010 - EXAMPLE Activity Hazard Analysis (AHA).pdf

J-0200000-15 EXAMPLE: Activity Hazard Analysis (AHA)

Activity/Work Task:

Pest Control???? Overall Risk Assessment Code (RAC) (Use highest code)

Project Location: Risk Assessment Code (RAC) Matrix

Contract Number:

Severity

Probability

Date Prepared: Frequent Likely Occasional Seldom Unlikely

Prepared by (Name/Title

Catastrophic E E H H M Critical E H H M L

Reviewed by (Name/Title):

Marginal H M M L L Negligible M L L L L

Notes: (Field Notes, Review Comments, etc.)

Company Name:

Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC (See above)

“Probability” is the likelihood to cause an incident, near miss, or accident and identified as: Frequent, Likely, Occasional, Seldom or Unlikely. RAC Chart

“Severity” is the outcome/degree if an incident, near miss, or accident did occur and identified as: Catastrophic, Critical, Marginal, or Negligible

E = Extremely High Risk H = High Risk

Step 2: Identify the RAC (Probability/Severity) as E, H, M, or L for each “Hazard” on AHA. Annotate the overall highest RAC at the top of AHA.

M = Moderate Risk L = Low Risk

Job Steps Hazards Controls RAC

1. Indoctrination

1a. Indoctrination and training

1b. Awareness of job hazards

1c. Hazardous materials on site

1d. Smoking

1e. Drug and Alcohol use

1a. 1. All workers will review the AHA for their particular scope

2. All workers will read and understand the plans and policies set forth in the EM 385-1-1 (Yellow Book)

3. AHA is included in APP

4. Hard copy of APP will be inside each vehicle

1b. All workers will attend at least a weekly safety meeting

1c. SDS available for all employees to view

1d. No Smoking within the work area allowed

1e. Employees to follow drug and alcohol policy as stated in the employee handbook

L

2. Mobilize

2a. At Shop: load truck with equipment, chemicals and tools necessary for jobsite

2b. Secure Cargo

2c. Travel to Jobsite

2a. Physical injury, sprain, strain

2b. Shifting, spillage

2c. Auto Accident

2a. 1. Use of hand truck and lift gate for loading of chemical and equipment when necessary

2. Ensure workers use proper lifting techniques when loading heavy items

2b. Equipment, chemicals, and tools shall be secured properly in vehicle to prevent shifting and spillage

2c. 1. Use caution when operating vehicle

2. Follow all driving laws while on the road

3. Only persons with valid driver’s license and vehicle pass are to operate vehicle

3. Application

3a. Pesticide Application

3a. Inhalation of chemicals

3b. Skin and eye irritation

3c. Dehydration

3d. Struck by vehicles

3e. Slipping and falling

3a. 1. Review SDS prior to use

2. Respirators shall be used when applicable to the application or as directed by the SDS

3. Mixing of all chemical shall be performed by certified personnel or under the supervision of certified personnel

3b. 1. Wear safety glasses

2. Suitable clothing made of appropriate material shall be worn

3. During windy conditions, employee shall not apply chemicals to prevent drifting

3c. Take periodic water breaks to prevent dehydration

3d. 1. The use of orange cones shall be enforced while vehicles are parked on roadways

2. Type II reflective vests shall be worn

3e. 1. Wear non-slip shoes

2. Employee shall inspect area before spraying to ensure it is free of objects that may cause trips or falls

4. Disposal 4a. Contamination

4a. Read the SDS prior to use

4b. Dispose of the pesticide and the container as instructed

L

Equipment to be Used Training Requirements/Competent or Qualified Personnel name(s) Inspection Requirements

Pickup truck Respirator Back pack spray Non-slip shoes

Competent person shall check that all equipment is in proper working condition daily before each use.

Respirators shall be inspected for damage and proper fit prior to each use. Vehicle shall receive an annual safety inspection by a licensed mechanic and maintained weekly by driver.

Pesticide applicator shall be certified, trained, and competent in Pest Control Category No. 3, Ornamental and Turf and Pest Control and Category No. 10, Domestic, Institutional, Structural & Health Related Pest Control certification. This person shall be trained in First Aid and CPR. Employees shall receive an annual physical for respirator use and fit tested. Prior to start of work activity a safety meeting shall be conducted by the Contractor to discuss AHA & Operational Risk Management with everyone engaged in the activity. The Contractor shall document meeting attendance.