Exhibit_1_-_JHA.pdf

FS-6700-7 (08/12)

U.S. Department of Agriculture 1. WORK PROJECT/ACTIVITY 2. LOCATION 3. UNIT

Forest Service Data Collection/Interviews

(NVUM)

Bridger-Teton National Forest Recreation Program

JOB HAZARD ANALYSIS (JHA) 4. NAME OF ANALYST 5. JOB TITLE 6. DATE PREPARED

References-FSH 6709.11 and -12 (Instructions on Reverse) Megan Mullowney

Acting Recreation Program Manager

September 14, 2017

7. TASKS/PROCEDURES

8. HAZARDS

9. ABATEMENT ACTIONS

Engineering Controls * Substitution * Administrative Controls * PPE

10. POST ABATEMENT

ACTION RISK RATING

(from the Severity/Probability Matrix)

Severity Probability Risk Code

Field work

Driving to/from work site (vehicle accidents).

Observe local check in/check out procedures.

Maintain radio/cell phone contact at all times.

Conduct vehicle safety inspection prior to operating motor vehicle (preventive maintenance check/walk-around). Employ defensive driving tactics; drive with headlights on.

I

C

Working outside in any weather conditions (hypothermia, hyperthermia, frost bite, etc.).

Be prepared for sudden weather changes (ice, snow, rain, significant temperature shifts, etc.).

Wear appropriate PPE (clothing, footwear, eye protection, sunscreen, gloves, hat, etc.). Be sure to have ample food and water with you. Carry bee sting kit if allergic to insect stings. Drink plenty of water (at least 2 quarts per day). During lightning storms return, to vehicle and wait until all danger has passed before continuing interviews. Be extra careful during rain, fog, or snow conditions. Use 2 people for traffic stops and wear bright, visible rain gear; use emergency flashers.

III

Prolonged periods of standing or sitting (leg cramps, stiffness, soreness)

Wear comfortable shoes. Take 15 minute breaks for every 2 hours. Walk around, stretch legs, back, arms, and hands. Sit during breaks.

IV

Loading Vehicles

Improper lifting (back strain, muscle strain).

Use proper lifting techniques (use your legs, not back). Get help with heavy loads. Wear leather gloves when handling equipment or materials that could cause injury to your hands.

Setting up and removing traffic counters

Working near moving vehicles (vehicle-person collision).

Wear bright orange safety vest to increase visibility.

Set up traffic cones on each side of installation area. Post extra person as a traffic lookout in heavy use areas.

D

Flying gravel from moving vehicles (eye injury).

Wear safety glasses while installing/removing traffic counters and post an extra person as a traffic lookout.

Directing visitor traffic to interview pullout locations

Working near moving vehicles (vehicle-person collision).

Post 2 traffic signs at least 150 feet before the traffic pull-off site. One should read "STOP AHEAD" and the other should read "VOLUNTARY RECREATION USE SURVEY AHEAD.” Place at least 4 traffic cones near interview point: one before the pull-off, one after the pull-off, and two between where the vehicle will stop and the flow of ongoing traffic. Wear bright orange safety vest at all times when flagging vehicles over. Do not force vehicles to stop; participation in the survey is voluntary. If a vehicle is not slowing down, do not attempt to stop them for an interview. When a vehicle is pulling into the pull-off or exiting the pull-off, stand well back from the vehicle (beware, sometimes trailers are wider than the vehicle pulling them). Have the vehicle pull well off the roadway, as far from the traffic flow as is safe and practical. Take extra precautions during rain, fog, or snow conditions. As visibility will be more limited (use 2 people for traffic stops and wear bright, visible rain gear; use emergency flashers).

Interviewing public

Difficult, unpredictable, or agitated people.

If the visitor does not want to participate in the interview, do not delay letting him/her leave. At any time during the interview process, if the interviewer feels threatened or uncomfortable, excuse yourself from the encounter and walk to your vehicle or a place of safety. Immediately call dispatch for help on radio or cell phone.

Working in bear country

Encounter with bears.

Do not run. When you run you may look like prey to the bear. Do not threaten the bear and force it to fight back. Allow the bear a way out with dignity.

Talk to the bear in low, soft tones and slowly back away. Pretend you are not afraid. Be aware of wind direction; if the wind is in your face the bear may not smell you. Try to avoid surprises. Avoid sows with cubs whenever possible. If you encounter a bear, back away slowly but deliberately in the direction from which you came and at a slight angle so that you are moving across the bear’s vision. Bear depth perception is poor and if you move directly backwards it may look to the bear like you are moving towards it. Complete bear repellent spray safety training prior to working in the field and know how the spray canister works: limitations, range, etc. Avoid spraying into the wind or breeze - it will blow back into your face. Repellent spray is considered a hazardous material for transport; use an approved container for transport in vehicles.

Handling the spray canister must be considered the same as a loaded gun: never point or spray the canister at anyone.

E

13. DATE

11. LINE OFFICER SIGNATURE 12. TITLE

JHA Instructions (References-FSH 6709.11 and .12)

The JHA shall identify the location of the work project or activity, the name of employee(s) involved in the process, the date(s) of acknowledgment, and the name of the appropriate line officer approving the JHA. The line officer acknowledges that employees have read and understand the contents, have received the required training, and are qualified to perform the work project or activity.

Blocks 1, 2, 3, 4, 5, and 6: Self-explanatory.

Block 7: Identify all tasks and procedures associated with the work project or activity that have potential to cause injury or illness to personnel and damage to property or material. Include emergency evacuation procedures (EEP).

Block 8: Identify all known or suspect hazards associated with each respective task/procedure listed in block 7. For example:

a. Research past accidents/incidents.

b. Research the Health and Safety Code, FSH 6709.11 or other appropriate literature.

c. Discuss the work project/activity with participants.

d. Observe the work project/activity.

e. A combination of the above.

Emergency Evacuation Instructions (Reference FSH 6709.11)

Work supervisors and crew members are responsible for developing and discussing field emergency evacuation procedures (EEP) and alternatives in the event a person(s) becomes seriously ill or injured at the worksite.

Be prepared to provide the following information:

a. Nature of the accident or injury (avoid using victim's name).

b. Type of assistance needed, if any (ground, air, or water evacuation).

c. Location of accident or injury, best access route into the worksite (road name/number), identifiable ground/air landmarks.

d. Radio frequencies.

e. Contact person.

f. Local hazards to ground vehicles or aviation.

g. Weather conditions (wind speed & direction, visibility, temperature).

h. Topography.

i. Number of individuals to be transported.

j. Estimated weight of individuals for air/water evacuation.

The items listed above serve only as guidelines for the development of emergency evacuation procedures.

JHA and Emergency Evacuation Procedures Acknowledgment Block 9: Identify appropriate actions to reduce or eliminate the hazards identified in block 8.

Abatement measures listed below are in the order of the preferred abatement method:

We, the undersigned work leader and crew members, acknowledge participation in the development of this JHA (as applicable) and accompanying emergency evacuation procedures. We have thoroughly discussed and understand the provisions of each of these documents:

a. Engineering Controls (the most desirable method of abatement).

For example, ergonomically designed tools, equipment, and SIGNATURE DATE SIGNATURE DATE furniture.

b. Substitution. For example, switching to high flash point, non-toxic solvents.

Work Leader

c. Administrative Controls. For example, limiting exposure by reducing the work schedule; establishing appropriate procedures and practices.

d. PPE (least desirable method of abatement). For example, using hearing protection when working with or close to portable machines

(chain saws, rock drills, and portable water pumps).

e. A combination of the above.

Block 10: The values for Severity, Probability, and the overall Risk Assessment Code

(RAC) will correspond to the Risk Management Matrix (attached).

Block 11: The JHA must be reviewed and approved by the appropriate manager / supervisor, as identified in the Risk Decision Authority Matrix.

Block 12 and 13: Self-explanatory.

6713.4 - Exhibit 01 Risk Management Matrix

Safety Risk Assessment Codes

HAZARD PROBABILITY

Frequent Likely Occasional Seldom Unlikely

A B C D E

S E

V E

R

IT

Y

Catastrophic I Extremely High

(RAC 1)

High (RAC 2)

Medium

(RAC 3)

Critical II

Extremely High

(RAC 1)

High (RAC 2)

Medium

(RAC 3)

Low (RAC 4)

Marginal III High

(RAC 2)

Medium (RAC 3) Low (RAC 4)

Negligible IV Low (RAC 4)

6713.4 – Exhibit 02

Severity Definitions

Severity Effect

Catastrophic I Death or permanent disability, system loss, major property damage

Critical II Permanent partial disability, temporary total disability in excess of three months, major system damage, significant property damage

Marginal III Minor injury, lost workday mishap, compensable injury/illness, minor system damage, minor property damage

Negligible IV First aid or minor medical treatment, minor system impairment

6713.4 – Exhibit 03

Probability Definitions Probability

A. Frequent The event occurs often, frequently, or with regularity in one’s career or the life cycle of equipment items

B. Likely The event occurs periodically with some regularity but not frequently enough to be predictable

C. Occasional The event occurs sporadically but not with consistent regularity or predictability in ones career of the life cycle of equipment

D. Remote Possible to occur but the chances of the event occurring are remote

E. Unlikely In this case, it is unlikely the event will ever occur