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SAFETY PRE-TASK PLANNING Pre-Task Planning Form: Page 1 of 3 PROJECT: ________________LOCATION: _________________________________DATE: ____________ SUPERVISOR: ________________________________JOB ACTIVITY: _____________________________ EMERGENCY NUMBER(S): _______________________ALARMS/SIGNALS: ________________________ TASK PERSONNEL NAME: _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ TASK PERSONNEL SIGNATURE: _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ LIST TASKS 1. 2. 3. 4. TOOLS/EQUIPMENT REQUIRED FOR TASKS (LADDERS, SCAFFOLDS, FALL PROTECTION, CRANES/RIGGING, HEAVY EQUIPMENT, POWER TOOLS, ETC.): 1. 2. 3. 4. GNV310133632156.DOC/090840008 A-125
SAFETY PRE-TASK PLANNING POTENTIAL H&S HAZARDS, INCLUDING CHEMICAL, PHYSICAL, SAFETY, BIOLOGICAL AND ENVIRONMENTAL (CHECK ALL THAT APPLY): __ Chemical burns/contact __ Trench, excavations, cave-ins __ Ergonomics __ Pressurized lines/equipment __ Overexertion __ Chemical splash __ Thermal burns __ Pinch points __ Poisonous plants/insects Pre-Task Planning Form: Page 2 of 3 __ Electrical __ Cuts/abrasions __ Eye hazards/flying projectile __ Weather conditions __ Spills __ Inhalation hazard __ Heights/fall> 6’ __ Overhead Electrical hazards __ Heat/cold stress __ Noise __ Elevated loads __ Water/drowning hazard __ Explosion/fire __ Slips, trip and falls __ Heavy equipment __ Radiation __ Manual lifting __ Aerial lifts/platforms __ Confined space entry __ Welding/cutting __ Demolition OTHER POTENTIAL HAZARDS (DESCRIBE): ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ HAZARD CONTROL MEASURES (CHECK ALL THAT APPLY): PPE __ Head __ Eye __ Hand __ Foot __ Respiratory __ Reflective vests __ Hearing __ Other PROTECTIVE SYSTEMS __ Sloping __ Shoring __ Trench box __ Barricades __ Competent person __ Locate buried utilities __ Daily inspections __ Other FIRE PROTECTION __ Fire extinguishers __ Fire watch __ Non-spark tools __ Grounding/bonding __ Intrinsically safe equipment __ Other ELECTRICAL __ Lockout/tagout __ Grounded __ Panels covered __ GFCI/extension cords __ Power tools/cord inspected __ Other A-126 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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PERSONAL PROTECTIVE EQUIPMENT Hazar
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Page 145 and 146: TABLE 2 Protective Clothing and Per
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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 and 192: DETAILED TASK HAZARD ANALYSIS (Deta
Page 193: Personnel to Perform Task (Personne
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