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Job Safety Analysis Worksheet for Petroleum Site Inspections

Job Safety Analysis Worksheet for Petroleum Site Inspections

Job Safety Analysis Worksheet for Petroleum Site Inspections

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Oversight during drilling or<br />

construction operations<br />

Oversight during Soil<br />

Excavation/Tank Pull Operations<br />

Oversight during Remedial<br />

System Construction/Operation<br />

and Maintenance<br />

(E) Vapors<br />

(SB) Heavy equipment operation, drilling<br />

rigs(augers, piping, drill bits, chains)<br />

(SB) Heavy equipment operation-front end<br />

loader, backhoe, dump trucks, etc.<br />

(CW) Dirt, dust, debris<br />

(E) Vapors, liquids<br />

(SB) Heavy equipment operation-front end<br />

loader, backhoe, dump trucks, etc.<br />

(CW) Dirt, dust, debris<br />

Identify escape route, position self-upwind, and<br />

evacuate immediately if/when strong odors or<br />

irritation noted.<br />

Maintain safe distance from equipment, wear<br />

site/activity appropriate PPE. Understand basic<br />

operation of drill rig.<br />

Wear protective clothing and sit/activity<br />

appropriate PPE, may require dust mask.<br />

Identify escape route, position self up wind, and<br />

evacuate immediately if/when strong odors or<br />

irritation noted.<br />

Maintain safe distance from equipment. Wear<br />

site/activity appropriate. Do not assist contractor<br />

during onsite operations<br />

Wear protective clothing and site/activity<br />

appropriate PPE, may require dust mask.<br />

Identify escape route, position self-upwind,<br />

evacuate immediately if/when strong odors or<br />

irritation noted; do not enter excavated hole.<br />

Maintain safe distance from equipment. Wear<br />

site/activity appropriate. Do not assist contractor<br />

during onsite operations<br />

Wear protective clothing and site/activity<br />

appropriate PPE, may require dust mask.<br />

(E) Vapors, liquids<br />

Identify escape route, position self-upwind,<br />

evacuate immediately if/when strong odors or<br />

irritation noted; do not enter excavated hole.<br />

Sampling Oversight (CW) Vapors, liquids Identify escape route, position self-upwind, and<br />

evacuate immediately if/when strong odors or<br />

irritation noted.<br />

IDW pickup oversight<br />

(CW) Liquids<br />

Wear appropriate site/activity PPE.<br />

(CBT) Drums; crushed fingers and toes Do not handle drums, keep safe distance <strong>for</strong>m<br />

contractor operations.<br />

<strong>Site</strong> exit (CW) Contaminated vehicle Booties, tyvek, latex gloves should be disposed<br />

on-site. Remove boots and soiled clothing <strong>for</strong><br />

secure storage in trunk; decontaminate as soon<br />

as possible. Wash hands promptly. Update<br />

exposure log.<br />

Return to office/home (SB) Traffic hazards FOLLOW “TRAVEL TO SITE”<br />

PROCEDURES.<br />

*Codes <strong>for</strong> Potential Hazards:<br />

Struck By (SB) Caught On (CO) Fall To Below (FB)<br />

Struck Against (SA) Caught In (CI) Overexertion<br />

Contacted By (CB) Caught Between (CBT) Exposure (E)<br />

Contact With (CW)<br />

Fall - Same Level (FS)

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