ❑ Ladder(Tied off_) OVERHEAD TOOLS ❑ Other Skin Contamination ❑ Forklift Fresh Air WORK I ❑ Man lift (inspected) ❑ Barricades El Proper Tools for the Confined Space Know the Following: El Operator Certificate Hearing Protection Job ❑ Personnel Basket El Hole Cover 11 Good Tool Condition • Possible hazards within the confined space Condition of Safety Harness (inspected&approved ❑ ns Si9 • First signs of exposure Equipment– Pointsh d Ancor � • How to summons help Inspection Checklist Approve _.... ❑ Operator Training Handrail Qualifications • How to track personnel Rigging and Lifting Mono Goggles(vented/non- * Entering and exiting the confined space JSP-Required vented) Worksite Stretches: ❑ Current Inspection • Maintain contact with all entrants by voice or Barricades Face Shield ❑ ❑ ❑ ❑ • Before shift/Pre-task/End of shift visual ❑ _ • Stretch to a point where you feel a mild tension Tool Tethers Do not attempt to rescue unlss you are a part of a ❑ Tags on all sides Kevlar Gloves and relax as you hold the stretch. Trained in confined space revue.