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