Laserfiche WebLink
❑ Site visit only; site HASP not necessary. List personnel liere and sign off below: <br /> Regulatory Status: <br /> Site regulatory status: Safety Officer Manual(Required to be On-Site) <br /> CERCLA/SARA RCRA Othe Based on the Hazard Assessment and Regulatory Status, determine the <br /> Standard HASP(s)applicable to this project. Indicate below which Standard <br /> Federal Agency HASP will be used and append the appropriate pages of this form along with <br /> ®USEPA ❑USDA ❑ DOE the Standard Plan. <br /> ❑ Stack Test ❑ <br /> ❑State ❑ State ❑ USACE <br /> ❑Air Emissions El <br /> ❑NPL Site NRC ❑Air Force ❑Asbestos ❑ <br /> ❑OSHA ❑ 10 CFR 20 ❑ ❑ industrial Hygiene ❑ <br /> Hazard Communication(Req'd-See Attachment) ❑ ❑ <br /> 01910 ❑ 1926 ❑ State <br /> Review and Approval Documentation: <br /> Reviewed by: <br /> SO/DSM/CHS Alex Grubb <br /> Date: 2/27/19 <br /> Name Print Signature <br /> Approved by: <br /> Project Manager Brian P.Reilly _ <br /> Date: 2/27/19 <br /> Name(Print) Signature <br /> Hazard Assessment and Equipment Selection: <br /> In accordance with WESTON's Personal Protective Equipment Program and 29 CFR 1910.132,at the site prior to personnel <br /> beginning work,the SHSC and/or the Site Manager have evaluated conditions and verified that the personal protective equipment <br /> selection outlined within this HASP is appropriate for the hazards known or expected to exist.Refer to Safety Officer(SO) <br /> Manual Section 2,Personal Protection Program,for guidance. <br /> ❑ SHSC ® Site Manager <br /> Brian P.Reilly '"' Date: 2/29/19 <br /> Name Print Si naturt"'r---'' <br /> Project field work start date: This site HASP must be Amendment date(s) By: <br /> 3/27/19(tentative) reissued/reapproved for any 1. <br /> activities conducted after: 2. <br /> End field work: 3. <br /> 3/29/19(tentative) Date: August 2019 4. <br /> 2 of 23 <br />