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.

Safety Meeting Presenter: _____ Date: Current Weather Conditions: Temperature (oF ... SCBA Heat Stress Potential Heat stress monitoring (>85o) Liquids available Cool down periods Emergency Escape Respirator Sun Screen Reviewed Heat Stress symptoms Cold ...

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