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APPENDIX A Activity Hazard Analysis

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 SIGN-IN SHEET safety Meeting Presenter: _____ Date: Current Weather Conditions: Temperature (oF) = _____ Wind Direction = _____ Wind Speed = _____ Clear - Sunny Cloudy Rain - Snow Forecast = Current Site Conditions (circle as appropriate):Dry - Wet - Muddy - Frozen - Snow Covered - Other

Elect. Insulated Gloves Ladders Inspect general cond. before use Ladder inspected with in last quarter Arm Sleeves Ladder tied off or held Proper angle and placement Reviewed ladder safety Foot Protection: Scaffolds Inspect general condition before use Tags in place Properly secured

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  Analysis, Activity, Safety, Hazards, Ladder, Activity hazard analysis, Ladder safety

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