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® WEATHER, N Project-provided drinking water N Sunscreen ❑Rock salt,traction sand
<br /> CLIMATE, ❑Canopy for shade,weather protection ❑Ice creepers(boot attachments) ❑Portable heater(electric or kerosene)
<br /> SEASONAL N Other:winter driving possible,some changing weather conditions predicted
<br /> ® HYGIENE N Hand washing equipment(soap&wash water) N Hand sanitizer,disinfectant supplies ❑Sanitary facility,porta-toilet
<br /> PROVISIONS ❑Other:
<br /> ® BASIC PPE N Standard work clothes appropriate for task N Safety glasses(as needed) N High visibility/reflective vest/apparel
<br /> N Hard-toed boots/shoes N Work gloves appropriate for task N Nuisance dust mask(voluntary use)
<br /> N Hardhat(as needed) N Noise/hearing protection
<br /> ® BIOLOGICAL ❑Insect control(DEET/picaridin repellant,wasp spray,other) € ❑Animal warning device(for bears/cougars/wolves/large animals)
<br /> HAZARDS ❑Poison ivy protection(Ivy Block skin cream,Technu skin wash) N Hand sanitizer(for general hygiene or COVID-19)
<br /> ❑Tick removal kit N Disinfectant supplies(for general hygiene or COVID-19)
<br /> ❑Pant leg"blousing"/gaiters(tick safe) ❑Face covers for COVID-19 prevention
<br /> ❑Snake chaps/gaiters
<br /> ❑Other:
<br /> ® i SPECIAL N Portable GFCI(s)for shock protection ElLockout/tagout equipment El Personal fall protection apparatus
<br /> HAZARD El Electrical-hazard-rated boots,gloves El Portable lighting ❑Personal flotation device
<br /> CONTROLS ❑Arc-resistant(AR)protection PPE for arc flash ❑Tripod/winch ❑Ring buoy&rope
<br /> I❑Flame-resistant(FR)clothing ' ❑Ventilation equipment(fan,blower) € ❑Marine survival suit
<br /> I N Work-area delineation supplies N Pedestrian control devices
<br /> _....._ .........
<br /> ❑Other:
<br /> CHEMICAL PPE ❑Goggles and/or face shield ❑Disposable N95 respirator N Decon solution,related supplies
<br /> and CHEMICAL N Chemical protective gloves I ❑Half-face respirator(APR),cartridges I N Receptacle for disposable PPE
<br /> SAFETY GEAR ❑Coveralls(Tyvek,or other) ❑Full-face respirator(APR),cartridges ❑Chemical hazard emergency gear—listed
<br /> ❑Outer boots,boot covers ❑Exclusion Zone delineation supplies in"EMERGENCY EQUIPMENT"below
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<br /> ❑Air monitoring equipment,worker exposure monitoring device(s):
<br /> ❑Other:
<br /> ® EMERGENCY ❑Air horn,alarm,alerting equipment N Eyewash bottle(s) Vehicle emergency preparedness:
<br /> EQUIPMENT ❑2-Way radios;other communication device ❑15-min.eyewash station ®Fire extinguisher,first aid kit
<br /> N First aid kit(s)—onsite and/or in vehicles ElEmergency deluge shower ❑Flares,lights,reflective device
<br /> ®Fire extinguisher—onsite and/or in vehicles N Chemical spill kit/supplies ❑Roadside assistance service
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<br /> Other:
<br /> PART D- HAZARD ANALYSIS AND CONTROLS
<br /> D.1. ROUTINE HAZARD PREPAREDNESS(This section required for all Tasks)
<br /> Site-Specific Notes&Clarifications:General hazards include operation of coring equipment,hand augering borehole,heavy lifting of equipment,and pinch
<br /> points when installing SVPs and/or using hand tools.Field personnel should watch for signs of heat stress and should be cautious when near wet surfaces.
<br /> Routine Driving;Hazards
<br /> ®Routine work travel—Use routine safe/defensive driving practices(seat belts,safe speeds,eyes ahead,no tailgating,limit distractions,safe cell phone use,
<br /> no texting,clear windows,account for weather/road conditions,adequate sleep,other measures as appropriate).
<br /> N Unfamiliar location—Plan travel route before driving in roadway:view map,plot your route and/or enter destination and activate navigation device.
<br /> N Fatigue—Minimize fatigue during long drives:frequent rest breaks,eat light snacks-avoid heavy meals,stay hydrated,fresh air,no loud music,keep
<br /> windshield clean;avoid/minimize long distance driving during your ordinary sleep hours;total work time and drive time should not exceed 14 hours per day.
<br /> ❑Unfamiliar vehicle—Become familiar with vehicle operational controls and handling characteristics before operating vehicle.
<br /> Geosyntec Procedures: HS-105-Driver and Vehicle Safety;HS-211-Fatigue Management Plan
<br /> General Safety
<br /> N General site hazards—Prevent slips/trips/falls(resulting from rough terrain,trip hazards,steep slope,slippery surfaces);maintain good housekeeping.
<br /> N Musculoskeletal hazards—Prevent strains/sprains from strenuous tasks,overexertion,repetitive motion/ergonomic/lifting(seek help/lift-aids over 49 lbs.)
<br /> N Weather/climate-related hazards—Prevent heat/cold-related illness,use sunscreen,monitor weather,i.d.shelter/refuge,use"30/30 rule"for lightning.
<br /> ❑Plant/insect/animal hazards—Use precautions:poison ivy blocker/wash;insect repellant;tick checks;wasp spray;animal precautions.
<br /> N Common unsanitary/allergenic hazards—Use routine hygienic measures/precautions;hand washing/sanitizer,food hygiene,PPE,disinfectant cleaning.
<br /> N Infectious/Pathogenic-For COVID-19,and other non-typical/potentially high-risk pathogenic hazards,see D.13"Infectious/Pathogenic Biohazards."
<br /> N Worksite traffic hazards—Implement measures to protect personnel(high-visibility/reflective clothing,on-person lighting,traffic control measures).
<br /> N Hazardous energy—Use caution near electrical equipment/wet locations,machinery/physical hazards,stay out of hazard zone/line-of-fire,don't touch.
<br /> ❑Illumination hazards/night work—Illuminate work areas and/or access routes,use high-visibility and reflective clothing or on-person lighting,as appropriate.
<br /> ❑Security,potential crime/violence,urban/industrial zones—Complete the Assessment for Specific Risk:Working in Urban and Industrial Zones
<br /> ❑Working alone-Develop a project-specific plan/procedure on limitations for Ione work and specify a plan for periodic communication/contact.
<br /> Geosyntec Procedures:HS-124-Heat Stress,HS-125-Cold Stress,HS-127-Ticks,HS-207-Working Alone,HS-208-Housekeeping,HS-210-Walking and Working
<br /> Surfaces,HS-401-Back Injury Prevention,HS-517-Traffic Safety,Assessment for Specific Risk:Working in Urban and Industrial Zones
<br /> Geosyntec Project/Task Name:TR0712/GSH OxyChem-Stockton SVP Installation
<br /> THA Date:06/25/2022 Page 3
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