APPENDIX A Activity Hazard Analysis

← Back to document page

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. __________________ _________________________________ __________________________ ________________________________________ ________________________________ ______ _______________________ ________________________________________ ________________________________ ______ ________________________________________ __________ ________________________________________ ________________________________ ______ ________________________________________ ________________________________ ______ ________________________________________ ______

Hot Work Crane or other Signalman assigned Tag lines in use Area around crane barricaded Lock Out/Tag Out Lifting Equipment Lifting equipment inspected Personnel protected from overhead load ... Fire Hazard Hot Work Permit Fire Extinguishers Fire watch ... Fire Extinguisher Oil Level (Full/ No Leaks) Operator=s Area Clear of Extra Materials

  Analysis, Activity, Fire, Hazards, Extinguisher, Fire extinguisher, Activity hazard analysis