APPENDIX A Activity Hazard Analysis

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APPENDIX A Activity Hazard Analysis Note: Activity Hazard Analysis will be prepared and inserted prior to the start of work APPENDIX B Forms Risk Mitigation Two-Week Look-Ahead Form Safety plan for week ending: Project/ Location: Plan Prepared by: Next Two Weeks Scope of Work: Contractor: Meeting date: Dated: Identified Risks/Exposures/ hazards : Control Measures: Additional Activity hazards Analysis Required: Subcontractors Mobilizing/Demobilizing: Audit/Inspections Scheduled: Competent Person Changes:Planned Orientation/Training : Recommendations/Comments/Concerns: Note: This information should be incorporated into the meeting minutes. __________________ _________________________________ __________________________ ________________________________________ ________________________________ ______ _______________________ ________________________________________ ________________________________ ______ ________________________________________ __________ ________________________________________ ________________________________ ______ ________________________________________ ________________________________ ______ ________________________________________ __________________ ________________________________________ ________________________________ ______ _____________________

Review checklist while completing front page of SPA. Check all that apply. A new SPA is required if the job scope or work conditions change. Required Permits Hazards Safe Plan Confined Space Overhead Utilities Power de-energization required Insulation blankets required Wire watcher required

  Analysis, Activity, Checklist, Hazards, Activity hazard analysis