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JOB HAZARD ANALYSIS <br /> Crew leader to fill out all sections below, hold a pre-job safety meeting with all personnel, and upload this completed document and the Safety Plan to Site Capture <br /> Ladder Access • Crew leader responsible for communication with the client: Heat Related Illness Prevention NOTE ADDITIONAL HAZARDS NOT ADDRESSED ABOVE <br /> • Ladders must be inspected before each use. 1 • Employees shall have access to potable drinking water that is (add as many as necessary by using additional sheets) <br /> • Extension ladders must be set up on a firm and level surface at • Client and public is excluded from work area by barricades (N/A, fresh, pure, and suitably cool. The water shall be located as <br /> a 4-to-1 rise to run angle(or 75 degrees)and the top must be Yes, No): close as practicable to the areas where employees are working. Define the Hazard: Method/steps to prevent incident: <br /> secured to the structure. Extension style ladders placed on Water shall be supplied in sufficient quantity at the beginning of <br /> uneven, loose or slippery surfaces must additionally have the Training and Pre-Job Safety Briefing the work shift to provide at least one quart per employee per <br /> base firmly anchored or lashed so the base will not slip out. • All employees onsite shall be made aware of the specific hazards hour for drinking for the entire shift. Employees may begin the <br /> • Extension ladders must be used with walk-through devices or of this project and review this HJA during a pre-job briefing, and shift with smaller quantities of water if they identify the location Define the Hazard: Method/steps to prevent incident: <br /> the ladder must extend 36"above the stepping off point. their signature indicates awareness of site conditions and the and have effective means for replenishment during the shift to <br /> • A-frame ladders must only be climbed with the ladder spreader plan to eliminate any hazards identified prior to and during the allow employees to drink on quart or more per hour. The <br /> bars locked in the open position;A-frame ladders shall not be project. frequent drinking of water shall be encouraged. <br /> climbed while in the closed position (ex, closed and used while 0 Shade shall be present when temperature exceeds 80 degrees <br /> leaned against a structure). • Crew leader(name/title): Fahrenheit. When the outdoor temperature in the work exceeds Define the Hazard: Method/steps to prevent incident: <br /> • Additional notes: 80 degrees Fahrenheit, employees shall have and maintain one <br /> • Crew member(name/title): or more areas with shade at all times. <br /> Mobile Equipment • New employees must be acclimatized. New employees will be <br /> • Only Qualified operators will operate equipment; operators mustCrew member(name/title): monitored by their Crew Leader(site supervisor)for the first two <br /> maintain a certification on their person for the equipment being (2)weeks of employment or longer when necessary. Define the Hazard: Method/steps to prevent incident: <br /> operated. • Crew member(name/title): • Employees will be allowed and encouraged to implement <br /> • Type(s)of mobile equipment(Type/Make/Model): I scheduled breaks during each shift. Employees must take <br /> • Crew member(name/title): cool-down breaks in the shade any time they feel the need to do <br /> • Qualified operator(s): so to protect them from overheating. Supervisors are <br /> • Crew member(name/title): REQUIRED to allow employees any break period they need <br /> Material Handling and Storage during high heat conditions. CLIENT: <br /> RONALD WATSON <br /> • Materials will be staged/stored in a way that does not present a Airborne Contaminants: • Cool Vests are encouraged for all employees at all times during 2120 48TH ST SE,EVERETT,WA 98203 <br /> hazard to client, personnel or public. Materials stored on the • Asbestos-containing (Transite)piping (ACP)-Do not disturb periods of high heat. AHJ:CITY OF EVERETT <br /> roof will be physically protect from failing or sliding off. move, drill, cut fracture, etc. • Identify the location of the closet Occupational/industrial ational/Industrial Clinic UTILITY:S 362395 SH PUD <br /> p Y Y p g g ( ) Y p METER:76362395 <br /> • Asbestos-containing thermal insulation (ACI)and or Hospital in case a crew member becomes ill. APN:005004-001-021-02 <br /> Fall Protection Asbestos-containing duct wrapping (ACW)-do not disturb, no PHONE:(818)625-3242 <br /> • A site-specific plan for fall prevention and protection is required attic or crawls ace access is allowed if work to be performed What is the specific plan to provide and replenish sufficient water for EMAIL:RONW91340@GMAIL.COM <br /> prior to starting work and must remain onsite at all times until could cause exposure to personnel, client or public. all employees on site? <br /> work is complete; a fall rescue plan must be outlined and . If offsite replenish is necessary,where will you go to replenish <br /> discussed among the crew prior to work start. • If yes, list specific tasks and protection in place: water(location/address): SYSTEM: <br /> • First-person-Up (FPU) must install their anchor and connect SYSTEM SIZE(DC):11 X 410=4.510 kWSYSTEM SIZE(AC):3.190 kW @ 240V <br /> before any other task, including installing other anchors. The • Who will replenish the drinking water(name): MODULES:11 x HANWHAOCELL:O.PEAK <br /> (LPD)must be the only person on a roof DUO BLK MERGERS: 10 <br /> Last-Person-Down <br /> l ) Y p MICROINVERTER11 X ENPHASE <br /> uninstalling fall protection. I08PLUS-72-2-US <br /> • FPCP(name and title): Restroom facilities <br /> • Employees shall have access to restroom facilities with <br /> • FPU and LPD(name and title): hand-washing stations. Use of onsite restroom is at the client's <br /> discretion (location is annotated below). If client does not give <br /> Electrical Safety permission, location of suitable restroom facilities with <br /> • The Electrical Qualified Person (EQP)is required onsite to hand-washing stations offsite will be provided.The onsite <br /> perform electrical work. supervisor will identify location and make arrangements to <br /> • All electrical work will be performed with equipment in an ensure all employees have access at any point. <br /> electrically safe condition (de-energized)unless approval has • Restroom facilities will be(circle one): Onsite-Offsite REVISIONS <br /> NO. REVISED BY DATE <br /> been granted prior to work. Weather and Environment . If Offsite, add location name and address: <br /> • Service drops and overhead electrical hazards will be indentified • The site supervisor shall forecast the weather conditions at the <br /> and protected from contact, as neccessary. job site, prior to crew arrival, in order to mitigate any hazards Incident Reporting Procedure <br /> • EQP(name and tile): associated with inclement weather(heat, cold,wind, rain, etc.) Contact your Site Supervisor <br /> • The site supervisor will utilized a portable wind meter Name: ' freedom <br /> Public Protection (anemometer)to verify actual onsite wind conditions, by checking a R F V E <br /> • The safety of the Client and Public must be maintained at all at the ground and on any elevated work surface(ex, rooftop) Phone: FREEDOM FOREVER LLC <br /> times. prior to work start, at midday and prior to solar panel staging on a 43445 BUSINESS PARK DR#110,TEMECULA, <br /> 590 <br /> • The Client and the Public shall be prevented from entering the roof. . 80 9285- <br /> p g Contact our Manager Tel:(800)385-1075 <br /> work zone through the use of barriers and/or signage, as Elevated work involving the moving or maneuvering of solar Name: GREG ALBRIGHT <br /> required. panels shall cease at 25mph (sustained wind)until wind <br /> • Company, Client and Public property shall be protected from subsides. Phone: <br /> falling objects. Forecasted weather maximum temp(degrees f): <br /> • Pets(including dogs)shall be secured by their owners prior to Contact your Site Supervisor CONTRACTOR LICENSE: <br /> work start. Name: ELECTRICAL ADMINISTRATORALBRIG`807C1 <br /> • The Client should not leave pets,family members, or others in <br /> charge or care of Employees, Contractors, or Temporary Phone: <br /> Workers. <br /> With: Your full name, phone number, office location, brief description SAFETY PLAN <br /> Of what happen and when. JOB NO: DATE: DESIGNED BY: SHEET: <br /> 449034 6/12/2024 1 Z.C. PV-10 <br />