OPRD JOB HAZARD ASSESSMENT FORM (rev.10.

11)
JOB: Tree/Brush/Vegetation Management JOB LOCATION: State Parks

IDENTIFY HAZARDS: Please check all hazards that apply for this job or project. 1. 2. 3. 4. 5. 6. 7. 8. 9. Aerial lifts Animals/insects Bloodborne pathogens Chemical exposure Cold/wet conditions Confined spaces Dust/flying particles Electric shock Ergonomic hazards 10. 11. 12. 13. 14. 15. 16. 17. 18. Excavation cave-in Excessive heat Falls from height Fire/explosion Hand/powered tools 19. 20. 21. 22. 23. Noise Overhead hazards/falling objects Poisonous plants Radiation Scaffolding Slip/trip/fall Vehicle traffic Unguarded machinery Welding equip./compressed gases

Hazardous atmospheres 24. Heavy equipment High vibration Low visibility 25. 26. 27.

28. OTHER, SPECIFY: Falling trees, operating chainsaw, operating heavy equipment, lifting and moving heavy loads (over 50 lbs). IDENTIFY HAZARD CONTROLS For each hazard checked above, list the corresponding hazard number and explain how employees will be protected from injury: engineering or work practice controls, personal protective equipment (PPE). Hazard No. 2 Hazard No. 4 Hazard No. 5 Hazard No. 7 Hazard No. 9 Hazard No. 8 Control- Wear long pants and sleeves, use repellant containing DEET, watch for hornet/wasp nests. Control- Follow label when mixing chemicals, use PPE per label, use in well ventilated area, avoid wind. Control- Wear clothing appropriate for conditions, watch for signs of hypothermia. Control- Use proper eye and respiratory protection. Control- Use good body mechanics when lifting or moving heavy objects. Control- Avoid contact with downed power lines or trees leaning against power lines.

Hazard No. 11 Control- Use sun protection, stay properly hydrated, take breaks out of the sun. Hazard No. 14 Control- Use correct tool for job, follow manufacturers guidelines for PPE including gloves. Hazard No. 17 Control- Take breaks to avoid hand fatigue, use anti-vibration gloves. Hazard No. 18 Control- Only work in adequate light. Wear reflective safety vest or other high visibility gear. Hazard No. 19 Control- Wear hearing protection. Hazard No. 20 Control- Monitor overhead hazards and wear hard hat. Hazard No. 21 ControlHazard No. 24 ControlHazard No. 25 Control- Protect work area from vehicle traffic. Use cones, signs or flaggers as needed. Hazard: OTHER Control- Wear safety boots. (ATTACH ADDITIONAL PAGES IF NEEDED)

Safe Operation Procedure (SOP) and PPE required for job: Follow manufacturers guidelines for operating all equipment. Follow appropriate OPRD safety module guidelines for each task. Wear PPE as directed by operation manual or safety module.

SIGNATURES & CERTIFICATION: All employees on this job or project will be informed of these hazards/controls. Employee (Person Conducting JHA): Managers Signature: Date: Date: