APPENDIX C:  EXAMPLE OF A JOB HAZARD ANALYSIS

 

 

JOB:  Entering Stilling Well with a Confined Space Hazard                                        DATE:  6/23/99

 

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PREPARED BY:

 

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REVIEWED BY:                                                        Recommended Protective Clothing and Equipment:

                                                                                         

                                                                                      Portable electric blower, hard hat, gloves, steel-toed shoes,

                                                                                      fall-protection equipment, cell phone, first aid kit, Personal

                                                                                      Flotation Device (PFD)

 

 

Sequence of Basic Job Steps         Potential Accidents/Hazards       Recommended Safe Job Procedures

 

Prepare for field trip.                                                                                    Review WRD Policy Memo 2000.10

                                                                                                                        "Policy and Guidelines for Surface

                                                                                                                        Water Gaging Stations that meet

                                                                                                                        OSHA's Definition of Confined Space."

 

Find documentation for latest                                                                      Ensure that the safety evaluation for this

safety evaluation at this site.                                                                        site has been completed within the last

                                                                                                                        12 months.

 

Load required safety                         Back Strain-                                       Use proper lifting techniques.  Get help

equipment.                                                                                                     for heavy equipment.

Equipment Checklist:

   1. Electric blower                          Pinching Fingers and Toes-              Wear gloves and steel-toed boots.

   2. Ducting

   3. PFD                                             Unsecured Load-                               Ensure load is properly secured in field

   4. Fall-protection equipment                                                                    vehicle in case of an accident.

   5. Cell phone

   6. First aid kit

 

Open door to gaging station             Inadvertent Entrapment-                   Secure doors in open position.

and stilling well.                                                                                           

 

Enter gaging station.                         Unknown Hazards that may have      Perform a quick visual safety inspection

                                                            developed since last visit-                using the Stilling Well Safety Evaluation

                                                                                                                        Form as a checklist.

 

Enter stilling well.                             Unknown Hazards that may have      Perform a quick visual safety inspection

                                                            developed since last visit-                using the Stilling Well Safety Evaluation

                                                                                                                        Form as a checklist.

                                                               Physical Hazards

                                                               Electrical Hazards

                                                               Biological Hazards