C/M or P/M

Reviewed:
CONSTRUCTION JOB HAZARDS ANALYSIS
Core Drilling / Saw Cutting Concrete or Asphalt
(Wet Method)

Rev: 2015
Building & Room(s): Contractor/Subcontractor Name:

Scope of Work: Please list the scope of work in this area. (What machine to be used, how any & size of holes) (and remove these directions).

Tasks being Performed Potential Safety Risks/Hazards Safety Controls / Mitigations

Work area should be delineated off from Un-Authorized personnel & signs posted
Risk of Injury to bystanders
All personnel must use caution when in or around saw cutting areas
This is a TEMPLATE
Proper PPE shall be worn by adjacent personnel, as required by their proximity to the work task.
Set up Machine & work area
(delineate as necessary)
Note: Traffic/ Pedestrian control
Ensure all Areas to be cored drilled have been scanned.
plan maybe required
Risk of hitting underground utilities.
Follow Penetration Permit

(Penetration Permit Required) All connections, mountings, guards & controls on the equipment must be inspected prior to use.
Risks of injury from improper set
Core drill holes up or operation. Ensure there has been a Penetration Permit briefing & permit is signed & on site.
Saw cut
All operators of this equipment shall be trained on that piece of equipment.
Use a Wet Vac to clean up slurry,
A second person maybe needed Operator must wear proper PPE. (Face shield, safety glasses & hearing protection minimum).
for set up & the capture of slurry.
Half face respirators are required for core drilling into concrete.
Risk of exposure to silica based
products Respirator Program with medical eval & fit test shall be submitted for review & acceptance by EH&S
prior to the start of work
(and remove these directions).
Follow LBNL SWPP Program as required
Risk of storm water pollution
If storm drains are below work areas ensure the drain covers are surrounded by waddles, lined with silt
mess covers & de-chlorination tablets are in place.

Shop Vac shall be used not to allow slurry out of work area for proper cleanup

Employee Signatures: Date: Employee Signatures: Date: Employee Signatures: Date:

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 C/M or P/M
Reviewed:
CONSTRUCTION JOB HAZARDS ANALYSIS
Core Drilling / Saw Cutting Concrete or Asphalt
(Wet Method)

Rev: 2015
Building & Room(s): Contractor/Subcontractor Name:

Scope of Work: Please list the scope of work in this area. (What machine to be used, how any & size of holes) (and remove these directions).

Tasks being Performed Potential Safety Risks/Hazards Safety Controls / Mitigations

A signed copy of this JHA must be posted while the applicable subcontractor is working on-site and be available to any LBNL employee upon request.

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