Transcription of 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 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 appro)
Face Shield Vehicular Traffic or Traffic Barricades Cones Signs Flagmen Lane closure Chemical Goggles Heavy Equipment Communication with equipment operator ... Rubber Boots Extension cords properly secured Work zone free of debris ... Health and Safety Site Inspection Form Inspector: Inspection Date: Section 1: Project Description Project Name:
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SECTION 102 MAINTENANCE OF TRAFFIC, Work zone, Traffic, Work, Traffic control, Inspection, Zone, Zone inspection, Control, Form, Work Zone Traffic Control, Safe Work Method Statement – Work in, Safe Work Method Statement – Work in or near excavation deeper than, Entry control facilities access control points