Air Knifing 9-10

PROJECT NUMBER: CONNELLY & ASSOCIATES, INC. JOB DRILLING MANAGER: Steve Delosh
Date: SAFETY ANALYSIS PROJECT MANAGER: Sam Connelly
APPROVAL: 9/27/10

JOB TITLE/TASK: Field Personnel: ANALYSIS BY: Sam Connelly

Air Knifing Services

RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT (PPE): X Hard hat X Safety Glasses X Steel-toed boots X Leather work gloves
X Reflector safety vest X Other: Hearing Protection, Face Shields on Hard hats and Long sleeve shirts when required

SCOPE OF WORK TASKS POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION

1. Pre-construction Health & Safety Meeting/General Site
Activities
See "General Site Activities" JSA
All employees assigned to this task will attend a pre-
construction health and safety meeting, which will include
the pertinent JSA,
Site Safety Procedures, types of potential hazards, and
actual hazards present and controls for those hazards.

2. General site activities Traffic Hazards Establish traffic control patterns as described in traffic
Fire/Explosion control plan,
Keep fire utilizing cones,
extinguisher within signage, and reflective
25' of operation; traffic
Monitor area
safety
with vests.
PID or LEL meter to ensure vapor concentrations <10%
LEL and below action level for contaminants of concern (see
site-specific HASP for details). Smoking on site prohibited

VacMasters vacuum and air lance, jack hammers, tampers
Noise hazard from jack hammer
Back injury from jack hammer or post hole
diggers.
Flying debris from jack hammer.
Lacerations from saw cutting.
Only properly trained personnel are permitted to operate
power equipment. Use proper hand and body positioning
while using the saw and/or jackhammer.
Use proper technique with post hole diggers.
Wear safety glasses and hard hats with face shields to
protect eyes from debris; Wear ear plugs to protect hearing.

Clearing borehole to determined depth using air lance and Risk of falling/stepping into borehole Use manhole barrier designed to protect worker from falling
vacuum hose. Approximate stopping depth may be 10'. Final into location.
depth will be confirmed in the field

Air Compressor and vacuum producer
Keep hands and clothing away from rotating machinery and
discharge openings. Wear ear protection. Avoid contact
with equipment and piping which may cause skin burns on
contact. When operating, ensure adequate guards are in
place on external moving parts

Slips, trips, and falls Keep equipment and tools in designated areas, maintain
good housekeeping. Replace manhole covers securely

Knee injury may occur Use knee pads or rubber protective pad to absorb any
possible cuts or abrasions from contact with the asphalt.

Placement of drums Back injury may occur. Use drum cart/dolly if mechanical means not available; Use
proper back injury prevention techniques when lifting or
moving drums.
Move drums by hand
only when on solid ground.
Loading of Vehicle Improper lifting techniques Utilize proper lifting procedures when removing equipment
and handling hoses. Bend at the knees and lift with the legs
rather than the back.

Depart from site Traffic Hazards Drive defensively and obey all traffic laws

Project Name:
DATE:
REAPPROVAL: 9/20/10
RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT (PPE): X Hard hat X Safety Glasses X Steel-toed boots X Leather work gloves
X Reflector safety vest X Other: Hearing Protection, Long Sleeve shirt, Nitrile and Kevlar Gloves when necessary
BASIC JOB
1. Pre-construction Health & Safety
Meeting/General Site Activities
2. Drill Rig Arrival and Set-Up.
3. Drill Rig Inspection
4. Attach Auger Lengths
5. Ground Intrusion: Boring
Drilling 9-10
Connelly & Associates, Inc. DRILLING MANAGER: Steve Delosh
HEALTH AND SAFETY DIRECTOR: Eamon Connelly
Job Safety Analysis Form - Drilling ANALYSIS BY: Sam Connelly
REVIEWED BY: Drillers and Driller's Assistants
POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION
See "General Site Activities" JSA All employees assigned to this task will attend a pre-drilling
health and safety meeting, which will include the pertinent JSA,
Site Safety Procedures, types of potential hazards, and
actual hazards present and controls for those hazards.
Damage to Property or Equipment Assess site and walk to boring locations. Determine the path of access and
note any obstructions, uneven terrain, and soft ground that may impede
access.
Roll Over Cross all hills and obstructions head on with masts lowered. Set riggers
prior to raising mast.
Traffic Utilize traffic control devices as outlined in traffic control program
Overhead and buried Utilities Position rig to avoid overhead lines by minimum distances specified in
OSHA Regulation 29 CFR 1926.550. Use a spotter for overhead lines and
other overhead obstructions; Underground utilities, piping, and other
services must be marked out prior to excavation activities. (Ensure One-
Call/Dig Safe service notified and cleared; conduct private utility locating for
site services as practicable). Use vacuum excavation services to clear any
questionable boring locations. Remove asphalt layer and soft dig a square
pad 24" x 24" to a depth of 8' below grade surface.
Defective/damaged equipment Inspection of equipment by qualified driller prior to use; replace or repair
damaged items with manufacturer specification equipment
Unapproved/Inappropriate hoisting equipment Ensure all lifting hooks or attachments are self-closing; equipped with
latches or pins; or are of other surrounding design (i.e. clevis hooks and
screw pins) to prevent inadvertent release of objects being lifted
Damaged lifting devices/Non-specification lifting Inspect devices prior to each use; ensure all repairs or replacement parts
devices or materials meet minimum required tensile strength as specified by the equipment
manufacturer. Ensure improper substitutes or damaged items are removed
from service immediately.
Damaged Drive Assembly Inspection of drive assembly by driller prior to use: cracks or damaged parts
must be repaired or replaced.
Back Strain Use 2 people to lift and carry auger sections. Use mechanical lift devices
whenever possible.
Crushed Foot Steeltoe shoes/boots
Pinched/lacerated Fingers Communication between employees when moving/attaching auger sections;
Wear leather gloves when handling sections. Keep hands clear/out of
pinch points
Kickout Clear the area of obstructions and communicate with all parties that drilling
is beginning. Do not exceed manufacturers recommended rate of speed,
force, torque, etc. Penetrate the ground slowly with hands on the controls
for the first foot of soil.
Pinched Fingers/Caught in Rotation Stay clear of rotating auger, never attempt to clean auger while in motion.
Use long handled shovel to clear away cuttings when auger has stopped
Noise Use hearing protection
 Drilling 9-10
BASIC JOB Noise POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION
Use hearing protection

Overhead/Falling hazards Use Hard Hat; remove overhead hazards promptly

 Drilling 9-10
BASIC JOB POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION
Fire/Explosion Keep fire extinguisher within 25' of operation; Monitor area with PID and
LEL meter to ensure vapor concentrations <10% LEL and less than action
level (see site-specific HASP for details). No smoking signs posted;
smoking on site prohibited

Slip/Fall in Mudpit Install rough surface cover

Ground Intrusion: Split Spoon Sampling Pinched/Lacerated fingers do not wrap rope around any part of the hand or body, maintain distance of
at least 18 inches from in-running points. Eliminate excess rope, tie up
loose clothing ; Wear leather gloves when handling materials or equipment

Slip/fall secure footing prior to operation; clear all trip hazards; clean/clear all slip
hazards such as oils, ice, etc. ; keep materials/objects organized and out of
walkways

JSA REVISIONS/ADDITIONS (use additional pages as necessary)


Project Name:
DATE:
REAPPROVAL: 9/20/10
RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT (PPE): X Hard hat X Safety Glasses X Steel-toed boots X Leather work gloves
X Reflector safety vest X Other: Hearing Protection, Long Sleeve shirt, Nitrile and Kevlar Gloves when necessary
BASIC JOB
1. Pre-construction Health & Safety
Meeting/General Site Activities
2. Drill Rig Arrival and Set-Up.
3. Drill Rig Inspection
4. Attach Auger Lengths
5. Ground Intrusion: Boring
Drilling 9-10
Connelly & Associates, Inc. DRILLING MANAGER: Steve Delosh
HEALTH AND SAFETY DIRECTOR: Eamon Connelly
Job Safety Analysis Form - Drilling ANALYSIS BY: Sam Connelly
REVIEWED BY: Drillers and Driller's Assistants
POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION
See "General Site Activities" JSA All employees assigned to this task will attend a pre-drilling
health and safety meeting, which will include the pertinent JSA,
Site Safety Procedures, types of potential hazards, and
actual hazards present and controls for those hazards.
Damage to Property or Equipment Assess site and walk to boring locations. Determine the path of access and
note any obstructions, uneven terrain, and soft ground that may impede
access.
Roll Over Cross all hills and obstructions head on with masts lowered. Set riggers
prior to raising mast.
Traffic Utilize traffic control devices as outlined in traffic control program
Overhead and buried Utilities Position rig to avoid overhead lines by minimum distances specified in
OSHA Regulation 29 CFR 1926.550. Use a spotter for overhead lines and
other overhead obstructions; Underground utilities, piping, and other
services must be marked out prior to excavation activities. (Ensure One-
Call/Dig Safe service notified and cleared; conduct private utility locating for
site services as practicable). Use vacuum excavation services to clear any
questionable boring locations. Remove asphalt layer and soft dig a square
pad 24" x 24" to a depth of 8' below grade surface.
Defective/damaged equipment Inspection of equipment by qualified driller prior to use; replace or repair
damaged items with manufacturer specification equipment
Unapproved/Inappropriate hoisting equipment Ensure all lifting hooks or attachments are self-closing; equipped with
latches or pins; or are of other surrounding design (i.e. clevis hooks and
screw pins) to prevent inadvertent release of objects being lifted
Damaged lifting devices/Non-specification lifting Inspect devices prior to each use; ensure all repairs or replacement parts
devices or materials meet minimum required tensile strength as specified by the equipment
manufacturer. Ensure improper substitutes or damaged items are removed
from service immediately.
Damaged Drive Assembly Inspection of drive assembly by driller prior to use: cracks or damaged parts
must be repaired or replaced.
Back Strain Use 2 people to lift and carry auger sections. Use mechanical lift devices
whenever possible.
Crushed Foot Steeltoe shoes/boots
Pinched/lacerated Fingers Communication between employees when moving/attaching auger sections;
Wear leather gloves when handling sections. Keep hands clear/out of
pinch points
Kickout Clear the area of obstructions and communicate with all parties that drilling
is beginning. Do not exceed manufacturers recommended rate of speed,
force, torque, etc. Penetrate the ground slowly with hands on the controls
for the first foot of soil.
Pinched Fingers/Caught in Rotation Stay clear of rotating auger, never attempt to clean auger while in motion.
Use long handled shovel to clear away cuttings when auger has stopped
Noise Use hearing protection
 Drilling 9-10
BASIC JOB Noise POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION
Use hearing protection

Overhead/Falling hazards Use Hard Hat; remove overhead hazards promptly

 Drilling 9-10
BASIC JOB POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION
Fire/Explosion Keep fire extinguisher within 25' of operation; Monitor area with PID and
LEL meter to ensure vapor concentrations <10% LEL and less than action
level (see site-specific HASP for details). No smoking signs posted;
smoking on site prohibited

Slip/Fall in Mudpit Install rough surface cover

Ground Intrusion: Split Spoon Sampling Pinched/Lacerated fingers do not wrap rope around any part of the hand or body, maintain distance of
at least 18 inches from in-running points. Eliminate excess rope, tie up
loose clothing ; Wear leather gloves when handling materials or equipment

Slip/fall secure footing prior to operation; clear all trip hazards; clean/clear all slip
hazards such as oils, ice, etc. ; keep materials/objects organized and out of
walkways

JSA REVISIONS/ADDITIONS (use additional pages as necessary)

Job NAME: Job Number: CONNELLY AND ASSOCIATES JOB SAFETY Team Name:
Date: ANALYSIS FORM

TASK: MONITORING WELL INSTALLATION Team Names: Team Leader:

RECOMM
ENDED
PERSONA
L
PROTECTISCOPE OF WORK TASKS POTENTIAL HAZARDS
VE PREVENTATIVE/CORRECTIVE ACTION
1. Pre-construction Health & Safety See "General Site Activities" JSA
EQUIPME
Meeting/General Site Activities All employees assigned to this task will attend a pre-construction health
NT (PPE):
X Hard and safety meeting, which will include the pertinent JSA,
hat X Site Safety Procedures manual, types of potential hazards, and
Safety actual hazards present and controls for those hazards.
Glasses
X Steel-
toed boots
Nitrile
gloves
X
Leather
work
gloves
X
Reflector
safety vest
X
Other:
2. General site activities
Hearing Traffic Hazards
Protection Fire/Explosion Establish traffic control patterns as described in GSC's traffic control plan,
as required utilizing cones, signage, and reflective traffic safety vests.

BEDROCK Keep fire extinguisher within 25' of operation; Monitor area with PID or
MONITORI LEL meter to ensure vapor concentrations <10% LEL and below action
NG WELL level for contaminants of concern (see site-specific HASP for details). No
INSTALLA smoking signs posted; smoking on site prohibited
TION BY
AIR/MUD
ROTARY
METHOD

2.. After a minimum of 5 feet of competent rock Overhead Hazards from pulling out drill strings
has been drilled, proceed to pull drill string from and inserting PVC.
the borehole. [This is the case where borehole
cave-in is not a possibility]
Wear hard-hat

Noise hazard
Back injury/strain Don appropriate hearing protection

3. Insert casing. Same as above Use safe lifting techniques; request assistance when handling heavy loads
(>50 lbs)

Same as above
4. Pour portland cement/bentonite grout into the
hole and up the annular space outside the
casing. [Allow grout to set for a minimum of 24
hours.]
Inhalation hazard; dust from pouring
cement/bentonite prior to mixing with water
Add water to bags of cement/bentonite prior to mixing contents to reduce
dust

Wear appropriate respiratory protection (dust mask)

Back injury from lifting heavy cement and

bentonite bags

Utilize proper lifting procedures (lift with knees not back); use wheel-
barrow, dolly, or cart to transport materials

5. Drill out cement and advance borehole to Noise hazard from drilling through cement
desired depth.

Wear appropriate hearing protection

Flying debris/cement

Wear approved safety glasses at all times

OVERBUR
DEN
WELL
CONSTRU
CTION
1. Hand clear down to required depths for Noise hazard from jack hammer
[HOLLOW
critical/non-critical zones. Use jack hammer or a Back injury from jack hammer or post hole Only properly trained personnel are permitted to operate power
STEM
saw (do not use the auger) to breakup asphalt diggers. equipment. Use proper hand and body positioning while using the saw
METHOD]
and post hole diggers to reach a desired depth. Flying debris from jack hammer. and/or jackhammer.
Lacerations from saw cutting. Use proper technique with post hole diggers.
Wear safety glasses to protect eyes from debris; Wear ear plugs or
earmuffs to protect hearing.

2. Begin drilling using hollow stem augers.
Back injury may occur from lifting augers.
Head injury may also occur from contact with
augers and or other metal parts on the rig.
Noise Hazards
Use mechanical lifting devices whenever possible. Use proper lifting
technique.
Wear hardhat at all times. Wear hearing protection at all times while near
drill rig.

3. Attaching the augers using bolts. Pinch points may occur while attaching the
augers on or removing them.

Use hand tools or other mechanical means to position augers. Wear

leather gloves to protect hands from lacerations and abrasions; use
ratchet cautiously when tightening bolts.

4. Shovel soil cuttings. Back injury may occur.

Use proper shoveling technique and/or get someone to assist with the
lifting.
5. Place soil cuttings in 55-gallon drums or stockpi Back injury may occur.
5. Place soil cuttings in 55-gallon drums or stockpi Back injury may occur.
6. Cut PVC pipe to desired length where the well Lacerations
casing will be at the ground surface.
7. Fill augers with water.
8. Knock out plug with split spoon or well casing. Slip hazard, especially under freezing conditions
9. Clear heaved sand or soil from the augers with Back injury may occur from lifting sand bags
a 3" split spoon.
10. Insert the well casing into the augers via a
hooking mechanism located on the drill rig.
11. Fill annular space with uniform
gravel/sand pack to no less than 2" above
the well screen.
12. Fill hole with bentonite pellets after fill
has been poured up to a
minimum of about 2' about the well screen.
13. Fill the annular space with cement
and/or bentonite grout from the top of the
bentonite seal to the ground surface.
Use powered fork lift to move drums if available. Use drum cart/dolly if
mechanical means not available; Use proper back injury prevention
techniques when lifting or moving drums.
Move drums by hand
only when on solid ground.
Pinch point from saw
Keep hands clear from saw blade. Ensure proper guards are intact on
powered saws. Wear leather gloves to reduce abrasions and lacerations.
Slip hazard, especially under freezing conditions
during the winter season.
Avoid spilling the water.
Have salt available to melt ice during the winter months.
during the winter season.
Avoid spilling the water.
Have salt available to melt ice during the winter months.
which may weigh from 50-100lbs.
Use proper lifting technique.
Use wheelbarrow, hand trucks, or carts to transport.
Head injuries from object being lifted.
Use mechanical lifting device; Use proper lifting technique if lifting is
necessary
Stay clear of the hoisted object.
Wear hard hat at all times
Back injury may occur from lifting the filter
sand/gravel bags which may weigh from 50-
100lbs. Use proper lifting technique.
Dust inhalation. Use wheelbarrow to transport the sand bags or use a second set
of hands.
Stand upwind while filter material is been poured into the augers.
Don dust mask or HEPA filtered respirator if dust control
methods are not effective
Back injury may occur.
Inhalation of Dust
Use proper lifting techniques.
Stay up wind while bentonite is being poured between the well
casing and the borehole.
Skin irritation
Back injury may occur. Wear leather gloves to prevent skin contact
Noise Use carts, hand-trucks, and wheel barrows to move materials.
Stay up wind while bentonite pellets are being poured into the
annular space within the borehole. Don dust mask or HEPA
filtered respirator if other means of dust control are not effective.
Wear earplugs/muffs; leather gloves; and safety glasses.
 Inhalation of dust Wear hearing protection

14. Place manhole over well head and Cement dust inhalation Stand upwind while filter material is been poured into the augers.
create cement pad to hold Don dust mask or HEPA filtered respirator if dust control methods
the manhole in place. are not effective

Skin irritation from concrete Stay up wind while pouring the cement. Don dust mask or HEPA
filtered respirator if dust control methods are not effective.

Back injury Wear long-sleeve shirts, nitrile gloves to prevent skin contact

Use proper lifting techniques; request assistance in lifting heavy

objects or materials; use mechanical devices (carts, wheel
barrows, hand-truck) to carry bags of cement.

15. Clean-up and depart site. On-site traffic hazards.

Water related slips and falls.
Icy conditions during the winter months.

Remove water by sweeping, squeegee, pumping, or other

acceptable removal technique
Remove ice promptly with hand tools and salt.
Exit site in a safe manner.

ONS/ADDITIONS (use additional pages as necessary)

PRACTICE
S must first
be
approved
verbally by
the Project
Manager
AND the
Health and
Safety
Officer.
Additions
to this JSA
(i.e.
additional
task steps,
or
new/additio
nal
hazards
and
mitigation
practices
recognized
) may be
made at
any time
with PM
approval
and
documente
d below.
Submit all
revisions to
the JSA
Stewardshi
p Team for
possible
inclusion in
future JSA
updates.
PM Notified/Approved:______________________________________ Date/Time: ___________________________________
Verbal Notification/Approval? (check here) ______
HSO Notified/Approval necessary? (circle one): Y N HSO Approval:________________________________________
Verbal Notification/Approval? (check here) ______ Date/Time: ________________________