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deep Work Type Tieback Anchors « Hicacrsves patsy Y/Y} By 69 pono DAILY RISK ASSESSMENT on eeriew Locares |, sequence of Basic Job steps Prosi | Semtty | kn Wove teback aring machine [Seldom |Ortical | MED) 4 jnto postion | Seldom | Grtcal_ | MED | 2 moving mach Teback Gling Farnfutenergy release Tom | peaair gereee beciwe [Seldom | rical MED 2 contact wi Ope Sekiom Peaw urers [Handing teback rods and 5 |casing, [Grout application. (Grout may splash lexposure, chemical burs. lirt paws [Seldom oo [Occasional Neiiible adie Channa) Gating Poi ‘SUPERVISOR'S INSPECTION CHECKLIST “SAFELY LEADING THE WAY” (CREW SIGN-IN —_ cep ee LETT LTT RR DATE 2015-04-10 siyeor MEETING: 7:00 JOBNAME: CRO SErmV EL contract numpeR: Co IS-AS crew SUPERVISOR: uc. siowarure, Mey Cremash SUBCONTRACTORS & VISITORS SIGN-IN fe Every New Worker less than 3 months) MUST be assigned @ Mentor ORANGE HARD HAT BLUE HARD HAT YA TL TI uN hs ane NeNots WO avn Bits ontavEn sav. “et emzenuos wonepan) dep pee a Pp ~~ TsrBaH NOWOaUSNI SHOSIANBANS ee aps ne onan saiese SEES sername casa on TE coweatree Se srsetnoncet aiot moana noes ssnabag nr ieensn sala manag BEET Sereoarneer me yrs onaeennes ete nner money BESO ‘ey mac ay a sassrosd eoneers SUE Tiinetwmearnes | Et] -hO-SIOl ata ser dn) eSION SUOSNSENS SNOLLSTULSNIGHVO VEG deep ‘Wore Type:Tieback Anchors ‘ra eos Nec Fs, au eles Pury Caras 1#| Sequence of Basie Job Steps fave feback ariling machine [Critical lexposure, chemical burns. 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[Pinch points on equipment. |, Sequence of Basie Job Stops Potntil Hazard Contote Proteniny | sony | mist [Move feback drilling machine Machine may shift and partially |ana-~ fale platav~ Inspec? “em |Seiaom |Grtcal TED 4 Into position, bubmerge into soft, uneven |g. syecaudlys fe be Clan of ctf] tec [Seidom | Gal | mED 2 aback arin Hannu energy rlease fom Ly] poor abs pe |Seidom | orca | WED [ee femme” Palen ol ab 7 a Gok a, A matic, AAT wae [Baldor | Creal | MED ‘ Spr ~ |spoils. Noise. Overhead utilities | fo mea ending feback rods and — Muscle stain ining and [ypr lth, Pega, (We Seldom | Grlical WED [Grout application. [Grout may splash causing ‘ lexposure, chemical bums. | PPE, Cloves Seay Wk Galle, Pre Teak [orice Ipdrelehons pool Contes (Occasional Negiiaible ki re! 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Sana orem ‘slim out ely Probabitty ‘this sessed AFTER cons in pace | sequence of Basle Job Steps Potential Hazards ‘controls ak Leet Wave Taback dling machine [Machine may shiv and parialy [Sapa Tern, Char patio, Cale Bete MED 1 Into position iting overnead ullties while | jot, oA AA ary MED 2 Imoving machine. Wiebackaatng ri poms MED 2 ger, haw Pobcion MED [Handling tieback rods and Tit, Badge ned to be Crtect, [#0 m MED s lcasing Teaching rods and casings. prs Pinch polnis on equipment. (Grout application [ecutmay splash eausing TBF yTaes Low . lexposure, chemical bums g : Emagen Prone ais Cranley DATE: Aor (S15. me or _ Meee Oy vosnwe: _ Zitaln Casstonn Songs Ci pes crew supervisor: __G. C@ auc ecurne ita, EA SUBCONTRACTORS A VISITORS SIGN “SAFELY LEADING THE WAY" CREW SIGNAN 1 Fret ead eb) £ : Y vary New Werkar (oes than 3 months) MUST be sssgned a Mentor ‘ORANGE HARD HAT BLUEHARD HAT Ne ‘sm na deep Work Type:Stee! 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' : Fuee ry Gasuer T in | Fs Die 1 Coucirows: spect = Route he 7 G|rdoviwe Eavirron tw Tato Channel deep WorcType:Steel Fabrication T #) Sequence of Basic Job steps | Potontil Hazards Controls Probabitty | Seventy | Rik Level Holst steel memberto | Insecureloverhead loads, [Seldom |Criical | MED welding location | ‘Set material to be welded in [Seldom Marginal | LOW 2| working position for welder | Bums rom slag, eve Occasional Marginal “MED 3|Welaing damage, splinters, electro. ae Cccasionai’ Negligible LOW Bret can Fes and bums rom rch ‘ 6 Rall Channel (Gatieng Pen

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