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

Enter stilling well. (continued) Confined Space Hazards- Set up ventilation equipment.

Atmospheric Hazards- Fresh air duct should be placed in the

stilling well near the water surface.

Gasoline-powered equipment must be

located downwind and down gradient

of stilling well to prevent accidental

contamination of the stilling well

atmosphere.

Falling Objects- Secure or remove any equipment that

may fall into the stilling well.

Falling Hazard- Set up and wear fall-protection

equipment.

Entrapment Hazard- Wear PFD; use two people at site.

Load equipment after Back Strain- Use proper lifting techniques.

completing the job.

Pinching Fingers and Toes- Wear gloves and steel-toed boots.

Unsecured Load- Ensure load is properly secured in field

vehicle in case of an accident.

Emergency Phone Numbers:

Police 777-777-7777

Hospital 888-888-8888

Fire-Rescue 999-999-9999