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Actual site hazards (Record): <br />Chemicai: <br />BTEX <br />Solvents <br />Asbestos _ <br />Metals <br />Other Petroleum Products <br />Physical: <br />Confined Space <br />Heat/Cold Stress (expected temp): <br />Machinery/Construction <br />Noise (Sourcel: <br />Oxygen Deficiency <br />Unknown/Other __ _ <br />PPE Required: <br />Minimum Level D Protection: <br />- Steel-toed boots <br />- Hard hat <br />- Protective eye wear (optional) <br />- Gloves <br />Level C Upgrades: <br />- Splash suit (i.e., rain gear, tyvek) <br />- Hearing protection <br />- Additional Gloves ~ <br />- Full-face Respirator <br />Emergency telephone numbers for the local emergency response organizations are: <br />Police: <br />Fire: <br />Medical: <br />Project Manager/Site Health and Saftey Officer: <br />The portable cellular telephone may be on-site during all work activities. Prior to the start of <br />work, all on-site personnel will become familiar with the use of the cellular phone. <br />11 <br />