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Confined Space Alternative Procedure Certificate (APC: Page 2 of 2) 5.0 AUTHORIZATION/ACCOUNTABILITY LOG The following individuals have successfully completed confined space training, have attended a preentry briefing, and are authorized to enter the space. ES Initials Attendant - check each time an individual enters or exits the space. Name of Entrant Trained Briefed In Out In Out In Out In Out In Out In Out Rev.3 GNV310133632156.DOC/090840008 A-67
Confined-Space Non-permit Certificate (Non-Permit Cert: Page 1 of 1) This non-permit certificate may be used for confined spaces that pose no actual or potential atmospheric hazard above acceptable safe levels and if all non-atmospheric hazards can be eliminated without entry into the space. If the space must be entered to eliminate non-atmospheric hazards, the initial entry must be done in full compliance with the requirements of a confined-space entry permit. If an atmospheric or non-atmospheric hazard is observed, personnel must exit the space immediately and the space must be reevaluated. 1.0 GENERAL INFORMATION Project: Project #: PM: Date of Entry: Duration of Entry: Certification Expiration Date: Space Location: Description of Space: Purpose of Entry: Entry Supervisor: Attendant(s): 2.0 CERTIFICATE REQUIREMENTS Actual or potential atmospheric hazard above acceptable safe levels do not exist in this space Nonatmospheric hazards do not exist in this space or have been eliminated without entry Communication methods established between entrants and the buddy or attendant Entrants are informed to exit the space if any hazard is observed 3.0 ATMOSPHERIC MONITORING Frequency: Prior to Entry Continuous Periodic (specify): Instruments: Combustible Gas Indicator FID PID Colorimetric Tubes CO Monitor H 2 S Monitor Other(specify): Substances Monitored: Oxygen Flammables CO H2S Other (specify): Monitoring Results Oxygen Flammability Toxicity Monitors Limits 19.5 – 23.5 % < 10 % of LEL < PEL/TLV Initials Date Time % % of LEL Substance Level Limit Entry Authorized Entry Canceled 4.0 CERTIFICATE AUTHORIZATION AND CANCELLATION Entry Supervisor Signature Employee Number Date Time 5.0 AUTHORIZATION/ACCOUNTABILITY LOG The following individuals have successfully completed confined space training, have attended a preentry briefing, and are authorized to enter the space. ES Initials Attendant - check each time an individual enters or exits the space. Name of Entrant Trained Briefed In Out In Out In Out In Out In Out In Out Problems Encountered During Entry Rev.3 A-68 GNV310133632156.DOC/090840008
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Contents Section Page 1 Introductio
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CONTENTS, CONTINUED Section Page 9
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SECTION 1.0 Introduction 1.1 Purpos
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SECTION 2.0 Program Description 2.1
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SECTION 3.0 Program Organization an
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SECTION 3.0 PROGRAM ORGANIZATION AN
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SECTION 4.0 Services During Bidding
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SECTION 5.0 Construction Management
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SECTION 5.0 CONSTRUCTION MANAGEMENT
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SECTION 6.0 PROJECT MEETINGS The pr
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SECTION 6.0 PROJECT MEETINGS Re
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SECTION 7.0 PROGRESS CONTROL AND RE
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SECTION 8.0 INSPECTIONS AND QA/QC T
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SECTION 8.0 INSPECTIONS AND QA/QC T
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SECTION 9.0 CONSTRUCTION QA/QC PROG
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SECTION 11.0 CH2M HILL FIELD SAFETY
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SECTION 12.0 UNIFORM CONSTRUCTION F
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SECTION 12.0 UNIFORM CONSTRUCTION F
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SECTION 13.0 CONSTRUCTION PROGRAM F
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Field Safety Instructions - Baton R
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Obie Watts/BTR Tom Ridgik/GNV Mike
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Telephone: (504) 455-2090 Subcontra
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Training on the actual fall protect
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2.2.2 Cement/Lime Dust (Reference C
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• Review and sign Attachment 1 to
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Page 91 and 92: • Fall protection equipment and c
Page 93 and 94: Increase fluid intake. Recovery usu
Page 95 and 96: • Always lock your car, even for
Page 97 and 98: • Personnel must not use pan and
Page 99 and 100: • Remember no sunscreen provides
Page 101 and 102: 2.2.29 Welding and Cutting (Referen
Page 103 and 104: 2.3.5 Shipping and Transportation o
Page 105 and 106: o Reapply repellants before the dur
Page 107 and 108: fever, neck stiffness, stupor, diso
Page 109 and 110: 2.4.8.3 Post Exposure CH2M HILL wil
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Page 113 and 114: Work around vehicular traffic and h
Page 115 and 116: Instead of implementing a work-area
Page 119 and 120: Revisions Approved By: Alan Cyrier
Page 123 and 124: Attachment 2 to FSI: Page 1 of 1 Pr
Page 125 and 126: Emergency Contacts Attachment 4 to
Page 127 and 128: Attachment 4 to FSI: Page 2 of 3 PR
Page 131 and 132: (Respirator Protection: Page 1 of 1
Page 133 and 134: Confined-Space Entry Permit (CSEP:
Page 135: Confined Space Alternative Procedur
Page 139 and 140: PROJECT FALL PROTECTION EVALUATION
Page 141 and 142: PERSONAL PROTECTIVE EQUIPMENT Hazar
Page 143 and 144: TABLE 1 Hazard/Risk Category Classi
Page 145 and 146: TABLE 2 Protective Clothing and Per
Page 151 and 152: ENTRY UNDER A CONFINED-SPACE ENTRY
Page 153 and 154: H&S Self-Assessment Checklist: CONF
Page 155 and 156: H&S Self-Assessment Checklist—CRA
Page 157 and 158: H&S Self-Assessment Checklist - EAR
Page 159 and 160: H&S Self-Assessment Checklist - EXC
Page 161 and 162: H&S Self-Assessment Checklist - FAL
Page 163 and 164: H&S Self-Assessment Checklist - FAL
Page 165 and 166: H&S Self-Assessment Checklist - SCA
Page 167 and 168: MSDS Page 1 of 10 A-98 GNV310133632
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CH2M HILL FIELD SAFETY INSTRUCTIONS
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DETAILED TASK HAZARD ANALYSIS (Deta
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Personnel to Perform Task (Personne
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SAFETY PRE-TASK PLANNING POTENTIAL
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