JSA Ref. No. JSA / KOC / 02 Work Area / Eqi!"ent:
#er"it No. $ate:
#ERS%NA& #R%'E(')*E E+,)#MEN' - '%%&S NEE$E$ F%R W%R A(')*)')ES: Hard Hat, Safety Shoes, Safety Goggles, Hand Gloves, Dust as!, "arr#ers, $adder, Guardra#l, %oll#ng "oard SE+,EN(E %F AS)( J% S'E#S
#%'EN')A& 0A1AR$S %resen&e of 'OD
2es / No
#RE(A,')%NS •
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#re 3 4ork
$o&at#on of *nderground / A(oveground Serv#&es +su&h #el#ne, &a(les et&-
on&ol#an&e of KOC HS'S %ro&edures, 4 5 S 6egulat#ons or 'ng#neer#ng Standards Daage to underground / a(oveground Serv#&es +su&h #el#ne, &a(les et&Cave#ns of e)&avat#on
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Excavation
A&&#dental fall of e
"lo&!#ng 'ergen&y '
1ren&hes left oen for e)tended er#od
'ndorsee 'ndorseents nts #n ')&avat# ')&avat#on on ot#f#&at# ot#f#&at#on on fro the &on&erned 1eas for the serv#&es #n the area to (e e)&avated. Hold re3o( safety eet#ng
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Get author#7at#on for Hot 8or! %er#t
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Condu&t 1ool(o) 1ool(o) 1al! 1al!
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%oss#(#l#ty of to)#& / flaa(le gas
$o&ate underground / a(oveground serv#&es referr#ng to the s#te a / dra#ng.
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Collase of ')&avated ater#als
'nsure the area to (e e)&avated #s de&lared 'OD &leared.
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Che&! for underground underground / a(oveground a(oveground serv#&es through etal dete&tors 9solate serv#&es as needed through author#7ed er#t *t#l#7e slo#ng, (en&h#ng 5 shor#ng as needed Kee e)&avated ater#al at least ; eter aay fro the edge of the tren&h. 9ns 9nse& e&t# t#on on for for so#l so#l e)&avat#on or!.
&ond &ond#t #t#o #on n
8ear aror#ate %%' Carry out gas test (efore e)&avat#ng #n ha7ardous area. 'nsure the aroa&h to 'ergen&y '
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"arr#&ade the tren&hes *se of 8arn#ng s#gns Close the tren&h, (a&!f#ll and &oa&t the area.
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Close the er#t after a!#ng the s#te &lean 5 t#dy.
