Job Safety Analysis (JSA) Category: _General Date: — Location: Field Work ISA File: ‘Above Ground _ Protrusions. Task Description: “Above Ground Protrusions JSA Numbe 101 ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Working around above ground Slips 1. Avoid wet or oli floors/decks, highly waxed and polished floors protrusions. Trips 2. Remove any spilled liquid from the ground immediately Falls 3, Good traction helps prevent slipping. The soles of some boots may increase the chance of slipping; therefore, wear boots that provide good traction, 4. When exerting extreme force on tools, make sure that your footing is stable in case the tools slips or releases quickly. 5. Good housekeeping helps prevent tripping. Keep tools and other equipment out of walkways and working surfaces, 6. In addition to tools used in day-to-day operations, many items can cause tripping. Be alert for tripping hazards such as garden hoses, shovels, rakes, concrete bumpers in parking lots, uneven grating in catwalks, extension cords, loose shoe laces, etc. Take action to prevent tripping hazards where possible. 7. Tools, equipment, and materials must not be left on walkways or stairs. Safety Equipment Required To Do This J © Hard Hats Ti Work Vests TF Caution TaperBaricades _ Gi Safety Glasses C1 Safety Hamess 1 Hot Work Permit — B Stee! Tood Boots CO Face Shiota CO Confined Space Permit 1 Gloves CO Fire Extinguisher Di LockouyTagoutField Work Hazardous Materials Task Description: “Asbestos Abatement Date: JSAFile: Asbestos Abate JSANumber: 102. ‘Sequence of Job Steps Identified Hazards & Critical Behaviors mmended Procedures Site Charecterizationl Asbestos Survey Potential expose while taking samples, Failure to properly identify Asbestos Containing Material (ACM), Utilize appropriate Personal Protective Equipment Respiratory protection, coveralls, gloves, eye and foot protection, For improved quality control, consider duplicate tests sent to separate labs. Perform Work Potential employee exposure while working, Potential public exposure Inadequate decon procedures. Potential for release to Environmental Review asbestos survey. Folow site safely plan and hazard assessment recommendations. Uliize ait monitoring equipment, trained personnel and appropriate PPE: = Restrict area and post asbestos hazard signs ~ Construct worker decon station - Seal off all outside openings (isolation/crtical barriers) -Pre-clean work area + Cover walls, floor, and cellrg with poly sheeting = Conduct gross removailist phase cleaning ~ Conduct 2nd phase cleaning after required waiting period ~ Conduct 3rd phase cleaning after required waiting period Bag-out asbestos waste ~ Conduct final inspection = Conduct final clearance air sampling - Encapsuiate all surfaces in containment = Dismantle containment Decontamination/ACM Removal Potential employee exposure while working, Potential to release ACM to Environmental Before leaving the asbestos work area use a HEPA- ‘equipped vacuum to remove contamination from the protective clothing and exposed body parts, Remove and bag disposable PPE prior to leaving decon area, Safety Equipment Required To Do This Job: 1B Hara Hts BF Safety Glasses G Steot Teed Boots @ Gloves i Work vests TD Caution TapelBaricades other 1D Seafety Hames 1D Hot Work Permit Coveralls OO Face Shiols 1 Confined Space Permit Respiratory Protection Fire Extinguisher 1 LockoutrTagoutCategory: Heavy Equipment Location: ~ Field Work Task Description: _Crane Operations CraneOperations 103 ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures ‘Crane Operations General Lifts ‘Complete appropriate Safe Work Permit (varies by customer). Inform local operations and any remote operations of activities. Verify Crane Operator training A California State license is required, if the crane exceeds 7-1/2 ton rated capacity. ‘Overhead Hazards Power line hazards Pinch Points and obstructions Personnel caught under loads Personnel caught under out riggers Fingers caught in wire rope and rigging Verify Tocation of all power ines. Tflines cannot be shutin maintain @ ‘minimum of 10 feet clearance from equipment. Verify and increase distance (per approach charts) for lines in excess of 50,000 volts. Maintain spotter with no other duties than watching for interference, if ower lines are within swing radius. NEVER, work or walk under loads. NEVER, place your hand under a load. Don't place any part of your body in a pinch point with load. Ensure all personnel are clear of out riggers before setting Keep hands clear of wire rope and rigging, Only one person is to act as signalman; however anyone can call emergency STOP. Use tag lines to guide loads. Utlize appropriate PPE: hard hat, safety glasses, steel toed boots, ear plugs for crane operators and gloves for rigging, as necessary. Dropped loads, rigging failures Inspect rigging before each use. Ensure proper rigging selection; sufficient size and strength, Use acceptable rigging practices. Equipment Damage '* Potential to roll over Crane ‘+ Leftrunning and unattended, * High Noise Ensure pre-use inspection has been completed on crane prior to lift. Review load chart and ensure lift is within capacity of erane, Never leave orane running and unattended. Do not use cell phones while operating equipment. ‘Safety Equipment Required To Do This Job: Ba Hard Hats O Work Vests E Safety Glasses O Safety Harness & Stee! Toed Boots © Face Shield Gloves @ Fire Extinguisher © Caution Tape/Barricades Hot Work Permit CO Confined Space Permit CT LockoutTagout Oi Other:Category: _General Date: _ Location: “Field Work JSAFile: ___DeMobilize Task Description: _De-Moblize Equipment JSA Number: — 104 Sequence of Job Steps |__ Identified Hazards & Critical Behaviors Recommended Procedures ‘Allfield equipment, remaining site| Injuries vehicle aceidentdamage Implement ground control procedures; Use spotters when backing: personnel, equipment, and post and enforce speed limit onsite temporary facilities will be + Equipment Hazards: Noise, impact, etc. demobilized from the site Limit entry into areas where heavy equipment s operated; «Back strains Implement ground control procedures, Backup alarm andior spotter used at all times while backing, Use proper PPE (hard hat, safety glasses, steel toed boots) minimum. Follow safe lifting practices: use mechanical aids (forklift. dollies, cranes, etc.) as a first strategy; Use correct lifting postures; get help for large or awkward items, Remove traffic control zones Vehicle accidentidamage Discuss traffic control zones at daily safely meetings. (staging area, restricted access + Unauthorized vehicle enty into work | Utilize reflective vests on roadway or around trafic areas area, etc) zones. Ensure trafic control zones are no removed until work area is ready, Clean location and removal of Vehicle accidentidamage No riders allowed on equipment or on tailgates debris. ‘+ Equipment Hazards: Noise, Impact, etc. | Ensure backup alarms on equipment are working properly; use spotters for all backing vehicles; eliminate blind corners; and enforce ‘+ Foot injury, eye injuries, hand injuries | Speed limits onsite (5 MPH Max). Follow safe lifting practices: Use mechanical aids (forklift. dallies, cranes, otc.) as a first strategy; Use correct lifting postures; Get help for large or awkward items. Use two men on large loads. © Back strains ‘Safety Equipment Required To Do This Job: GH Hard Hats B Work vests i Caution TaperBaricades Oi other Gl Safety Glasses OB Safety Hamess Hot Work Permit - _ _ GI Steet Toed Boots i Face Shits (Confined Space Permit & Gloves i Fire Extinguisher C LockoutrragoutJob Safety Analysis (JSA) Category: _Heavy Equipment Date: _ Location: _Fieid Work JSA Fil - ‘Task Description: _Oemoliion/Loading and Haulin JSA Number: - ‘Sequence of Job Steps Identified Hazards & Critical Behaviors | Recommended Procedures ‘Verify Utility Clearances Demolition with the possibility of striking foreign | Cail dig Alert prior to work (800) 227-2600. utiities and pipeiines. Verity equipment operator training Utilize appropriate PPE: hard hat, safety glasses, steel toed boots, Potential for fires, spills, and damaged | coveralls, ear plugs and gloves as necessary underground utilities. High noise. Toading and Hauling Equipment | Hit by chain binder Pinch points All joads hauled on vehicles MUST be securely tied down with approved Dropped material rope, straps or chains. Under no circumstances shall a load be hauled without proper tie downs. Utilize ratchet straps when possible. Ratchet binders are preferred over chain binders to avoid injury. ‘When loading a fiat bed place load as far forward as possible preferably against a stationary object such as a head ache rack. When this is not feasible place the load centered over the rear axle, Before hauling a load make a quick walk around the vehicle to assure all tool boxes are closed and that the load is secure. When hauling a load check to be sure the load stays secure while under way. It’s a good idea to pull over and re-tighten your load periodically Driver's must ensure that the vehicle is rated for the weight that is carried onit ‘Safety Equipment Required To Do This Job: Hard Hats @ Work Vests @ Caution TaperBaricades O Giher Safety Glasses O Safety Hames Hot Work Permit, — _ B Steet Toed Boots OO Face Shiotd O Confined Space Perit O Rubber Gioves CO Fire Extinguisher i LockoutTagoutCategory: General Job Safety Analysis (JSA) Location: “Field Work Task Description: _Electrical Safely Date: - JSA File’ Electrical Safety JSA Number: 106. ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Working around Electrical: + Power poles * Conduits + Panels Potential for Electric Shock Potential for serious burns or injury Potential for Equipment Damage 1. Electrical installations and maintenance shall only be performed by certified electricians, 2. Lockout and Tagout electrical equipment prior to exposing personnel. 3. Allelectrical equipment shall have ground fault circuit interrupters (GFCI) or assured equipment grounding. 4, Avoid lifting long dimensional conductors (ducts or pipes) over or around live electrical, 5. Allextension cords shall be free of frays. 6. Allreceptacles must be mounted and secure prior to use, 7. Panel boxes must be covered to prevent accidental contact with live parts. 8. Portable ladders used for electrical work must have non- conductive side rails 9. Conductive items of jewelry or clothing shall not be worn unless they are rendered non-conductive by covering, wrapping or other insulating means. ‘Safety Equipment Required To Do This Job: 8 Hard Hats I Safety Glasses Steet Toed Boots O Gloves Co Work Vests CO Safety Hamess Face Shiels Ci Fire Extinguishor (D Caution Tape/Barricades Hot work Permit Gi Confined Space Permit DD Lockout/TagoutJob Safety Analysis (JSA) Category: _Heavy Equipment Location: “Field Work ~ Elevated Lif Operation ‘Task Description: _ Elevated Lift Operation 107 ‘Sequence of Job Steps Recommended Procedures Elevated Lift Operation Faulty Equipment Perform pre-use inspection prior to use Fall Hazards Ensure lift is operated by qualified operator Pinch Points Potential for roll over Electrical hazards Dropping tools on personnel Ensure personnel working in basket are tied off utilize full body safety hamess Never work or walk under loads Only use lift on fiat level ground + Do not use lift within 10 feet of energized power lines, distance should be increased per approach charts for high voltage lines. Te off tools or otherwise secure them from falling below Tape off or barricade work area Employees must alweys stand firmly on the floor of the basket, and not sit or climb on the edge of the basket or use: planks, ladders, or other devices for a work position. Strains and Sprains Think about your body position; avoid over-reaching, hyper-extending, location / position of extremities, are you in the best position for leverage? Safety Equipment Required To Do This Job: I Hard Hats: CO Work Vests & Caution Tape/Barricades: @ Other: & Safety Glasses @& Safety Hamess C Hot Work Permit Ear plugs around noisy equipment. Bl Stee! Tood Boots C Face Shiels 1 Confined Space Permit — O Gloves CO Fire Extinguisher D LockouwTagout —Job Safety Analysis (JSA) Category: Location: ‘Task Description: Heavy Equipment Field Work Excavating Date: JSAFile: JSA Number: ‘Sequence of Job Steps Identified Hazards & Critical Behaviors I Recommended Procedures Excavating Digging near buildings & roads ‘Complete appropriate Safe Work Permit (varies by customer), underground utilities anc pipelines. Digging with the possbiliy of sirking foreign ‘+ Potential for fires, spills, and damaged underground utilities. High noise. Call dig Aver prior to excavating (800) 227-2600. Verify equipment operator training, Uslize a quaified spotter with a probe bar. Uslize appropriate PPE: hard hat, safety glasses, steel toed boots, Nomex coveralls, ear plugs and gloves 2s necessary Employees working in the ditch ‘+ Potential for cave-in boom. ‘+ Potential for atmospheric hazards ‘+ Striking personnel within radius of Have a certified competent person to evaluate the ditch. Excavations over § foot deep shall be sloped or shored. Excavations over 4 foot deep requires confined space permit, Utilize a 4 way calibrated monitor at all times while employees are in the diten, Only one person is to act as signalman; however anyone can call ‘emergency STOP, Equipment Damage near roadways & walkways © Equipment roll over hazard * High Noise Airborne Dust * Excavations left open and unattended Verify location of all powerlines. iflines cannot be shutin maintain @ minimum of 10 feet clearance from equipment. Verify and increase distance (per approach charts) for lines in excess of 50,000 volts. Maintain spctter with no other duties than watching for interference, if power lines are within swing radius. Inform local operations & any remote operations of activities. Do not use cell phones while operating equipment. ‘Tape and/or barricade unattended excavations. Bad weather IFrain andlor lightning starts, stop all activities and reassess the situation, Tncident or Accident Watch out for stinging insects and notify your supervisor if anyone is allergic to bees. Report all accidents immediately and make sure you know who to contact, if an emergency occurs. ‘Safety Equipment Required To Do This Job: Hard Hats O Work Vests @ Safety Glasses CO Safety Hamess } Steet Toes Boots i Face shieis B Gloves Bl Fire Exinguisher 1 Caution TapelBarricades CG Hot Work Permit Oi Confined Space Permit 1D LockouTagout & Other: Nomex Coveralls for spotter Ear plugs around noisy equipment.Job Safety Analy: Category: _Heavy Equipment Location: _Field Work Task Description: _ Excavator w/ Grapple Attachment (JSA) : _ Excavator with Grapple 10 Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Demolition with Demo near buildings & roads Excavator and Grapple attachment ‘Complete appropriate Safe Work Permit (varies by customer). Demo with the possibilly of striking foreign underground utilities and power lines. + Potential fr fires, spills, and damaged underground utities. High noise. Call dig Alen prior to excavating (800) 227-2600. Verify equipment operator training, Inspect equipment prior to use. Utilize appropriate PPE: hard hat, safety glasses, stee! toed boots, ear plugs, and gloves as necessary. Reflective vests for personnel working near moving equipment. Employees working near building(s) ‘© Potential for crushing injury ‘+ Potential for atmospheric hazards ‘+ Striking personnel within radius of boom, Keep all personnel safe distance from moving equipment, Monitor atmospheric conditions. Make eye contact with operator prior to approaching equipment. ‘Only one person is to act as signalman; however anyone can call emergency STOP. Equipment Damage Buildings left open and unattended near roadways & walkways ‘© Equipment roll over hazard © High Noise Verify location of all power lines. Iflines cannot be shut-in maintain @ minimum of 10 feet clearance from equipment. Verify and increase distance (per approach charts) for lines in excess of 50,000 volts, ‘Maintain spotter with no other duties than watching for interference, if power lines are within swing radius. Inform local operations & any remote operations of activities, Do not use cell phones while operating equipment. ‘Tape andlor barricade areas that pose a danger to personnel, Incident or Accident Watch out for stinging insects and notify your supervisor f anyone Is allergic to bees. Report all accidents immediately and make sure you know who to contact, if an emergency occurs, Safety Equipment Required To Do This Job: Bi Hard Hats Work vests BH Caution Tape/Baricades BE Other: - B Safety Glasses O Safety Hames (0 Hot Work Permit, Ear plugs around noisy equipment. BE Stoo! Toed Boots OO Face Shiotd C2 Confined Space Permit E Gloves Gi Fire Extinguisher CO LockoutrragoutJob Safety Analysis (JSA) He POWER LINE APPROACH DISTANCES All power lines must be considered energized unless the electrical utility owning the lines indicate that the lines are not energized, and they are visibly grounded and appropriately marked. When operating near power lines, minimum clearance between the lines and any part of the equipment or load must be: Voltage Minimum Clearance 600 to 50,000 10 feet 50,000 to 75,000 11 feet 75,000 to 125,000 13 feet 125,00 to 175,00 15 feet 175,000 to 250,000 17 feet 250,000 to 370,000 21 feet 370,000 to 550,000 27 feet 550,000 to 1,000,000 42 feet When in transit with no load and boom lowered, the equipment clearance must be decrease by 4 feet in each category. Example: 600 to 500,000 is 6 feet.Job Safety Analy: (JSA) Category: _General Location: Field Work Fall Hazards Task Description: _Working from elevated surfaces iM - ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Working ftom elevated surfaces | Fall protection equipment failure Utilize appropriate fll protection at all times while personnel are working at unprotected elevations greater than (6) six feet above the Slips ground or an adjacent platformiworking surface Trips 1. Fall protection equipment must be inspected for excessive wear or damage prior to each use Prohibit the use of Standard waist type safety belts Utilize tie-off points capable of withstanding 5,400 pounds. Utiize safety harnesses that ft snugly and comfortably Utiize safety harnesses with appropriate lanyards with shock/absorber systems. Safety harnesses must have double locking self-closing hooks. 7. Do not modify fll protection equipment, other than those performed by the manufacturer 8. All fall protection equipment must be worn in accordance with the manufacturer's recommendations. 9. Any fall protection equipment that is worn or damaged must be destroyed so that i is no longer usable, and then discarded. 10. Safety belts, harnesses, and lanyards that have been used to stop a fall must be destroyed and discarded. 111. Upon compietion of each job store safety hamesses must be stored properly 12, Warn or damaged fall protection equipment shall be destroyed prior to discarding. Falls ‘Safety Equipment Required To Do This Job: Hard Hats Di Work vests TF Caution Tape/Barricades Oi other: _ © Safety Glasses Bl Safety Hamess 1D Hot Work Permit — 2 Stee! Toed Boots O Face Shiela Confined Space Permit Gi Rubber Gioves CO Fire Extinguisher 1D LockoutrTagoutJob Safety Analysis (JSA) Category: _Heavy Equipment Location: “Field Work ‘Task Description: — Forklift Operations ‘Sequence of Job Steps Identified Hazards & Crit —Forkifi Operations —— 112) Recommended Procedures Forklift Operations Pinch Points Falling Loads Pertarm preuse Inspection prior to operating Fort. Use seat bet Never work or walk under loads. Do not stand or pass under the elevated portion of any forklift Passengers are prohibited trom riding on fori. Do rot place arms or legs between the uprights of the mast or outside the running lines of the truck. Potential for personnel to be hurl or run over with equipment. Ensure Forkltis operated by trained and qualified operator, Ensure equipment back-up alarms are working properly, Always make eye contact with Forklift operators prior to approaching, Slips and Falls Ensure @ good working surface. ‘Safety Equipment Required To Do This Job: TH Hard Hats: T Work vests & Caution TaperBarricades Other: _ Safety Glasses OB Safety Hames Gi Hot Work Perit, Ear plugs around noisy equipment. - B Stee! Toe Boots OO Face Shield i Confined Space Permit Ci Gloves C1 Fire Extinguisher C LockowrTagoutJob Safety Analysis (JSA) Category: _General Dates Location: _Field Work JSA Fil “Hand Tools Task Description: “Hand Tools JSA Number: 113 Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Working with Hand Tools Cuts 1. Inspect hand tools prior to each use 2. Appropriate PPE, including gloves shall be available when using Bruises hand tools 3. Never remove safety guards from power tools Electrocution 4. Before servicing any power tool, such as changing drill bits, saw blades, or grinding wheels, you must unplug the tool first Slips 5. Pneumatic power tools shall be secured to the air hose either by ‘an approved quick connect fitting or by Chicago fittings with safety Trips clips 6._Never plug in a whee! grinder or wire brush without first making Falls ‘sure the power switch is in the "off" position 7. Alltools and equipment shall be maintained in good condition 8. Damaged tools or equipment shall be removed from service and tagged "DEFECTIVE" 9. Pipe or Stillson wrenches shall not be used as a substitute for other wrenches 10. Only appropriate tools shall be used for the job 11. Files shall be equipped with handles and not used to punch or pry 12. A screwdriver shall not be used as a chisel 13. Wheelbarrows shall not be pushed with handles in an upright position 14, Portable electric tools shall not be lifted or lowered by means of the power cord. Ropes shall be used 16. Electric cords shall not be exposed to damage from vehicles driving over them Pinch Points, Strains and Sprains ‘Think about your body position; avoid over-reaching, hyper-extending, location / position of extremities, are you in the best position for leverage? Safety Equipment Required To Do This Job: 1 Hara Hats Work Vests By Safety Glasses Safety Hames B Steel Toed Boots Ci Face Shiela Oi Gloves OO Fire Extinguisher Caution TapelBaricades & Other Hot work Permit “Ear plugs 4 Confined Space Permit 1 LockoutyTagout Ear plugs acund nol equpmentJob Safety Analysis (JSA) Category: _General Dat Location: _Field Work JSA File: Task Description: “Working in Hot Environments ISA Number Sequence of Job Steps: Identified Hazards & Critical Behaviors Recommended Procedures Working in Hot Environments Heat Disorders: + Provide heat stress training to exposed employees 4, Sunburn + Provide potable Water with drinking cups 2, Heat cramps 3. Heal exhaustion + Provide Access to Shade 4, Heat stroxe * Allow employees to gradually get used to hot environments + Take breaks in cool rest areas + Rotate physically demanding tasks + Save most demanding work for cooler times of day + Utlize the heat index chart to determine exposure risk Safety Equipment Required To Do This Job: GH Hora Hats Dl Work Vests Ti Caution Tape/Barricades BH Other __ Bl Sotety Glasses O Safety Hamess Hot Work Permit Light colored clothing — GI Stee! Toed Boots O Face Shield Ci. Confined Space Permit Cr Rubber Gloves O Fire Extinguisher O Lockout TagoutHEAT INDEX CHART, The Heat °F 90% 80°F - 90°F 90°F = 105°F 4 Job Safety Analysis (JSA) uy Index (HI) is the temperature the body feels when heat and humidity are combined. Temperature (F) versus Relative Humidity (%) 80% 70% 60% ‘50% 40% aD sl OG Possible Heat Disorder: Fatigue possible with prolonged exposure and physical activity. Sunstroke, heat cramps and heat exhaustion possible.Field Work Job Safety Analysis (JSA) Heavy Equipment ‘Task Description: _Heavy Equipment ___Heavy Equipment 15 Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Heavy Equipment Pinch Points Never work or walk under loads. Only one person is to act as the signal person. Road Grading Material cleanup Potential for personnel to be run over with equipment. Ensure equipment is operated by qualified operator. Ensure all personnel working on or near roadway wear reflective vests. Ensure equipment back-up alarms are working properly. Always make eye contact with equipment operators prior to approaching, Personnel Working Near Slips and Falls Ensure a good working surface. Cover or barricade excavatiors as soon as practical ‘Operation Strains and Sprains Think about your body position; avoid over-reaching, hyper-extending, location / position of extremities, are you in the best position for leverage? Safety Equipment Required To Do This Job: Hard Hats B Safety Glasses & Stee! Toed Boots C Gloves To Work Vests Caution Tape/Barricades Boker Safety Hames C1 Hot Wore Permit Ear vos around nosy O Face Shiels 1 Contined Space Permit CO Fire Extinguisher Ci LockouwTagoutCategory: Tools Location: “Field Work ‘Task Description: Ladders ‘Sequence of Job Steps Job Safety Analysis (JSA) Identified Hazards & Critical Behaviors JSA Number: Recommended Procedures Working with Ladders Slips Trips Falls Electrocution Always face the ladder when climbing Never stand on the top three rungs of a ladder No ladder shall be erected within 10 feet of a power line All ladders must be secured from movement Extension ladders must have both top and bottom tied off before work is performed * Donot use metal ladders where there is an exposure to electrical hazards. * Allladders shall be erected so at least three feet of the rails, ‘extend over the landing ‘+ Ladders shall be of the proper size and design for which itis used ‘+ Place the base of ladder a distance from the vertical wall equal to one-fourth the working length of the ladder. Ensure cleats and pads are in good condition prior to use Any ladder found in an unsafe condition shall be removed from service ‘+ Fall protection must be worn if working off ladders in excess of 6 feet above the ground. Pinch Points, Stains and Sprains Think about your body position; avoid over-reaching, hyper-extending, location / position of extremities, are you in the best position for leverage? Safety Equipment Required To Do This Jk Hard Hats CO Work Vests @ Caution TaperBarricades Oi Otter: _ BB Safety Glasses 2 Safety Hamess 1 Hot Work Permit — Stoel Toed Boots Face Shiels Confined Space Permit O Gloves CO Fire Extinguisher O LockoutTagoutJob Safety Analysis (JSA) Category: Hazardous Materials Location: ‘Task Description: Field Work Lead Abatement ___Lead Abatement 118 ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Site Characterization’ Lead Survey Potential expose while taking lead samples. Failure to properly identify leaded materials. Utilize appropriate Personal Protective Equipment. Respiratory protection, coveralls, gloves, eye and foot protection Develop lead abatement plan. Set up medical surveillance plan for exposed workers. Obtain pre-job medical clearance. Perform Work Review lead abatement pian. Follow hazard assessment recommendations. Utilize air monitoring equipment, trained personnel and appropriate PPE: - Restrict area and post lead hazard signs = Construct worker decon station - Seal off all outside openings (isolationveritical barriers) -Pre-clean work area = Collect lead containing materials in approved contairers = Conduct final inspection = Conduct final clearance air sampling - Dismantle containment Decontamination/ead Removal Potential employee exposure while working, Potential to release lead to Environmental Before leaving the lead work area clean and remove contamination clothing. Remove and bag disposable PPE prior to leaving decon area, Obtain post-job medical clearances. Safety Equipment Required To Do This Job: 2 Hard Hats Safety Glasses Stee! Toed Boots & Gloves O Work Vests Satety Hamess © Face Shieid CO Fire Extinguisher B® Caution Tape/Barricades 1 Hot Work Permit © Confined Space Permit © LockousTagout Other: _ Respiratory Protective EquipmentJob Safety Analysis (JSA) Category: _Heavy Equipment Location: “Field Work Task Description: “Loading and Hauling Equipment Date: JSA File: Loading and Hauling JSA Number: 119 Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Toading and Hauling Equipment Hit by chain binder Pinch points Dropped load ‘All loads hauled on vehicles MUST be securely tied down with approved rope, straps or chains. Under no circumstances shall a load be hauled with out proper tie downs. Utilize ratchet straps when possible. Ratchet binders are preferred over chain binders to avoid injury. When loading a flat bed place load as far forward as possible preferably against a stationary object such as a head ache rack. When this is not feasible place the load centered over the rear axle. Before hauling a load make a quick walk around the vehicle to assure all tool boxes are closed and that the load is secure When hauling a load check to be sure the load stays secure while under ‘way. I's a good idea to pull over and re-tghten your load periodically. It's the driver's responsibility to assure that the vehicle is rated for the weight that is carried on it. ‘Safety Equipment Required To Do This Job: TH Hard Hats TO Work Vests Caution TaperBaricades “Oi Other: & Safety Glasses C Safety Hamess i Hot Work Permit - BJ Stoel Toes Boots C Face Shiats 1 Confined Space Permit — - © Gloves Ci Fire Extinguisher OF LockouyTagout —Job Safety Analysis (JSA) Category: _General Location: “Field Work ‘Task Description: — Mobilize Equipment Date: JSA File: JSA Number: Sequence of Job Steps Identi xd Hazards & Critical Behaviors Recommended Procedures Mobilize personnel, materials, equipment, and on-site ‘communications to the job site. Back strain Eye injuries, foot injuries and hand injuries (struck by, caught between, etc.) Slips, trips, and falls Vehicle accidents/damage Heat exposure ‘Obtain daily Safe Work Permit from operations (if applicable) All personnel to attend daily site safety meeting and review site safety plan, Follow sate liting practices: use mechanical aids (forklift. dollies, cranes, etc.) as a first strategy; use correct lifting postures; get help for large or awkward items. Two men needed for heavy ifs. Use safety glasses, steel toed boots and leather or canvas gloves for the task, Follow good housekeeping practices; remove scrap and trash daily. Ensure backup alarms on equipment are working properly; use spotters for al backing vehicles; eliminate blind corners; and enforce speed limits onsite (5 MPH Max). No tailgate riders or riding in buckets Ensure adequate water and rest breaks are given Establish traffic control zones (Staging area, restricted access area, etc.) Poor delineation of zones or communication of zones to work crews, Discuss traffic control zones at daily safety meetings. Utlize reflective vests on roadway or around traffic areas. Safety Equipment Required To Do This Job: Hard Hats BF Work vests Caution TaperBaricades Oi Other _ B Salety Glasses C. Safety Hamess 1 Hot Work Permit — _ E Steel Tood Boots Ci Face Shiels © Confined Space Permit & Gloves OO Fire Extinguisher D LockouvTagoutCategory: _General Location: _Field Work Job Safety Analysis (JSA) ‘Task Description: Scaffolding SS Scaffolding 126 “Sequence of Job Stops Identified Hazards & Critical Behaviors Recommended Procedures Set up for scaffolding work Pinch Points, Slips, Trips Wear Gloves, Maintain Proper housekeeping Tnstalation of scaffolding Fallhazards Hand injury from splintered boards Utilize 100% fall protection tie off Wear leather palmed gloves. Ensure all couplings and boards are secured from movement Al scaffolding must be secure prior to performing any work from them. Rolling towers must have the wheel brakes set. All work areas must have a means of safe eccesslagress: ‘+ Standard guardrails must be installed on all scaffolding, or platform ‘ix feet o more above the ground. Top rails should be 42 inches high and a mid rail must be installed ‘+ Toe boards 4 inches high shall be installed on all scaffolds, elevated platforms, and wall openings six feet above the ground (whore. personnel could be below), ‘Scaffolding inspection ‘Allowing personnel to use fauly scaffolding Serious Injury + Appropriate scaffo inspections shall be performed by Fall hazards competent persons” prior to, and during, each use. + Check and Replace all damaged safety equipment + Defective equipment shall ha tagged “Danger Do Nat Use" + Donot allow personnel to use incomplete or faully scaffolding. ‘Scaffold Use Fall Hazards Serious Injury ‘+ Hold pre-job safely meeting to discuss safety hazards ‘+ Utilize 100% fall protection tie off ‘+ Ensure only qualified personnel are allowed on scaffolding Demobilization of equipment Pinch Points, Sips, Trips Wear Gloves, Maintain Proper housekeeping Safety Equipment Required To Do This Job: G Hard Hats 2 Safety Glasses! Goggles Steet Toed Boots ® Gloves TB Work Vests (over water O Safety Hamess CO Face Shiels Fire Extinguisher @ Caution Tape/Barricades Hot Work Permit Bi Confined Space Permit, Bi LockouvTagoutCategory: General Field Work Job Safety Analysis (JSA) Task Description: _Task Lighting Task Lighting 127 ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Set up Task lighting Fire hazards Ignition source Shock hazards ‘Standard PPE applies: Hard rat, safety glasses, and steel toed boots. All task lighting must be UL rated. Ensure adequate fire protection equipment is available, Verify area is free of ignition sources prior to use. Burns Use Ground Fault Circuit interrupters (GFCI) and spider boxes on portable lighting equiment. Ensure the use of lens cover to prevent burns. “Task Lighting in operation Fire hazards ‘Turn off task lighting while area is unattended. Ignition source Set up lighting in areas clear of personnel and moving equipment. Ensure adequate fire protection equipment is available, Shock hazards Bi Power cords must be routed so as not to expose workers to a uns tripping hazard, or must be taped to the floor. “Take down Task Lighting ‘Shock hazards. Turn off task lighting and allow cool down time prior to removal. Burns Safety Equipment Required To Do This Job: Hard Hats EF Safety Glasses EB Stoo! Toed Boots 1 Gloves OD Work Vests © Caution Tape/Barricades O Other OO Satety Hamess CD Hot Work Permit oe O Face Shield DB Confined Space Permit, O Fire Exinguisher D3 LockouTagoutCategory: _General Location: “Field Work Task Description: Job Safety Analysis (JSA) Torch Cutting Torch Cutting JSANumber; 128 Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Torch Cutting using ‘Oxygen and Acetylene Pinch points and obstructions Pressure hazards Slips and Falls, Strains and Sprains Use proper hand protection: 2. Ensure a good working surface. 3, Do not move or store cylinders without properly installing the protective cap over the valve. 4. Use regulators and pressure gauges only with gases and pressure ratings for which they are designed and intended 5. Close the cylinder vaive before attempting to stop leaks between the cylinder and regulator. 6. Never permit sparks, moiten metal, electric currents, excessive heat or flames to contact the cylinder or attachments. 7. Cylinders should be properly secured with chain to prevent falling 8. Oxygen cylinders should not be stored within 20 feet of Com austible gas cylinders or near any other substance where a fire could result, unless protected by a wall at least five feet high having a fire resistance rating of at least 30 minutes. 9. Empty and full cylinders should be stored separately, and plainly identified Potential Atmospheric Hazards (H2S & Flammables) Evacuate personnel if H2S reading exceed 1 PPM and/or flammables exceed 10%, Respirator use determined by hazards present. Hot Work and Cutting Fires / Explosions (Obiain proper “Hot Work Permit’ from Customer prior to any hot work activities, Fire watch personnel will wear orange vests and will be positioned as ‘appropriate fo adequately watch the area and remain on duty 30 minutes after hot work. Fire watch to keep at least two means of fire protection available and ready at all times. BH Hard Hats CO Work Vests 1 Caution TaperBarricades Boren Safety Giasses C Safety Hamess B® Hot Work Permit _ Steet Toed Boots © Face Shield T Confined Space Permit - B Gloves © Fire Extinguisher OD LockouvTagoutCategory: Hazardous Materials Location: ‘Task Description: ield Work Job Safety Analysis (JSA) Universal Waste Thiversal waste ISA Number: 129 ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Working with Universal Waste ‘Stage universal hazard areas Utlize appropriate Personal Protective Equipment: hard hat, safety glasses, rubber apron and gloves and steel toed boots, Prep site Md exposures Hold safety meeting prior to start up. Slips, Trips, and Falls Provide an eyewash station within 10 second of work areas, Perform Work Hydrogen Gas exposure + Be sure all electrical equipment is de-energized locked and Remove: Batteries, Fluorescent tubes, and Sulfuric Acid, electroyte splash tagged out. Spills + Donnot ground a battery terminal, @ spark could occur Ballasts Shock + Make sure battery vent caps are In place to prevent electrolyte Back strains from weight of the splash Batteries + Take precautions to prevent open flames, sparks, or electric arcs near batteries. * Protect eyes from acid splash. * Keep tools and other metallic objects away from uncovered batteries. + Use Baking Soda to neutralize spilled acid + Donot touch both battery terminals with your bare hands. * Remove rings, watches and danging jewelry when working | with batteries, The meta in the jewelry can cause a shock if they contacted the battery terminals. | * Never lay tools or other metal parts on top of a battery. | + Haul universal waste to approved disposal facility Safety Equipment Required To Do This Job: Hard Hats To Work Vests Tr Caution TaperBaricades BH Other Rubber Apron Gl Safety Glasses Safety Hamess Hot Work Permit El Stee! Toed Boots Face Shiels Confined Space Permit BD Rubber Gloves O Fire Extinguisher 1 LockoutTagoutCategory: Location: ‘Task Description: Field Work Job Safety Analysis (JSA) Heavy Equipment Water Truck Operation Water Truck Oper JSA Number: 130 ‘Sequence of Job Steps Identified Hazards & Critical Behaviors Recommended Procedures Water Truck Operation © Driving + Water spraying Vehicle accidents Vehicle accidents due to speeding cars Vehicle accidents due to equipment entering work area, Ensure only authorized drivers are allowed to operate Water Truck, Limit speed on site to5 MPH max. Standard PPE applies. Reflective vests for personnel working near roadways. © Tank filing Danger to personnel crossing in and out of work | Use spotters for backing, area, Do not use cell phones while driving. Back into Utilize pull forward parking when possible. Hit work site employees Limit personnel entry and exit to work area, Pinch Points All personnel to wear reflective traffic control vests Slips off tank access way Never work or walk under loads. Utilize three point ladder access. Do not use ladder with slippery boots, Tank filing Strains and Sprains Think about your body position; avoid over-reaching, hyper-extending. location / position of extremities, are you in the best position for leverage? Safety Equipment Required To Do This Job: B Hard Hats CO Work Vests CO Caution Tape/Barricades & Other: Bi Safety Glasses C1 Safety amos Hot Work Permit “Ear plugs around noisy equipment Stoel Toed Boots C1 Face Shiets OF Confined Space Perit CO Gloves Fire Extinguisher i LockouwTagout