**CONSTRUCTION JOB HAZARDS ANALYSIS**

**EXAMPLES**

**Contractor Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date: \_\_\_\_\_\_\_\_\_\_\_\_**

+-------------+--------------------+-----------------------------------+
| **Scope of  | **Potential Safety | **Mitigation of Potential Risks** |
| Work**      | Risks/Issues**     |                                   |
+-------------+--------------------+-----------------------------------+
| General,    |                    | -   All work shall be in          |
| Site and    |                    |     accordance with the           |
| work area   |                    |     subcontractor's IIPP and in   |
| setup       |                    |     conformance with all LBNL     |
|             |                    |     policies, Federal OSHA &      |
|             |                    |     Cal-OSHA standards;           |
|             |                    |                                   |
|             |                    | -   All general safety orders     |
|             |                    |     shall be reviewed by          |
|             |                    |     subcontractors prior to       |
|             |                    |     starting work;                |
|             |                    |                                   |
|             |                    | -   All equipment shall be        |
|             |                    |     properly and completely       |
|             |                    |     inspected by its operator     |
|             |                    |     prior to use. Any equipment   |
|             |                    |     that is not fully operational |
|             |                    |     and function shall be removed |
|             |                    |     from service;                 |
|             |                    |                                   |
|             |                    | -   All extension cords are to be |
|             |                    |     in good working order, free   |
|             |                    |     from cuts and abrasions and   |
|             |                    |     properly grounded and of a    |
|             |                    |     gauge suitable for the        |
|             |                    |     amperage used;                |
|             |                    |                                   |
|             |                    | -   All power equipment shall be  |
|             |                    |     in good working order and     |
|             |                    |     only operated by trained      |
|             |                    |     employees;                    |
|             |                    |                                   |
|             |                    | -   In areas where the PEL's      |
|             |                    |     cannot be measured to ensure  |
|             |                    |     employees are not being       |
|             |                    |     exposed to OSHA permissive    |
|             |                    |     exposure limits, employees    |
|             |                    |     will wear OSHA and NOISH      |
|             |                    |     approved breathing            |
|             |                    |     apparatuses including         |
|             |                    |     particulate masks. If such    |
|             |                    |     apparatuses are use,          |
|             |                    |     employees shall be FIT tested |
|             |                    |     and their certification cards |
|             |                    |     shall be made available to an |
|             |                    |     LBNL representative upon      |
|             |                    |     request;                      |
|             |                    |                                   |
|             |                    | -   Power tools found not to be   |
|             |                    |     in good working order and     |
|             |                    |     unsafe to use shall be tagged |
|             |                    |     and removed from the work     |
|             |                    |     area; employees using tools   |
|             |                    |     are to be trained in their    |
|             |                    |     safe use and the safety rules |
|             |                    |     for them and                  |
|             |                    |                                   |
|             |                    | -   PPE required at all times     |
|             |                    |     including;                    |
|             |                    |                                   |
|             |                    | ```{=html}                        |
|             |                    | <!-- -->                          |
|             |                    | ```                               |
|             |                    | -   Hard Hats                     |
|             |                    |                                   |
|             |                    | -   Safety Glasses                |
|             |                    |                                   |
|             |                    | -   Respirators as necessary      |
|             |                    |                                   |
|             |                    | -   Masks                         |
|             |                    |                                   |
|             |                    | -   Proper Gloves as necessary    |
|             |                    |                                   |
|             |                    | -   Noise Protection              |
+-------------+--------------------+-----------------------------------+
| -           | -   Striking       | -   Be aware of surroundings      |
|    Carrying |     against other  |                                   |
|     Objects |     objects        | -   Wear full body harness when   |
|             |                    |     working 6' above deck and     |
|             | -   Being struck   |     secured lanyard               |
|             |     by other       |                                   |
|             |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | -   Caught in      | -   Maintain proper body          |
|             |     between        |     positioning at all times      |
|             |     objects        |                                   |
|             |                    | -   Wear proper protection when   |
|             | -   Fall to a      |     handling chemicals            |
|             |     different      |                                   |
|             |     level          | -   Ensure proper seals on        |
|             |                    |     liquids being transferred     |
|             | -   Fall on the    |                                   |
|             |     same level     | -   When possible keep one hand   |
|             |                    |     free                          |
|             | -   Slip/Trip      |                                   |
|             |                    |                                   |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain |                                   |
|             |                    |                                   |
|             | -   Absorption     |                                   |
|             |     through skin   |                                   |
|             |                    |                                   |
|             | -   Pollution      |                                   |
+-------------+--------------------+-----------------------------------+
| -           | -   Striking       | -   Be aware of surroundings      |
|    Climbing |     against other  |                                   |
|             |     objects        | -   Wear full body harness when   |
|             |                    |     working 6' above deck with    |
|             | -   Fall to a      |     lanyard or Arrestive Fall     |
|             |     different      |     Device (A.F.D.)               |
|             |     level          |                                   |
|             |                    | -   Maintain Proper footing       |
|             | -   Slip/trip      |                                   |
|             |                    | -   Maintain proper body          |
|             | -   Overexertion,  |     positioning at all times      |
|             |     strain, sprain |                                   |
+-------------+--------------------+-----------------------------------+
| -   Lifting | -   Striking       | -   Be aware of surroundings      |
|             |     against other  |                                   |
|             |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | -   Being struck   | -   Maintain proper body          |
|             |     by other       |     positioning at all times      |
|             |     objects        |                                   |
|             |                    | -   Wear proper protection when   |
|             | ```{=html}         |     handling chemicals            |
|             | <!-- -->           |                                   |
|             | ```                | -   Get assistance when needed    |
|             | -   Caught in      |                                   |
|             |     between        |                                   |
|             |     objects        |                                   |
|             |                    |                                   |
|             | -   Fall to a      |                                   |
|             |     different      |                                   |
|             |     level          |                                   |
|             |                    |                                   |
|             | -   Fall on the    |                                   |
|             |     same level     |                                   |
|             |                    |                                   |
|             | -   Slip/Trip      |                                   |
|             |                    |                                   |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain |                                   |
+-------------+--------------------+-----------------------------------+
| -   Pipe    | -   Striking       | -   Be aware of surroundings      |
|             |     against other  |                                   |
|    Handling |     objects        | -   Wear full body harness when   |
|             |                    |     working 6' above deck and     |
|             | -   Being struck   |     secured lanyard               |
|             |     by other       |                                   |
|             |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | ```{=html}         | -   Maintain proper body          |
|             | <!-- -->           |     positioning at all times      |
|             | ```                |                                   |
|             | -   Caught in      | -   Wear proper eye protection    |
|             |     between        |                                   |
|             |     objects        | -   Wear proper protection for    |
|             |                    |     extreme cold/hot temps        |
|             | -   Fall to a      |                                   |
|             |     different      | -   Wear proper eye protection    |
|             |     level          |     around welding                |
|             |                    |                                   |
|             | -   Fall on the    | -   Proper gloves as needed       |
|             |     same level     |                                   |
|             |                    |                                   |
|             | -   Slip/Trip      |                                   |
|             |                    |                                   |
|             | ```{=html}         |                                   |
|             | <!-- -->           |                                   |
|             | ```                |                                   |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain |                                   |
|             |                    |                                   |
|             | -   Blown,         |                                   |
|             |     chipped,       |                                   |
|             |     splashed       |                                   |
|             |     particles      |                                   |
|             |                    |                                   |
|             | -   Pollution      |                                   |
|             |                    |                                   |
|             | -   Extreme        |                                   |
|             |     temperature or |                                   |
|             |     weather        |                                   |
|             |                    |                                   |
|             | -                  |                                   |
|             |   Cuts/Lacerations |                                   |
+-------------+--------------------+-----------------------------------+
| -           | -   Ins            | -   Perform required daily        |
|    Forklift | pections/Operation |     inspections, including        |
|             |                    |     rigging equipment if used.    |
|             | -   Improper Setup |     Equipment inspections as per  |
|             |     of work area   |     manufacturer's requirements.  |
|             |                    |     Inspect forklifts before use. |
|             | -   Overhead       |                                   |
|             |     Obstructions   | -   Repairs must be completed by  |
|             |                    |     Qualified Personnel           |
|             | And Utilities      |                                   |
|             |                    | -   Malfunctioning equipment must |
|             | -   Slips, Trips,  |     never be used until repaired  |
|             |     Falls          |     or replaced                   |
|             |                    |                                   |
|             | -   Cuts/Punctures | -   Operator must be Certified on |
|             |                    |     the type of forklift being    |
|             | -   Manual         |     used                          |
|             |     Handling of    |                                   |
|             |     Heavy objects  | -   Use seatbelts on equipment    |
|             |                    |     which require it              |
|             | -   Housekeeping   |                                   |
|             |                    | -   Wear proper PPE               |
|             |                    |                                   |
|             |                    | -   Ensure the work areas are     |
|             |                    |     secured and safe for          |
|             |                    |     operations                    |
|             |                    |                                   |
|             |                    | -   Keep non-essential personnel  |
|             |                    |     out of the area               |
|             |                    |                                   |
|             |                    | -   Identify all overhead         |
|             |                    |     obstructions and utilities    |
|             |                    |     around the site before work   |
|             |                    |     commences                     |
|             |                    |                                   |
|             |                    | -   Utility clearance shall       |
|             |                    |     conform with Fed/Cal OSHA     |
|             |                    |     guidelines                    |
|             |                    |                                   |
|             |                    | -   Guard or de-energize          |
|             |                    |     electrical sources if         |
|             |                    |     necessary                     |
|             |                    |                                   |
|             |                    | ```{=html}                        |
|             |                    | <!-- -->                          |
|             |                    | ```                               |
|             |                    | -   Be aware of surroundings      |
|             |                    |                                   |
|             |                    | -   Maintain proper footing       |
|             |                    |                                   |
|             |                    | -   Maintain proper body          |
|             |                    |     positioning at all times      |
|             |                    |                                   |
|             |                    | ```{=html}                        |
|             |                    | <!-- -->                          |
|             |                    | ```                               |
|             |                    | -   Keep area dry and clean       |
|             |                    |                                   |
|             |                    | -   Wear Proper hand protection   |
|             |                    |     i.e. gloves                   |
|             |                    |                                   |
|             |                    | -   Beware of sharp equipment,    |
|             |                    |     tools, and other materials    |
|             |                    |                                   |
|             |                    | -   Mark, identify sharp objects  |
|             |                    |     and communicate the hazard to |
|             |                    |     others                        |
|             |                    |                                   |
|             |                    | -   Observe proper lifting        |
|             |                    |     techniques                    |
|             |                    |                                   |
|             |                    | -   Obey sensible lifting limits  |
|             |                    |                                   |
|             |                    | -   Use mechanical lifting        |
|             |                    |     equipment (hand carts/trucks) |
|             |                    |     to move heavy, large, or      |
|             |                    |     awkward loads                 |
|             |                    |                                   |
|             |                    | -   Awkward loads must be secured |
|             |                    |     using ropes or straps         |
|             |                    |                                   |
|             |                    | -   Training required for using   |
|             |                    |     hand trucks/carts             |
|             |                    |                                   |
|             |                    | -   Never move materials on ice   |
|             |                    |     or slick surfaces             |
|             |                    |                                   |
|             |                    | -   Keep unloading area free of   |
|             |                    |     obstructions and debris       |
|             |                    |                                   |
|             |                    | -   Place all trash/debris in the |
|             |                    |     proper containers             |
+-------------+--------------------+-----------------------------------+
| Forklift    | -   General        | -   Smoking only allowed in       |
| (Continued) |     Fire/Explosion |     approved areas                |
|             |     Prevention     |                                   |
|             |                    | -   Fire Extinguishers must be    |
|             |                    |     available where/when required |
|             |                    |                                   |
|             |                    | -   Flammable liquids shall be    |
|             |                    |     stored in approved containers |
|             |                    |                                   |
|             |                    | -   Refueling of equipment at a   |
|             |                    |     re-fueling station per LBNL,  |
|             |                    |     Fed-OSHA, or Cal-OSHA         |
|             |                    |     guidelines.                   |
|             |                    |                                   |
|             |                    | -   Do not wear protective        |
|             |                    |     coveralls when refueling. In  |
|             |                    |     case of fire, protective      |
|             |                    |     coveralls can catch fire      |
|             |                    |     easily and burn rapidly       |
+-------------+--------------------+-----------------------------------+
| -   Pushing | -   Striking       | -   Be aware of surroundings      |
|             |     against other  |                                   |
|             |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | -   Being struck   | -   Maintain proper body          |
|             |     by other       |     positioning at all times      |
|             |     objects        |                                   |
|             |                    | -   Wear proper protection when   |
|             | ```{=html}         |     handling chemicals            |
|             | <!-- -->           |                                   |
|             | ```                | ```{=html}                        |
|             | -   Caught in      | <!-- -->                          |
|             |     between        | ```                               |
|             |     objects        | -   Get assistance when needed    |
|             |                    |                                   |
|             | -   Fall to a      | -   Wear proper eye protection    |
|             |     different      |                                   |
|             |     level          |                                   |
|             |                    |                                   |
|             | -   Fall on the    |                                   |
|             |     same level     |                                   |
|             |                    |                                   |
|             | -   Slip/Trip      |                                   |
|             |                    |                                   |
|             | ```{=html}         |                                   |
|             | <!-- -->           |                                   |
|             | ```                |                                   |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain |                                   |
+-------------+--------------------+-----------------------------------+
| -   Using   | -   Striking       | -   Be aware of surroundings      |
|     hand    |     against other  |                                   |
|     tools   |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | -   Being struck   | -   Maintain proper body          |
|             |     by other       |     positioning at all times      |
|             |     objects        |                                   |
|             |                    | -   Wear proper protection when   |
|             | ```{=html}         |     handling chemicals            |
|             | <!-- -->           |                                   |
|             | ```                | ```{=html}                        |
|             | -   Caught in      | <!-- -->                          |
|             |     between        | ```                               |
|             |     objects        | -   Use tools only for it's       |
|             |                    |     intended purpose              |
|             | -   Fall to a      |                                   |
|             |     different      | -   Wear proper eye protection    |
|             |     level          |                                   |
|             |                    | -   Wear proper protection for    |
|             | -   Fall on the    |     extreme cold/hot temps        |
|             |     same level     |                                   |
|             |                    | -   Wear proper hand protection   |
|             | -   Slip/Trip      |     (gloves)                      |
|             |                    |                                   |
|             | ```{=html}         | -   Inspect tools for damage      |
|             | <!-- -->           |     before use                    |
|             | ```                |                                   |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain |                                   |
|             |                    |                                   |
|             | -   Pinch points   |                                   |
|             |                    |                                   |
|             | -   Extreme        |                                   |
|             |     temperature or |                                   |
|             |     weather        |                                   |
+-------------+--------------------+-----------------------------------+
| -   Using   | -   Striking       | -   Be aware of surroundings      |
|     power   |     against other  |                                   |
|     tools   |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | -   Being struck   | -   Maintain proper body          |
|             |     by other       |     positioning at all times      |
|             |     objects        |                                   |
|             |                    | -   Wear proper protection when   |
|             | ```{=html}         |     handling chemicals            |
|             | <!-- -->           |                                   |
|             | ```                | ```{=html}                        |
|             | -   Caught in      | <!-- -->                          |
|             |     between        | ```                               |
|             |     objects        | -   Use tools only for it's       |
|             |                    |     intended purpose              |
|             | -   Fall to a      |                                   |
|             |     different      | -   Wear proper eye protection    |
|             |     level          |                                   |
|             |                    | -   Wear proper protection for    |
|             | -   Fall on the    |     extreme cold/hot temps        |
|             |     same level     |                                   |
|             |                    | -   Wear proper hand protection   |
|             | -   Slip/Trip      |     (gloves)                      |
|             |                    |                                   |
|             | ```{=html}         | -   Inspect tools for damage      |
|             | <!-- -->           |     before use                    |
|             | ```                |                                   |
|             | -   Overexertion,  | -   Inspect power cords, if       |
|             |     strain, sprain |     damaged take out of service   |
|             |                    |                                   |
|             | -   Pinch points   | -   Keep power cords out of       |
|             |                    |     walkways (trip hazard) when   |
|             | -   Electric shock |     possible                      |
|             |                    |                                   |
|             | -   Extreme        |                                   |
|             |     temperature or |                                   |
|             |     weather        |                                   |
+-------------+--------------------+-----------------------------------+
| -   Powder  | -   Striking       | -   Only certified personnel to   |
|             |     against other  |     use                           |
|    actuated |     objects        |                                   |
|     tools   |                    | -   Be aware of surroundings      |
|             | -   Being struck   |                                   |
|             |     by other       | -   Notify anyone in area, [use   |
|             |     objects        |     signage]{.underline}, about   |
|             |                    |     use of powder actuated tool,  |
|             | ```{=html}         |     and noise and possible flying |
|             | <!-- -->           |     debris.                       |
|             | ```                |                                   |
|             | -   Caught in      | -   Maintain proper footing       |
|             |     between        |                                   |
|             |     objects        | -   Maintain proper body          |
|             |                    |     positioning at all times      |
|             | -   Fall to a      |                                   |
|             |     different      | -   Wear proper protection when   |
|             |     level          |     handling chemicals            |
|             |                    |                                   |
|             | -   Fall on the    | ```{=html}                        |
|             |     same level     | <!-- -->                          |
|             |                    | ```                               |
|             | -   Slip/Trip      | -   Wear proper eye protection    |
|             |                    |                                   |
|             | ```{=html}         | -   Wear proper protection for    |
|             | <!-- -->           |     extreme cold/hot temps        |
|             | ```                |                                   |
|             | -   Overexertion,  | -   Wear proper hand protection   |
|             |     strain, sprain |     (gloves)                      |
|             |                    |                                   |
|             | -   Pinch points   | -   Inspect tools for damage      |
|             |                    |     before use                    |
|             | -   Extreme        |                                   |
|             |     temperature or | ```{=html}                        |
|             |     weather        | <!-- -->                          |
|             |                    | ```                               |
|             | -   Blown,         | -   Use proper hearing protection |
|             |     chipped,       |                                   |
|             |     splashed       | -   A powder-actuated tool must   |
|             |     particles      |     *never* be pointed at anyone, |
|             |                    |     whether it is loaded or not!  |
|             | -   Improper use   |                                   |
|             |                    | -   A powder-actuated tool should |
|             | -   Noise level    |     never be loaded until it is   |
|             |                    |     ready to be used for          |
|             |                    |     fastening                     |
|             |                    |                                   |
|             |                    | -   Powder-actuated tools should  |
|             |                    |     not be used in areas where    |
|             |                    |     flammable or combustible      |
|             |                    |     atmospheres may be present.   |
|             |                    |     The combination could cause   |
|             |                    |     an explosion.                 |
|             |                    |                                   |
|             |                    | -   Never drive a fastener into a |
|             |                    |     \"spalled\" or chipped        |
|             |                    |     surface, i.e., over an uneven |
|             |                    |     area where a previous         |
|             |                    |     fastening was unsatisfactory. |
|             |                    |                                   |
|             |                    | -   Never shoot into a surface    |
|             |                    |     unless you are certain it     |
|             |                    |     will *contain* the fastener   |
+-------------+--------------------+-----------------------------------+
| -           | -   Striking       | -   Be aware of surroundings      |
|    Cleaning |     against other  |                                   |
|             |     objects        | -   Wear full body harness when   |
|             |                    |     working 6' above deck and     |
|             | -   Being struck   |     secured lanyard               |
|             |     by other       |                                   |
|             |     objects        | -   Ensure proper seals on        |
|             |                    |     liquids being transferred     |
|             | ```{=html}         |                                   |
|             | <!-- -->           | -   Maintain proper footing       |
|             | ```                |                                   |
|             | -   Fall to a      | -   Maintain proper body          |
|             |     different      |     positioning at all times      |
|             |     level          |                                   |
|             |                    | -   Wear proper protection when   |
|             | -   Fall on the    |     handling chemicals            |
|             |     same level     |                                   |
|             |                    | ```{=html}                        |
|             | -   Slip/Trip      | <!-- -->                          |
|             |                    | ```                               |
|             | ```{=html}         | -   Get assistance when needed    |
|             | <!-- -->           |                                   |
|             | ```                | -   Wear proper eye protection    |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain | -   Wear proper protection for    |
|             |                    |     extreme cold/hot temps        |
|             | -   Blown,         |                                   |
|             |     chipped,       | -   Wear proper breathing         |
|             |     splashed       |     apparatus to avoid inhaling   |
|             |     particles      |     hazard                        |
|             |                    |                                   |
|             | -   Pollution      |                                   |
|             |                    |                                   |
|             | -   Extreme        |                                   |
|             |     temperature or |                                   |
|             |     weather        |                                   |
|             |                    |                                   |
|             | -   Absorption     |                                   |
|             |     through skin   |                                   |
|             |                    |                                   |
|             | -   Inhalation     |                                   |
+-------------+--------------------+-----------------------------------+
| -           | -   General        | -   A Dig Permit is required      |
|  Excavation |                    |                                   |
| s/Trenching | -   Access and     | -   Evaluation of shoring,        |
|             |     Egress         |     sloping, or other means to    |
|             |                    |     eliminate the potential for   |
|             |                    |     cave-ins must be performed    |
|             |                    |     prior to the start of work    |
|             |                    |                                   |
|             |                    | -   If digs are to be 4 feet or   |
|             |                    |     greater then a Confined Space |
|             |                    |     JHA and a Safety Checklist    |
|             |                    |     are to be completed and       |
|             |                    |     turned in to Construction     |
|             |                    |     Safety Engineer               |
|             |                    |                                   |
|             |                    | -   Exact location of utilities   |
|             |                    |     are to be found/located       |
|             |                    |     following LBNL Policies       |
|             |                    |                                   |
|             |                    | -   Competent Person to determine |
|             |                    |     the soil type, do inspections |
|             |                    |     daily and prior to start of   |
|             |                    |     each work shift to ensure     |
|             |                    |     safe work conditions. Any     |
|             |                    |     previously dug soil is to be  |
|             |                    |     considered Class "C" soil.    |
|             |                    |                                   |
|             |                    | -   The atmosphere in             |
|             |                    |     excavations/trenches greater  |
|             |                    |     than 4 feet in depth shall be |
|             |                    |     tested for Oxygen deficiency  |
|             |                    |     or a hazardous atmosphere     |
|             |                    |                                   |
|             |                    | -   Stairway, ladder, ramp, or    |
|             |                    |     other safe means of egress    |
|             |                    |     shall be located in           |
|             |                    |     excavations/trenches that are |
|             |                    |     4 feet or greater in depth so |
|             |                    |     that no more than 25 feet of  |
|             |                    |     lateral travel is required    |
|             |                    |                                   |
|             |                    | -   Materials and equipment are   |
|             |                    |     to be kept at least 2 feet    |
|             |                    |     from the edge of the          |
|             |                    |     excavations so as to keep     |
|             |                    |     anything from falling into    |
|             |                    |     hole.                         |
|             |                    |                                   |
|             |                    | -   Adequate precautions must be  |
|             |                    |     taken to ensure that          |
|             |                    |     vibrating equipment and       |
|             |                    |     vehicular traffic do not      |
|             |                    |     cause a cave-in.              |
|             |                    |                                   |
|             |                    | -   Always consider ground water  |
|             |                    |     seepage as a potential cause  |
|             |                    |     of collapse of any trench or  |
|             |                    |     excavation.                   |
+-------------+--------------------+-----------------------------------+
| -   Ladders | -   Falls          | -   All employees shall be        |
|             |                    |     instructed in the safe use    |
|             |                    |     and operation of ladders used |
|             |                    |     on this project;              |
|             |                    |                                   |
|             |                    | -   All ladders shall conform to  |
|             |                    |     OSHA standards;               |
|             |                    |                                   |
|             |                    | -   All ladders shall be          |
|             |                    |     inspected prior to their use  |
|             |                    |     and if found to be defective, |
|             |                    |     shall be removed from         |
|             |                    |     service;                      |
|             |                    |                                   |
|             |                    | -   All step ladders used on this |
|             |                    |     project shall be Type I,      |
|             |                    |     Industrial;                   |
|             |                    |                                   |
|             |                    | -   Employees are not to use the  |
|             |                    |     top 2 rungs of a ladder;      |
|             |                    |                                   |
|             |                    | -   Metal ladders are expressly   |
|             |                    |     prohibited around charged     |
|             |                    |     electrical parts;             |
|             |                    |                                   |
|             |                    | -   When using a step ladder,     |
|             |                    |     employees must make sure the  |
|             |                    |     ladder is properly set on     |
|             |                    |     firm ground and that the      |
|             |                    |     spreader bars are properly    |
|             |                    |     locked in place;              |
|             |                    |                                   |
|             |                    | -   Step ladders are not to be    |
|             |                    |     used as a lean-to ladder; and |
|             |                    |                                   |
|             |                    | -   Extension ladders must extend |
|             |                    |     3 feet above the landing      |
|             |                    |     unless handholds are          |
|             |                    |     provided.                     |
|             |                    |                                   |
|             |                    | -   Area around ladders are to be |
|             |                    |     kept dry, clean of any        |
|             |                    |     debris, and access/egress     |
|             |                    |     clear                         |
+-------------+--------------------+-----------------------------------+
| -           | -   Striking       | -   Be aware of surroundings      |
|  Descending |     against other  |                                   |
|             |     objects        | -   Wear full body harness when   |
|             |                    |     working 6' above deck and     |
|             | -   Being struck   |     secured lanyard               |
|             |     by other       |                                   |
|             |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | ```{=html}         | -   Maintain proper body          |
|             | <!-- -->           |     positioning at all times      |
|             | ```                |                                   |
|             | -   Caught in      | -   Use Hand Rails                |
|             |     between        |                                   |
|             |     objects        |                                   |
|             |                    |                                   |
|             | -   Fall to a      |                                   |
|             |     different      |                                   |
|             |     level          |                                   |
|             |                    |                                   |
|             | -   Fall on the    |                                   |
|             |     same level     |                                   |
|             |                    |                                   |
|             | -   Slip/Trip      |                                   |
|             |                    |                                   |
|             | ```{=html}         |                                   |
|             | <!-- -->           |                                   |
|             | ```                |                                   |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain |                                   |
+-------------+--------------------+-----------------------------------+
| -   Welding | -   Striking       | -   Be aware of surroundings      |
|             |     against other  |                                   |
|             |     objects        | -   Wear full body harness when   |
|             |                    |     working 6' above deck and     |
|             | -   Being struck   |     secured lanyard               |
|             |     by other       |                                   |
|             |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | ```{=html}         | -   Maintain proper body          |
|             | <!-- -->           |     positioning at all times      |
|             | ```                |                                   |
|             | -   Caught in      | -   Wear proper eye protection    |
|             |     between        |                                   |
|             |     objects        | -   Wear proper protection for    |
|             |                    |     extreme cold/hot temps        |
|             | -   Fall to a      |                                   |
|             |     different      | -   Wear proper eye protection    |
|             |     level          |     around welding                |
|             |                    |                                   |
|             | -   Fall on the    | -   Wear proper breathing         |
|             |     same level     |     apparatus to avoid inhaling   |
|             |                    |     hazard                        |
|             | -   Slip/Trip      |                                   |
|             |                    | -   Secure work area              |
|             | ```{=html}         |                                   |
|             | <!-- -->           | -   Fire Extinguishers following  |
|             | ```                |     LBNL policies                 |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain | -   Hot Work Permit Required      |
|             |                    |                                   |
|             | -   Blown,         |                                   |
|             |     chipped,       |                                   |
|             |     splashed       |                                   |
|             |     particles      |                                   |
|             |                    |                                   |
|             | -   Extreme        |                                   |
|             |     temperature or |                                   |
|             |     weather        |                                   |
|             |                    |                                   |
|             | ```{=html}         |                                   |
|             | <!-- -->           |                                   |
|             | ```                |                                   |
|             | -   Arc/X-ray      |                                   |
|             |     exposure       |                                   |
|             |                    |                                   |
|             | -   Electric shock |                                   |
|             |                    |                                   |
|             | -   Inhalation     |                                   |
|             |                    |                                   |
|             | -   Fire           |                                   |
|             |     Prevention     |                                   |
|             |                    |                                   |
|             | -   Pollution      |                                   |
+-------------+--------------------+-----------------------------------+
| -           | -   Striking       | -   Be aware of surroundings      |
|    Equipmen |     against other  |                                   |
| t/machinery |     objects        | -   Wear full body harness when   |
|             |                    |     working 6' above deck and     |
|   operation | -   Being struck   |     secured lanyard               |
|             |     by other       |                                   |
|             |     objects        | -   Maintain proper footing       |
|             |                    |                                   |
|             | ```{=html}         | -   Maintain proper body          |
|             | <!-- -->           |     positioning at all times      |
|             | ```                |                                   |
|             | -   Caught in      | -   Wear proper eye protection    |
|             |     between        |                                   |
|             |     objects        | -   Wear proper protection for    |
|             |                    |     extreme cold/hot temps        |
|             | -   Fall to a      |                                   |
|             |     different      | -   Wear proper breathing         |
|             |     level          |     apparatus to avoid inhaling   |
|             |                    |     hazard                        |
|             | -   Fall on the    |                                   |
|             |     same level     | -   Ensure proper seals on        |
|             |                    |     liquids being transferred     |
|             | -   Slip/Trip      |                                   |
|             |                    | -   Wear proper protection when   |
|             | ```{=html}         |     handling chemicals            |
|             | <!-- -->           |                                   |
|             | ```                | -   No loose clothing, etc.       |
|             | -   Overexertion,  |                                   |
|             |     strain, sprain | -   Training as required          |
|             |                    |     (Certifications)              |
|             | -   Blown,         |                                   |
|             |     chipped,       | -   Daily Equipment checks        |
|             |     splashed       |                                   |
|             |     particles      |                                   |
|             |                    |                                   |
|             | -   Pollution      |                                   |
|             |                    |                                   |
|             | -   Extreme        |                                   |
|             |     temperature or |                                   |
|             |     weather        |                                   |
|             |                    |                                   |
|             | ```{=html}         |                                   |
|             | <!-- -->           |                                   |
|             | ```                |                                   |
|             | -   Electric shock |                                   |
|             |                    |                                   |
|             | -   Inhalation     |                                   |
+-------------+--------------------+-----------------------------------+
| -           | -   Slip/Trip      | -   Be aware of surroundings      |
|    Handling |                    |                                   |
|     liquid  | ```{=html}         | -   Maintain proper footing       |
| s/materials | <!-- -->           |                                   |
|             | ```                | -   Maintain proper body          |
|             | -   Overexertion,  |     positioning at all times      |
|             |     strain, sprain |                                   |
|             |                    | -   Wear proper protection when   |
|             | -   Blown,         |     handling chemicals            |
|             |     chipped,       |                                   |
|             |     splashed       | -   Wear proper eye protection    |
|             |     particles      |                                   |
|             |                    | -   Ensure proper seals on        |
|             | -   Pollution      |     liquids being transferred     |
|             |                    |                                   |
|             | -   Extreme        | -   Wear proper protection for    |
|             |     temperature or |     extreme cold/hot temps        |
|             |     weather        |                                   |
|             |                    | -   Wear proper breathing         |
|             | ```{=html}         |     apparatus to avoid inhaling   |
|             | <!-- -->           |     hazards                       |
|             | ```                |                                   |
|             | -   Inhalation     | all time                          |
+-------------+--------------------+-----------------------------------+
| -           | -   Repetitive     | -   All employees shall be        |
|  Ergonomics |     Motion         |     instructed in the safe use    |
|             |     Injuries (RMI) |     and operation of equipment    |
|             |                    |     used on this project;         |
|             | -   Back Injuries  |                                   |
|             |                    | -   The proper tool shall be used |
|             |                    |     for the job at hand;          |
|             |                    |                                   |
|             |                    | -   Whenever possible, mechanical |
|             |                    |     lifting equipment shall be    |
|             |                    |     used in place of manually     |
|             |                    |     lifting and moving of loads;  |
|             |                    |                                   |
|             |                    | -   If a tool is damaged, it      |
|             |                    |     should be replaced as soon as |
|             |                    |     possible;                     |
|             |                    |                                   |
|             |                    | -   Employees using repetitive    |
|             |                    |     motions doing their work      |
|             |                    |     shall take the necessary      |
|             |                    |     breaks to avoid injuries to   |
|             |                    |     themselves;                   |
|             |                    |                                   |
|             |                    | -   RMI injuries shall be         |
|             |                    |     reported to your supervisor   |
|             |                    |     right away;                   |
|             |                    |                                   |
|             |                    | -   All employees shall use       |
|             |                    |     proper back lifting           |
|             |                    |     techniques as trained when    |
|             |                    |     lifting heavy loads; and PPE  |
|             |                    |     shall always fit properly.    |
+-------------+--------------------+-----------------------------------+

General mitigating requirements are as follows:

1.  All employees shall be aware of General Safety Rules.

2.  All employees shall be aware and trained in the Illness & Prevention
    Program.

3.  All employees shall be aware and trained in the Chemical Hazards
    Communication Program.

4.  All MSDS for proposed and used chemicals shall be on file and
    approved with the General Contractor prior to the start of work.
    Provide training as required by the specific MSDS.

5.  All PPE shall be used in accordance with the applicable MSDS.

6.  All employees, where required shall be trained and certified when
    required by OSHA & Cal-OSHA.

7.  All PPE to be approved by ANSI or applicable approval agency.

8.  All MSDS sheets shall be submitted to the General Contractor prior
    to starting work.

9.  Fall protection measures shall be in place for ladder safety in
    heights of 6 feet and higher.

10. Any injury is to be reported to the Supervisor immediately

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Agreed To -- Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Approved -- Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Reviewed / Approved -- Lawrence Berkeley National Lab Date

**A signed copy of this JHA [must]{.underline} be posted while the
applicable subcontractor is working on-site and be available to any LBNL
employee upon request.**

Copy Distribution:

General Contractor Project Superintendent Subcontractor

LBNL Safety Officer LBNL Construction Manager

**Construction JHA Safety Sign-in Sheet**

**[Date: \_\_\_\_\_\_\_\_\_\_]{.underline}**

**[Print]{.underline} [Signature]{.underline}**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**