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(Energized Electrical Work Permit: Page 1 of 2) ENERGIZED ELECTRICAL WORK PERMIT This permit is to be used when work must be performed on energized electrical equipment. This permit is intended to be used for specific equipment/tasks and should not be used in a generic manner. PROJECT/TASK/EQIPMENT INFORMATION Project name: _____________________________________________________ Project number: ____________________ Date task to start: _______________________________________ Estimated duration of work: __________________________ Description of task: __________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Description and location of circuit/equipment: _____________________________________________________________________ __________________________________________________________________________________________________________ Describe reason(s) why electrical parts cannot be de-energized: ________________________________________________________ __________________________________________________________________________________________________________ Describe the construction and operations of the equipment: ___________________________________________________________ __________________________________________________________________________________________________________ Describe the hazards involved with this work activity: _______________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ PROCEDURES/QUALIFIED PERSONS Has a step-by-step work procedure been created for the work to be done? Y N Attach procedure to permit. Describe Safe Work Practices to be employed: ____________________________________________________________________ __________________________________________________________________________________________________________ The following individuals have been designated by their organization to be energized electrical qualified persons based on their education, experience and training and have reviewed, understood, and agreed to abide by the provisions of the step-by-step procedure and this permit. Qualified Persons Involved: 1. _______________________________________ (Lead Qualified Person) 2. _______________________________________ 3. _______________________________________ APPROACH LIMITS Flash Protection Boundary: ______________________________________________________________________________ Limited Approach boundary: ______________________________________________________________________________ Restricted Approach Boundary: ______________________________________________________________________________ Prohibited Approach Boundary: ______________________________________________________________________________ Means employed to restrict the access of unqualified persons from the work area: __________________________________________ __________________________________________________________________________________________________________ _ GNV310133632156.DOC/090840008 A-71
PERSONAL PROTECTIVE EQUIPMENT Hazard/Risk Category Classification (Table 2): 0 1 2 3 4 PPE to be used (Table 4): Safety glasses Face shield Insulated boots Non-conductive head protection Voltage Rated Gloves to be used: 00 0 1 2 3 4 Insulated sleeves Leather glove protectors Fire resistant (FR) clothing Specify (Table 6): ______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ Voltage Rated Tools required: Y N A-72 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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• Cranes shall not be used to lif
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• Maintain safe distance from ope
Page 89 and 90: hazard, as specified in the followi
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 and 136: Confined Space Alternative Procedur
Page 137 and 138: Confined-Space Non-permit Certifica
Page 139: PROJECT FALL PROTECTION EVALUATION
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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Page 187 and 188: CH2M HILL FIELD SAFETY INSTRUCTIONS
Page 189 and 190: 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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CH2M HILL FIELD SAFETY INSTRUCTIONS
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