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Location of Job: Corral Hollow Landfill, San Joaquin County, Calif. <br />(Unit/Location on Project): <br />Required PPE: <br />Safety Access/ Location <br />Supervisor of work: J.C. Isham 916-565-4316 <br />Safe Haven: <br />Wind Direction: <br />Evacuation Route: <br />Assembly Point: <br />JSA Prepared By: <br />Date:-,� <br />l� <br />Are other crews in area? <br />Pre -Job Preparation <br />1. Fill out JSA <br />2. Review JSA (EVERYONE) <br />3. Sign JSA (EVERYONE) <br />New: <br />Revised: <br />Job Task <br />()Xhat are You Doing) <br />Audit the Job <br />Audit Time: <br />Landfill Ground Water Sampling. Surface Water Sampling. <br />Potential Hazards <br />Supervisors Comments <br />Slips, trips, falls, machinery hazards insect and/or animal bites, <br />Contact dermatitis, changing weather conditions <br />Muddy conditions at landfill. <br />Recommended Action or Procedure <br />Safety Observer: <br />Refer to the Health and Safety Manual. <br />Crew Name S' atures: <br />1 <br />