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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 (describe) 1.

Safety Meeting Presenter: _____ Date: ... Confined Space Overhead Utilities Power de-energization required Insulation blankets required Wire watcher required Critical Lift Required clearance distance = _____Ft. Safe work zone marked Hot Work Crane or other Signalman assigned Tag lines in use Area around crane barricaded ...

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  Analysis, Activity, Safety, Hazards, Crane, Overhead, Activity hazard analysis

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