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LEL-Lower Potesive Limit Npercent ®' TAILGATE SAFETY MEETING <br /> IP-lonivution Potential L eV <br /> Health Hmsds: Leners in iteliarcpe nterposureroNee: R-Respimtory:l-Ingestion:&Skm Absoritiom&E-Eye Absorption <br /> SK -Chemical aepmennu a signifievn skin abwsption hazed. <br /> • <br /> PHYSICAL HAZARDS: <br /> ❑Heat Stress ®Cold Stress ®Wet(rain) ®Noise Date: <br /> ®Slip,Trip,&Fall ®Heavy Equipment ❑Electiteal Hazards <br /> ®Underground Hazards: One Call Ticket#_ Date Called: _ <br /> ®Private Locraor Utilized:Ci Brnlherx ®Overhead Hazards Project Name: <br /> ®Traffic ❑Excavations/frenching ❑Confined Space <br /> ❑Other. _ Project Number: <br /> BIOLOGICAL HAZARDS: Site Location: <br /> ❑Pathogens: ❑Mold: <br /> ❑Plants:_ ❑Insects: _ Scope of Work for Day: <br /> ❑Other Fauna: ❑Other: <br /> SITE CONTROLS: Lead By: <br /> PERSONAL DECONTAMINATION PROCEDURES:_ Name tinted Signature <br /> PERSONAL PROTECTIVE EQUIPMENT—R=REQUIRED,A=HAVE AVAILABLE <br /> A Eye Protection: A Safety Glasses;_Splash Goggles:_Face Shield:_Other: _ <br /> R Hard fiat R Steel-Toed Boots _Chemical Resistant Boots <br /> R Traffic Safety Vest A Hearing Protection: _ <br /> Protective Clothing: ❑Tyvek"° ❑Coated Tyvee.❑Sarin=❑Other. <br /> A Gloves: ®Nitdle:❑PVC;❑Neoprene;®clotMeather,MOther_ <br /> A_Respiratory: ❑Full-Face APR:®Half-Face APR <br /> A Filter: ®Organic Vapor,❑Acid Gas;❑HEPA;❑Other. <br /> Other: <br /> If air monitoring in the workers'breathing zone exceeds 25 Penn for 60 seconds or longer,upgrade to Level C(APR)or <br /> vacate the immediate area <br /> MONITORING EQUIPMENT <br /> ®Photo Ionization Detector with 10.6 eV Imp ❑Flame Ionization Detector <br /> ❑Combustible Gas Indicator ❑Oxygen Meta <br /> ❑Detector Tube(Brand: -Tubes: <br /> []Hydrogen Sulfide Meter <br /> ❑Passive Dosimeter <br /> []Air Sampling Pump-Filter Media: _ <br /> ❑Other: _ <br /> Frequency of monitoring: <br /> C:\U=m\jwong MDauLLacaMAcmwR\WiMwv eM lie\CommtOudwk\C3 M3x\13390.HSR.Eoc C:\IlevsywongappDauV.acalV.ticmwn\Win wN clC heConwuA Uwk\C2R 3MIS290-HSP.doe <br />