Attachment C- Job Hazard Anaylsis- JHA.docx
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This document is a Job Hazard Analysis (JHA) for handling chemicals during a reforestation and weed control project in the Sequoia National Forest's Hume Lake Ranger District. The JHA, prepared by Recreation Officer Kyle Lane on February 12, 2018 and revised on February 17, 2022, outlines specific safety protocols for chemical handling, including wearing protective clothing, reading chemical labels and Material Safety Data Sheets, using eye protection, maintaining wash stations, and monitoring worker health for potential chemical exposure symptoms. The document emphasizes engineering controls, administrative controls, and personal protective equipment (PPE) to mitigate risks associated with chemical handling during the forestry project, and includes detailed emergency evacuation instructions for potential workplace incidents.
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Attachment C FY25 Lake Fire Sawmill Campground Sawmill Liebre Reforestation Weed Control and Release
FS-6700-7 (11/99)
| U.S. Department of Agriculture Forest Service |
| 1. WORK PROJECT/ACTIVITY |
| 2. LOCATION |
| 3. UNIT |
Handling Chemicals
| Sequoia National Forest / R5 |
| Hume Lake R.D. |
JOB HAZARD ANALYSIS (JHA)
References-FSH 6709.11 and -12 (Instructions on Reverse)
4. NAME OF ANALYST:
CREATOR: Kyle Lane
| REVIEWER: " | " |
| 5. JOB TITLE |
Recreation Officer
6. DATE PREPARED
February 12, 2018 Rev: 02/17/2022
| 7. TASKS / PROCEDURES |
| 8. HAZARDS |
| 9. ABATEMENT ACTIONS |
Engineering Controls * Substitution * Administrative Controls * PPE
| Handling Chemicals |
| Body Contact (face and eyes) with chemical |
| Read label every time you use a chemical. It tells you what precautions to take, how to use it, when to use it, and what to use it on. |
Protective clothing: wear pants outside of boots, and shirt sleeves over gloves to decrease chances of spillage to the inside of boots and gloves.
When pouring or measuring, keep containers below eye level to avoid splashing into the eyes. Be sure to wear eye protection (i.e. safety goggles/glasses, etc.)
Have wash stations readily available and in working condition Workers who complain of headache, nausea, giddiness, or body pains while using or after using chemicals shall be taken away from project and treated accordingly.
Know where to find and be sure to read MSDS (Material Safety Data Sheet) when working with hazardous chemicals. (Health and Safety Code Handbook 6709.11 Chapter 60
| 10. LINE OFFICER SIGNATURE |
| Digitally signed by Jeremy Dorsey |
| 11. TITLE |
| 12. DATE |
| Jeremy Dorsey |
| Date: 2022.05.02 |
08:16:30 -07'00' District Ranger
Previous edition is obsolete
(over)
Modoc National Forest Noxious Weed Treatment Project Environmental Impact Statement Volume 2 – Part 1 – Appendix A-R
C-18 Appendix C – Spill and Safety Management Plan
JHA Instructions (References-FSH 6709.11 and .12) The JHA shall identify the location of the work project or activity, the name of employee(s) involved in the process, the date(s) of acknowledgment, and the name of the appropriate line officer approving the JHA. The line officer acknowledges that employees have read and understand the contents, have received the required training, and are qualified to perform the work project or activity.
Blocks 1, 2, 3, 4, 5, and 6: Self-explanatory.
Block 7: Identify all tasks and procedures associated with the work project or activity that have potential to cause injury or illness to personnel and damage to property or material. Include emergency evacuation procedures (EEP).
Block 8: Identify all known or suspect hazards associated with each respective task/procedure listed in block 7. For example:
a. Research past accidents/incidents.
b. Research the Health and Safety Code, FSH 6709.11 or other appropriate literature.
c. Discuss the work project/activity with participants.
d. Observe the work project/activity.
e. A combination of the above.
Block 9: Identify appropriate actions to reduce or eliminate the hazards identified in block
8. Abatement measures listed below are in the order of the preferred abatement method:
a. Engineering Controls (the most desirable method of abatement). For example, ergonomically designed tools, equipment, and furniture.
b. Substitution. For example, switching to high flash point, non-toxic solvents .
Work Leader
a. Administrative Controls. For example, limiting exposure by reducing the work schedule; establishing appropriate procedures and practices.
b. PPE (least desirable method of abatement). For example, using hearing protection when working with or close to portable machines (chain saws, rock drills, and portable water pumps).
c. A combination of the above.
Block 10: The JHA must be reviewed and approved by a line officer. Attach a copy of the JHA as justification for purchase orders when procuring PPE.
Blocks 11 and 12: Self-explanatory.
Emergency Evacuation Instructions (Reference FSH 6709.11) Work supervisors and crew members are responsible for developing and discussing field emergency evacuation procedures (EEP) and alternatives in the event a person(s) becomes seriously ill or injured at the worksite.
Be prepared to provide the following information:
a. Nature of the accident or injury (avoid using victim's name).
b. Type of assistance needed, if any (ground, air, or water evacuation).
c. Location of accident or injury, best access route into the worksite (road name/number), identifiable ground/air landmarks.
d. Radio frequencies.
e. Contact person.
f. Local hazards to ground vehicles or aviation.
g. Weather conditions (wind speed & direction, visibility, temperature).
h. Topography.
i. Number of individuals to be transported.
j. Estimated weight of individuals for air/water evacuation.
The items listed above serve only as guidelines for the development of emergency evacuation procedures.
JHA and Emergency Evacuation Procedures Acknowledgment
We, the undersigned work leader and crew members, acknowledge participation in the development of this JHA (as applicable) and accompanying emergency evacuation procedures. We have thoroughly discussed and understand the provisions of each of these documents:
SIGNATURE DATE
SIGNATURE DATE
JHA and Emergency Evacuation Procedures Acknowledgment:
We, the undersigned work leader and crew members, acknowledge participation in the development of this JHA (as applicable) and accompanying emergency evacuation procedures. We have thoroughly discussed and understand the provisions of each of these documents:
| SIGNATURE |
| DATE |
| SIGNATURE |
| DATE |
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