Title Page
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Job Site
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Trade
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Foreman
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General Contractor
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Conducted on
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Number of Workers
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Equipment used?
- Coring Machine
- Threading Machine
- Groover
- Impact Gun
- Chop Saw
- Sawzall
- Hammer Drill
- Stepladders
- Band Saw
- Pressure Tester
- Scissor lift
- Boom Lift
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Training Requirements
- Scissor Lift
- Boom Lift
- Confined Space
- Scaffold
- Respiratory
- other
JHA and Sign
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Activities none
- Underground Soil Piping
- Copper Water Piping
- Hole Coring
- Black Steel Threaded Pipe
- Black Steel Welded Pipe
- Cast Iron Soil Pipe Aboveground
- Copper Tubing Groved
- Copper Tubing, Soldered
- Fire and Smoke Sealing
- Handling and Setting Equipment
- Labeling and Tagging
- Polypropylene Lab Waste Aboveground
- Polypropylene Lab Waste Underground
- Polypropylene Pure Water Systems
- Receiving and Unloading Materials
- Setting Drains and Floor Sleeves
- Steel Pipe, Grooved
- Testing: Gas Piping
- Testing: Underground Drainage System
- Testing: Above Grade Drainage System
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Hazards
- Slips, Trips
- Struck By
- Falls
- Hand Injuries
- Eye Injuries
- Sprains & Strains
- Ladder Accidents
- Poor Housekeeping
- Electrical Shock
- Dropped Core Slugs
- Excavation Hazards
- Aerial Lift Accidents
- Adjacent Work Activities
- Chemical Exposure
- Unsafe Lift gate
- Burns
- Fire Hazards
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Procedures
- Ladder: Inspect for excessive wear. Use step ladders in fully open position and proper steps only
- Watch your footing. Be aware of slippery areas. Provide clear and we'll lit pathways
- Do not operate aerial lifts without proper training. Only work from platform. Inspect lift before use
- Be aware of all overhead and other adjacent work activities
- PPE: gloves, glasses, hard hat, vest
- Keep work areas clean. All cut pieces of pipe & threaded rod shall be disposed of
- Fall protection shall be provided on areas where a fall hazard is 6 ft or more (guardrails/harness/lanyard/anchor)
- Hot Work: follow procedures on hot work permit. Keep hoses/cords away from high foot traffic areas
- Electrical: Verify Ground Fault Interrupter (GFI) is in place. Inspect cords for excessive wear
- Coring: ensure that area below coring operation is flagged and an attendant is in place
- Pinch Points! Wear proper gloves and be aware of hand placement when moving pipe
- Chemical Exposure: review Safety Data Sheets (SDS) and GHS Label for specific hazards and PPE use
- Testing: Provide warning signage to inform other trades of areas being tested and type of testing
- Testing: Never try to fix a fitting during any kind of testing (pneumatic/hydrostatic)
- Hoisting&Rigging: inspect all equipment before use, verify loading capacities, discard any defective equipment
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SITE SPECIFIC SAFETY INFORMATION
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Sign in Sheet
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