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TASK BREAKDOWN (subtasks required to complete the task) IDENTIFY & ANALYZE THE HAZARDS (chemical, physical, safety, and biological/environmental hazards) IDENTIFY HAZARD CONTROLS (task training, equipment inspections, permits, air monitoring procedures, required PPE, emergency procedures, etc.) ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ GNV310133632156.DOC/090840008 A-123
Personnel to Perform Task (Personnel Form: Page 1 of 1) MY SUPERVISOR HAS REVIEWED THE THA FORM WITH ME AND I HAVE RECEIVED THE NECESSARY TRAINING TO PERFORM THIS TASK SAFELY. NAME: ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ SIGNATURE: ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ DATE/TIME: _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ A-124 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
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hazard, as specified in the followi
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• Fall protection equipment and c
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Increase fluid intake. Recovery usu
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• Always lock your car, even for
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• Personnel must not use pan and
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• Remember no sunscreen provides
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2.2.29 Welding and Cutting (Referen
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2.3.5 Shipping and Transportation o
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o Reapply repellants before the dur
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fever, neck stiffness, stupor, diso
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2.4.8.3 Post Exposure CH2M HILL wil
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Work around vehicular traffic and h
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Instead of implementing a work-area
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Revisions Approved By: Alan Cyrier
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Attachment 2 to FSI: Page 1 of 1 Pr
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Emergency Contacts Attachment 4 to
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Attachment 4 to FSI: Page 2 of 3 PR
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(Respirator Protection: Page 1 of 1
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Confined-Space Entry Permit (CSEP:
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Confined Space Alternative Procedur
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Confined-Space Non-permit Certifica
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PROJECT FALL PROTECTION EVALUATION
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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 191: DETAILED TASK HAZARD ANALYSIS (Deta
Page 195 and 196: SAFETY PRE-TASK PLANNING POTENTIAL
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