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�1 <br /> PHYSICAL HAyARDS .i <br /> Heat ✓Slip.Trip,Pau ✓ �! <br /> �y —Eseava[ionslTrcnches <br /> Noise. <br /> ✓MnvioB Equipment r;; . <br /> L!Aain Lfnjerground Hazardstr. <br /> Other <br /> _Feg Overhead Hazards F <br /> PERSONAL PRt7TE ~—` S <br /> _ <br /> L'1'IV$EQCRpMEhT- R=Re uired <br /> . 4 A As Needed Hard Ha[ Safety Eyewcar(Tp.)_ 1a(a1Sa5. f . <br /> Safety Bmts —Respirator <br /> Orange Vest Filter 1}pe - - <br /> AHearing Protection G.,.S(7ype) <br /> .�Tyvek Coveralls Other <br /> e Respirator <br /> S Minute Escap - s <br /> ( MONITORING EQ[IYPMEh1' <br /> . f - _Organic Yapor Analyrer _PTDM,hlam f_ <br /> P° eV <br /> Oxygen Meter Draeger Tube <br /> Cnmbus[iblc Gas Meter _Passive Dosirae[er,:. y <br /> HZS Meter <br /> . AI Samppng Pump ` <br /> I �W.H.Q.T. _ pd—media, <br /> ONSITE SAFELY}, . <br /> ff1-r1LtiG ATIP.NDEES <br /> IJf Signature Name(Primed) pa[c <br /> a <br /> PERSONAL,AIR MONITORING �— <br /> Sample - <br /> Sample# <br /> Name g <br /> t "'Dale Date- € <br /> Time On Off T e On <br /> - <br /> Laboratory Used Off <br /> MSI9010g32nd Revision)larch 29.1990 - t <br />