C/M or P/MReviewed: CONSTRUCTION JOB HAZARDS ANALYSIS

Core Drilling / Saw Cutting Concrete or Asphalt (Wet Method)

Building & Room(s): Contractor/Subcontractor Name: Rev: 2015

Scope of Work: Please list the scope of work in this area. (What machine to be used, how any & size of holes) (and remove these directions).

Tasks being Performed Potential Safety Risks/Hazards Safety Controls / Mitigations

This is a TEMPLATESet up Machine & work area(delineate as necessary) Note: Traffic/ Pedestrian control plan maybe required

(Penetration Permit Required)

Core drill holes Saw cut

Use a Wet Vac to clean up slurry, A second person maybe needed for set up & the capture of slurry.

(and remove these directions).

Risk of Injury to bystandersWork area should be delineated off from Un-Authorized personnel & signs posted

All personnel must use caution when in or around saw cutting areas

Proper PPE shall be worn by adjacent personnel, as required by their proximity to the work task.

Risk of hitting underground utilities.Ensure all Areas to be cored drilled have been scanned.

Follow Penetration Permit

Risks of injury from improper set up or operation.

All connections, mountings, guards & controls on the equipment must be inspected prior to use.

Ensure there has been a Penetration Permit briefing & permit is signed & on site.

All operators of this equipment shall be trained on that piece of equipment.

Operator must wear proper PPE. (Face shield, safety glasses & hearing protection minimum).

Risk of exposure to silica based products

Half face respirators are required for core drilling into concrete.

Respirator Program with medical eval & fit test shall be submitted for review & acceptance by EH&S prior to the start of work

Risk of storm water pollutionFollow LBNL SWPP Program as required

If storm drains are below work areas ensure the drain covers are surrounded by waddles, lined with silt mess covers & de-chlorination tablets are in place.

Shop Vac shall be used not to allow slurry out of work area for proper cleanup

Employee Signatures: Date: Employee Signatures: Date: Employee Signatures: Date:

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C/M or P/MReviewed: CONSTRUCTION JOB HAZARDS ANALYSIS

Core Drilling / Saw Cutting Concrete or Asphalt (Wet Method)

Building & Room(s): Contractor/Subcontractor Name: Rev: 2015

Scope of Work: Please list the scope of work in this area. (What machine to be used, how any & size of holes) (and remove these directions).

Tasks being Performed Potential Safety Risks/Hazards Safety Controls / Mitigations

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

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