Air Knifing 9-10
PROJECT NUMBER: CONNELLY & ASSOCIATES, INC. JOB
Date: SAFETY ANALYSIS
APPROVAL: 9/27/10
JOB TITLE/TASK: Field Personnel:
Air Knifing Services
RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT (PPE): X Hard hat X Safety Glasses X Steel-toed boots X
X Reflector safety vest X Other: Hearing Protection, Face Shields on Hard hats and Long sleeve shirts when required
SCOPE OF WORK TASKS POTENTIAL HAZARDS
1. Pre-construction Health & Safety Meeting/General Site See "General Site Activities" JSA
Activities
2. General site activities Traffic Hazards
Fire/Explosion
VacMasters vacuum and air lance, jack hammers, tampers Noise hazard from jack hammer
Back injury from jack hammer or post hole
diggers.
Flying debris from jack hammer.
Lacerations from saw cutting.
Clearing borehole to determined depth using air lance and Risk of falling/stepping into borehole
vacuum hose. Approximate stopping depth may be 10'. Final
depth will be confirmed in the field
Air Compressor and vacuum producer
Slips, trips, and falls
Knee injury may occur
Placement of drums Back injury may occur.
DRILLING MANAGER: Steve De
PROJECT MANAGER: Sam Con
ANALYSIS BY: Sam Connelly
Leather wor
PREVENTATIVE/CORR
All employees assigned to this tas
construction health and safety me
the pertinent JSA,
Site Safety Procedures, types of p
actual hazards present and contro
Establish traffic control patterns a
control plan,
Keep fire utilizing cones,
extinguisher within signa
25' o
with PID or LEL meter to ensure v
LEL and below action level for co
site-specific HASP for details). Sm
Only properly trained personnel a
power equipment. Use proper ha
while using the saw and/or jackha
Use proper technique with post h
Wear safety glasses and hard ha
protect eyes from debris; Wear e
Use manhole barrier designed to
into location.
Keep hands and clothing away fro
discharge openings. Wear ear pr
with equipment and piping which
contact. When operating, ensure
place on external moving parts
Keep equipment and tools in desi
good housekeeping. Replace ma
Use knee pads or rubber protectiv
possible cuts or abrasions from c
Use drum cart/dolly if mechanical
proper back injury prevention tech
moving drums.
only when on solid ground.
Placement of drums Air Knifing
Back injury9-10
may occur. Use drum cart/dolly if mechanical
SCOPE OF WORK TASKS POTENTIAL HAZARDS proper back injury prevention tech
PREVENTATIVE/CORR
moving drums.

only when on solid ground.

Loading of Vehicle Improper lifting techniques Utilize proper lifting procedures w
and handling hoses. Bend at the
rather than the back.

Depart from site Traffic Hazards Drive defensively and obey all tra
 Air Knifing 9-10
T NUMBER: CONNELLY & ASSOCIATES, INC. JOB
SAFETY ANALYSIS
AL: 9/27/10
LE/TASK: Field Personnel:
ng Services
MENDED PERSONAL PROTECTIVE EQUIPMENT (PPE): X Hard hat X Safety Glasses X Steel-toed boots X
eflector safety vest X Other: Hearing Protection, Face Shields on Hard hats and Long sleeve shirts when required
SCOPE OF WORK TASKS POTENTIAL HAZARDS
nstruction Health & Safety Meeting/General Site See "General Site Activities" JSA
al site activities Traffic Hazards
Fire/Explosion
ers vacuum and air lance, jack hammers, tampers Noise hazard from jack hammer
Back injury from jack hammer or post hole
diggers.
Flying debris from jack hammer.
Lacerations from saw cutting.
borehole to determined depth using air lance and Risk of falling/stepping into borehole
hose. Approximate stopping depth may be 10'. Final
be confirmed in the field
Air Compressor and vacuum producer
Slips, trips, and falls
Knee injury may occur
nt of drums Back injury may occur.
DRILLING MANAGER: Steve Delosh
PROJECT MANAGER: Sam Connelly
ANALYSIS BY: Sam Connelly
Leather work gloves
PREVENTATIVE/CORRECTIVE ACTION
All employees assigned to this task will attend a pre
construction health and safety meeting, which will in
the pertinent JSA,
Site Safety Procedures, types of potential hazards,
actual hazards present and controls for those hazar
Establish traffic control patterns as described in traf
control plan,
Keep fire utilizing cones,
extinguisher within signage, and reflective
25' of operation; Moni
with PID or LEL meter to ensure vapor concentratio
LEL and below action level for contaminants of con
site-specific HASP for details). Smoking on site pro
Only properly trained personnel are permitted to op
power equipment. Use proper hand and body posi
while using the saw and/or jackhammer.
Use proper technique with post hole diggers.
Wear safety glasses and hard hats with face shield
protect eyes from debris; Wear ear plugs to protec
Use manhole barrier designed to protect worker fro
into location.
Keep hands and clothing away from rotating machin
discharge openings. Wear ear protection. Avoid co
with equipment and piping which may cause skin bu
contact. When operating, ensure adequate guards
place on external moving parts
Keep equipment and tools in designated areas, ma
good housekeeping. Replace manhole covers secu
Use knee pads or rubber protective pad to absorb a
possible cuts or abrasions from contact with the asp
Use drum cart/dolly if mechanical means not availa
proper back injury prevention techniques when liftin
moving drums.
Move drums b
only when on solid ground.
nt of drums Air
Back injury mayKnifing
occur. 9-10 Use drum cart/dolly if mechanical means not availa
SCOPE OF WORK TASKS POTENTIAL HAZARDS proper back injury prevention techniques when
PREVENTATIVE/CORRECTIVE liftin
ACTION
moving drums.
Move drums b
only when on solid ground.
of Vehicle Improper lifting techniques Utilize proper lifting procedures when removing equ
and handling hoses. Bend at the knees and lift with
rather than the back.

om site Traffic Hazards Drive defensively and obey all traffic laws

Project Name:
DATE:
REAPPROVAL: 9/20/10
RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT (PPE): X Hard hat X Safety Glasses X Steel-toed boots X Leather work glove
X Reflector safety vest X Other: Hearing Protection, Long Sleeve shirt, Nitrile and Kevlar Gloves when necessary
BASIC JOB
1. Pre-construction Health & Safety
Meeting/General Site Activities
2. Drill Rig Arrival and Set-Up.
3. Drill Rig Inspection
4. Attach Auger Lengths
Drilling 9-10
Connelly & Associates, Inc.
Job Safety Analysis Form - Drilling
POTENTIAL HAZARDS
See "General Site Activities" JSA
Damage to Property or Equipment
Roll Over
Traffic
Overhead and buried Utilities
Defective/damaged equipment
Unapproved/Inappropriate hoisting equipment
Damaged lifting devices/Non-specification lifting
devices or materials
Damaged Drive Assembly
Back Strain
DRILLING MANAGER: Steve Delosh
HEALTH AND SAFETY DIRECTOR: Eamon C
ANALYSIS BY: Sam Connelly
REVIEWED BY: Drillers and Driller's Assistant
PREVENTATIVE/CORRECTIV
All employees assigned to this task will attend a
health and safety meeting, which will include th
Site Safety Procedures, types of potential haza
actual hazards present and controls for those h
Assess site and walk to boring locations. Deter
note any obstructions, uneven terrain, and soft
access.
Cross all hills and obstructions head on with ma
prior to raising mast.
Utilize traffic control devices as outlined in traffi
Position rig to avoid overhead lines by minimum
OSHA Regulation 29 CFR 1926.550. Use a spo
other overhead obstructions; Underground utilit
services must be marked out prior to excavatio
Call/Dig Safe service notified and cleared; cond
site services as practicable). Use vacuum exca
questionable boring locations. Remove asphal
pad 24" x 24" to a depth of 8' below grade surfa
Inspection of equipment by qualified driller prio
damaged items with manufacturer specification
Ensure all lifting hooks or attachments are self-
latches or pins; or are of other surrounding des
screw pins) to prevent inadvertent release of ob
Inspect devices prior to each use; ensure all re
meet minimum required tensile strength as spe
manufacturer. Ensure improper substitutes or d
from service immediately.
Inspection of drive assembly by driller prior to u
must be repaired or replaced.
Use 2 people to lift and carry auger sections. U
whenever possible.

BASIC JOB
4. Attach Auger Lengths
5. Ground Intrusion: Boring
Drilling 9-10
Back Strain POTENTIAL HAZARDS
Crushed Foot
Pinched/lacerated Fingers
Kickout
Pinched Fingers/Caught in Rotation
Noise
Overhead/Falling hazards
PREVENTATIVE/CORRECTIV
Use 2 people to lift and carry auger sections. U
whenever possible.
Steeltoe shoes/boots
Communication between employees when mov
sections; Wear leather gloves when handling s
clear/out of pinch points
Clear the area of obstructions and communicat
is beginning. Do not exceed manufacturers rec
force, torque, etc. Penetrate the ground slowly
for the first foot of soil.
Stay clear of rotating auger, never attempt to cl
Use long handled shovel to clear away cuttings
Use hearing protection
Use Hard Hat; remove overhead hazards prom
 Drilling 9-10
BASIC JOB POTENTIAL HAZARDS PREVENTATIVE/CORRECTIV
Fire/Explosion Keep fire extinguisher within 25' of operation; M
LEL meter to ensure vapor concentrations <10%
level (see site-specific HASP for details). No sm
smoking on site prohibited

Slip/Fall in Mudpit Install rough surface cover

Ground Intrusion: Split Spoon Sampling Pinched/Lacerated fingers do not wrap rope around any part of the hand o
at least 18 inches from in-running points. Elimin
loose clothing ; Wear leather gloves when han

Slip/fall secure footing prior to operation; clear all trip h

hazards such as oils, ice, etc. ; keep materials/
walkways

JSA REVISIONS/ADDITIONS (use additional pages as necessary)

 Drilling 9-10
Name: Connelly & Associates, Inc. DRILLING MANAGER: Steve Delosh
HEALTH AND SAFETY DIRECTOR: Eamon Connelly
OVAL: 9/20/10

Job Safety Analysis Form - Drilling ANALYSIS BY: Sam Connelly

REVIEWED BY: Drillers and Driller's Assistants

MENDED PERSONAL PROTECTIVE EQUIPMENT (PPE): X Hard hat X Safety Glasses X Steel-toed boots X Leather work gloves
or safety vest X Other: Hearing Protection, Long Sleeve shirt, Nitrile and Kevlar Gloves when necessary

BASIC JOB POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION

nstruction Health & Safety
General Site Activities
g Arrival and Set-Up.
See "General Site Activities" JSA
Damage to Property or Equipment
All employees assigned to this task will attend a pre-drilling
health and safety meeting, which will include the pertinent JSA,
Site Safety Procedures, types of potential hazards, and
actual hazards present and controls for those hazards.
Assess site and walk to boring locations. Determine the path of ac
note any obstructions, uneven terrain, and soft ground that may im
access.

Roll Over Cross all hills and obstructions head on with masts lowered. Set rig
prior to raising mast.
Traffic Utilize traffic control devices as outlined in traffic control program

Overhead and buried Utilities
Position rig to avoid overhead lines by minimum distances specifie
OSHA Regulation 29 CFR 1926.550. Use a spotter for overhead lin
other overhead obstructions; Underground utilities, piping, and oth
services must be marked out prior to excavation activities. (Ensure
Call/Dig Safe service notified and cleared; conduct private utility lo
site services as practicable). Use vacuum excavation services to c
questionable boring locations. Remove asphalt layer and soft dig a
pad 24" x 24" to a depth of 8' below grade surface.

g Inspection Defective/damaged equipment Inspection of equipment by qualified driller prior to use; replace or
damaged items with manufacturer specification equipment

Unapproved/Inappropriate hoisting equipment Ensure all lifting hooks or attachments are self-closing; equipped w
latches or pins; or are of other surrounding design (i.e. clevis hook
screw pins) to prevent inadvertent release of objects being lifted

Damaged lifting devices/Non-specification lifting Inspect devices prior to each use; ensure all repairs or replacemen
devices or materials meet minimum required tensile strength as specified by the equipm
manufacturer. Ensure improper substitutes or damaged items are
from service immediately.

Damaged Drive Assembly Inspection of drive assembly by driller prior to use: cracks or dama
must be repaired or replaced.

Auger Lengths Back Strain Use 2 people to lift and carry auger sections. Use mechanical lift d
whenever possible.
 Drilling 9-10
BASIC JOB
Auger Lengths Back Strain POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE
Use 2 people to lift and carry auger sections. Use ACTION
mechanical lift d
whenever possible.
Crushed Foot Steeltoe shoes/boots
Pinched/lacerated Fingers Communication between employees when moving/attaching auger
sections; Wear leather gloves when handling sections. Keep hand
clear/out of pinch points
Intrusion: Boring Kickout Clear the area of obstructions and communicate with all parties tha
is beginning. Do not exceed manufacturers recommended rate of s
force, torque, etc. Penetrate the ground slowly with hands on the c
for the first foot of soil.

Pinched Fingers/Caught in Rotation Stay clear of rotating auger, never attempt to clean auger while in m
Use long handled shovel to clear away cuttings when auger has st

Noise Use hearing protection

Overhead/Falling hazards Use Hard Hat; remove overhead hazards promptly

 Drilling 9-10
BASIC JOB POTENTIAL HAZARDS PREVENTATIVE/CORRECTIVE ACTION
Fire/Explosion Keep fire extinguisher within 25' of operation; Monitor area with PI
LEL meter to ensure vapor concentrations <10% LEL and less than
level (see site-specific HASP for details). No smoking signs posted
smoking on site prohibited

Slip/Fall in Mudpit Install rough surface cover

trusion: Split Spoon Sampling Pinched/Lacerated fingers do not wrap rope around any part of the hand or body, maintain dis
at least 18 inches from in-running points. Eliminate excess rope, tie
loose clothing ; Wear leather gloves when handling materials or eq

Slip/fall secure footing prior to operation; clear all trip hazards; clean/clea
hazards such as oils, ice, etc. ; keep materials/objects organized a
walkways

JSA REVISIONS/ADDITIONS (use additional pages as necessary)

Job NAME: Job Number: JOB SAFETY ANALYSIS DRILLING Team Name:
Date:

TASK: DRILLING WELL INSTALLATION Team Names: Team Leader:

RECOMM
ENDED
PERSONA
L
PROTECTSCOPE OF WORK TASKS POTENTIAL HAZARDS
IVE
1. Pre-construction Health & Safety See "General Site Activities" JSA PREVENTATIVE/CORRECTIVE
EQUIPME
Meeting/General Site Activities All employees assigned to this task will attend
NT (PPE):
X Hard health and safety meeting, which will include th
hat X Site Safety Procedures manual, types of poten
Safety actual hazards present and controls for those h
Glasses
X Steel-
toed boots

Nitrile
gloves
X
Leather
work
gloves
X
Reflector
safety vest
X
2. General site activities
Other: Traffic Hazards
Hearing Fire/Explosion Establish traffic control patterns as described i
Protection plan, utilizing cones, signage, and reflective tra
as required

BEDROC Keep fire extinguisher within 25' of operation;

K LEL meter to ensure vapor concentrations <10
MONITORI level for contaminants of concern (see site-spe
NG WELL No smoking signs posted; smoking on site pro
INSTALLA
TION BY
AIR/MUD
ROTARY
METHOD
2.. After a minimum of 5 feet of competent rock Overhead Hazards from pulling out drill strings
has been drilled, proceed to pull drill string and inserting PVC.
from the borehole. [This is the case where
borehole cave-in is not a possibility]
Wear hard-hat
 Noise hazard
Back injury/strain Don appropriate hearing protection

3. Insert casing. Same as above Use safe lifting techniques; request assistance
loads (>50 lbs)

Same as above

4. Pour portland cement/bentonite grout into Inhalation hazard; dust from pouring
the hole and up the annular space outside the cement/bentonite prior to mixing with water
casing. [Allow grout to set for a minimum of
24 hours.]
Add water to bags of cement/bentonite prior to
reduce dust

Wear appropriate respiratory protection (dust m

Back injury from lifting heavy cement and

bentonite bags

Utilize proper lifting procedures (lift with knees

barrow, dolly, or cart to transport materials

5. Drill out cement and advance borehole to Noise hazard from drilling through cement
desired depth.

Wear appropriate hearing protection

Flying debris/cement

1. Hand clear down to required depths for
critical/non-critical zones. Use jack hammer or
a saw (do not use the auger) to breakup
asphalt and post hole diggers to reach a
desired depth.
2. Begin drilling using hollow stem augers.
3. Attaching the augers using bolts.
4. Shovel soil cuttings.
5. Place soil cuttings in 55-gallon drums or stockBack injury may occur.
6. Cut PVC pipe to desired length where the
well casing will be at the ground surface.
7. Fill augers with water.
Flying debris/cement
Noise hazard from jack hammer
Back injury from jack hammer or post hole
diggers.
Flying debris from jack hammer.
Lacerations from saw cutting.
Back injury may occur from lifting augers.
Head injury may also occur from contact with
augers and or other metal parts on the rig.
Noise Hazards
Pinch points may occur while attaching the
augers on or removing them.
Back injury may occur.
Lacerations
Pinch point from saw
Slip hazard, especially under freezing
conditions during the winter season.
Wear approved safety glasses at all times
Only properly trained personnel are permitted
equipment. Use proper hand and body positio
saw and/or jackhammer.
Use proper technique with post hole diggers.
Wear safety glasses to protect eyes from debr
earmuffs to protect hearing.
Use mechanical lifting devices whenever poss
technique.
Wear hardhat at all times. Wear hearing prote
near drill rig.
Use hand tools or other mechanical means to
leather gloves to protect hands from laceration
ratchet cautiously when tightening bolts.
Use proper shoveling technique and/or get som
lifting.
Use powered fork lift to move drums if availabl
mechanical means not available; Use proper b
techniques when lifting or moving drums.
hand only when on solid ground.
Keep hands clear from saw blade. Ensure pro
powered saws. Wear leather gloves to reduce
lacerations.
7. Fill augers with water. Slip hazard, especially under freezing
conditions during the winter season.
Avoid spilling the water.
Have salt available to melt ice during the winte

8. Knock out plug with split spoon or well casingSlip hazard, especially under freezing
conditions during the winter season.

Avoid spilling the water.

Have salt available to melt ice during the winte

9. Clear heaved sand or soil from the augers Back injury may occur from lifting sand bags
with a 3" split spoon. which may weigh from 50-100lbs.

Use proper lifting technique.

Use wheelbarrow, hand trucks, or carts to tran

10. Insert the well casing into the augers via a Head injuries from object being lifted.
hooking mechanism located on the drill rig.

Use mechanical lifting device; Use proper lifti

necessary
Stay clear of the hoisted object.
Wear hard hat at all times

11. Fill annular space with uniform Back injury may occur from lifting the filter
gravel/sand pack to no less than 2" above sand/gravel bags which may weigh from
the well screen. 50-100lbs. Use proper lifting technique.
Dust inhalation. Use wheelbarrow to transport the sand ba
set of hands.
Stand upwind while filter material is been
augers. Don dust mask or HEPA filtere
control methods are not effective

12. Fill hole with bentonite pellets after fill Back injury may occur.
has been poured up to a Inhalation of Dust
minimum of about 2' about the well Use proper lifting techniques.
screen. Stay up wind while bentonite is be
the well casing and the borehole.

Skin irritation

13. Fill the annular space with cement Back injury may occur. Wear leather gloves to prevent skin conta
and/or bentonite grout from the top of the
bentonite seal to the ground surface.
 13. Fill the annular space with cement
and/or bentonite grout from the top of the
bentonite seal to the ground surface.

Noise Use carts, hand-trucks, and wheel barrow

Stay up wind while bentonite pellets are b
annular space within the borehole. Don d
filtered respirator if other means of dust co
effective.
Wear earplugs/muffs; leather gloves; and

Inhalation of dust Wear hearing protection

14. Place manhole over well head and Cement dust inhalation Stand upwind while filter material is been
create cement pad to hold augers. Don dust mask or HEPA filtered re
the manhole in place. control methods are not effective

Skin irritation from concrete Stay up wind while pouring the cement. D
HEPA filtered respirator if dust control me
effective.

Back injury Wear long-sleeve shirts, nitrile gloves to p

Use proper lifting techniques; request ass

heavy objects or materials; use mechanic
wheel barrows, hand-truck) to carry bags

15. Clean-up and depart site. On-site traffic hazards.

Water related slips and falls.
Icy conditions during the winter months.

Remove water by sweeping, squeegee, p

acceptable removal technique
Remove ice promptly with
Exit site in a safe manner.

ADDITIONS (use additional pages as necessary)

PRACTIC
ES must
first be
approved
verbally by
the Project
Manager
AND the
Health and
Safety
Officer.
Additions
to this JSA
(i.e.
additional
task steps,
or
new/additi
onal
hazards
and
mitigation
practices
recognized
) may be
made at
any time
with PM
approval
and
documente
d below.
Submit all
revisions
to the JSA
Stewardshi
p Team for
possible
inclusion in
future JSA
updates.

PM Notified/Approved:_____________________________________ Date/Time: ___________________________________

Verbal Notification/Approval? (check here) ______
HSO Notified/Approval necessary? (circle one): Y NHSO Approval:________________________________________
Verbal Notification/Approval? (check here) ______ Date/Time: ________________________
me:

der:

PREVENTATIVE/CORRECTIVE ACTION
ees assigned to this task will attend a pre-construction
safety meeting, which will include the pertinent JSA,
y Procedures manual, types of potential hazards, and
ards present and controls for those hazards.

raffic control patterns as described in GSC's traffic control

ng cones, signage, and reflective traffic safety vests.

extinguisher within 25' of operation; Monitor area with PID or

to ensure vapor concentrations <10% LEL and below action
ontaminants of concern (see site-specific HASP for details).
g signs posted; smoking on site prohibited

d-hat
priate hearing protection

fting techniques; request assistance when handling heavy

lbs)

bove

to bags of cement/bentonite prior to mixing contents to

st

opriate respiratory protection (dust mask)

per lifting procedures (lift with knees not back); use wheel-
lly, or cart to transport materials

opriate hearing protection

oved safety glasses at all times

erly trained personnel are permitted to operate power

. Use proper hand and body positioning while using the
r jackhammer.
r technique with post hole diggers.
ty glasses to protect eyes from debris; Wear ear plugs or
o protect hearing.

anical lifting devices whenever possible. Use proper lifting

hat at all times. Wear hearing protection at all times while

g.

tools or other mechanical means to position augers. Wear

ves to protect hands from lacerations and abrasions; use
utiously when tightening bolts.

r shoveling technique and/or get someone to assist with the

ed fork lift to move drums if available. Use drum cart/dolly if

al means not available; Use proper back injury prevention
s when lifting or moving drums.
Move drums by
when on solid ground.

ds clear from saw blade. Ensure proper guards are intact on

aws. Wear leather gloves to reduce abrasions and
s.
ng the water.
available to melt ice during the winter months.

ng the water.
available to melt ice during the winter months.

r lifting technique.
barrow, hand trucks, or carts to transport.

anical lifting device; Use proper lifting technique if lifting is

of the hoisted object.

hat at all times

er lifting technique.
elbarrow to transport the sand bags or use a second
nds.
wind while filter material is been poured into the
Don dust mask or HEPA filtered respirator if dust
ethods are not effective

er lifting techniques.
ay up wind while bentonite is being poured between
asing and the borehole.

her gloves to prevent skin contact

 , hand-trucks, and wheel barrows to move materials.
wind while bentonite pellets are being poured into the
pace within the borehole. Don dust mask or HEPA
spirator if other means of dust control are not

plugs/muffs; leather gloves; and safety glasses.

aring protection

wind while filter material is been poured into the

Don dust mask or HEPA filtered respirator if dust
ethods are not effective

wind while pouring the cement. Don dust mask or

ered respirator if dust control methods are not

g-sleeve shirts, nitrile gloves to prevent skin contact

er lifting techniques; request assistance in lifting

ects or materials; use mechanical devices (carts,
rrows, hand-truck) to carry bags of cement.

water by sweeping, squeegee, pumping, or other

e removal technique
Remove ice promptly with hand tools and salt.
n a safe manner.
__________________

________________