List safe work practices to eliminate the hazards. Foot Protection / Barricades 4. At end of task, each crewmember will initial the Post STA Steel Toed Boots Metatarsal Hazardous Material Compliance and note any problems on the Post STA section. Rubber Boots Electrical Rated Boots Emissions Notifications (NOC) Hand Protection At the end of the task, submit this STA to Supervision. If Other Procedures & Permits Required Leather Rubber / Latex deviation from safe work practice occurs, work must be stopped. Kevlar / cut resistant Dielectrical Gloves Welding / Cutting Chemical Resistant Know the emergency procedure for Head Protection your work area! Hard Hat Welding Hood Employee Certifications Required Emergency Assembly Area: Respiratory Protection Crane Operator Forklift Operator Qualified to wear? Mobile Equipment Operator Vehicle Operator Type: Personal Protective Equipment Powder-actuated Tool User Hazardous Waste Heavy Equipment Signalman Clothing Other Personal Protective Equipment (tool lanyards, etc) Competent Person (excavations, confined space, Chemical Resistant Fire Retardant scaffolds, hazardous material, heavy equipment) Reflective Vest Hand-held signal Device Other Employee Certifications Required Ear Protection Ear Plugs Ear Muffs Procedures & Permits Required Eye / Face Protection Safety Glasses Side-shields Spoggles/Doggles Hot Work Lift Goggles Monogoggles Employee Responsible for Housekeeping: Excavation Scaffolds Welding Hood Face Shield Confined Space Fall Protection ____________________________________________ Line Break / Hot Tapping Full-body Harness Retractable LockOut / TagOut Identify Task Steps Identify Safe Work Practices Associated with Task Steps Identify Hazards Associated with Task Steps
List safe work practices to eliminate the hazards. 4. At end of task, each crewmember will initial the Post STA and note any problems on the Post STA section. At the end of the task, submit this STA to Supervision. If deviation from safe work practice occurs, work must be stopped. Know the emergency procedure for your work area! Emergency Assembly Area: Personal Protective Equipment Clothing Chemical Resistant Fire Retardant Reflective Vest Hand-held signal Device Ear Protection Ear Plugs Ear Muffs Eye / Face Protection Safety Glasses Side-shields Spoggles/Doggles Goggles Monogoggles Welding Hood Face Shield Fall Protection Full-body Harness Retractable Foot Protection Steel Toed Boots Metatarsal Rubber Boots Electrical Rated Boots Hand Protection Leather Rubber / Latex Kevlar / cut resistant Dielectrical Gloves Welding / Cutting Chemical Resistant Head Protection Hard Hat Welding Hood Respiratory Protection Qualified to wear? Type: Other Personal Protective Equipment (tool lanyards, etc) Procedures & Permits Required Hot Work Lift Excavation Scaffolds Confined Space Line Break / Hot Tapping LockOut / TagOut / Barricades Hazardous Material Compliance Emissions Notifications (NOC) Other Procedures & Permits Required Employee Certifications Required Crane Operator Forklift Operator Mobile Equipment Operator Vehicle Operator Powder-actuated Tool User Hazardous Waste Heavy Equipment Signalman Competent Person (excavations, confined space, scaffolds, hazardous material, heavy equipment) Other Employee Certifications Required Employee Responsible for Housekeeping: ____________________________________________ Identify Task Steps Identify Hazards Associated with Task Steps Identify Safe Work Practices Associated with Task Steps
Safety%20Task%20Assignmentnew%20(STA)_Form%20750.653.F0101.AXXX%201May15.docx