Att 06 JHA .xlsx
XLSX spreadsheet 40 KB Posted
- Solicitation number
- 1333ND26QNB190295
About this file
This is a Pre-Job Hazard Analysis (JHA) form template used by NIST's Grounds Shop Maintenance for identifying and controlling safety risks prior to performing maintenance tasks. The form is designed to be completed before each task begins or when work conditions change, and requires documentation of identified hazards and corresponding control measures. The JHA includes a comprehensive checklist of potential hazards across multiple categories: environmental hazards (spill potential, weather conditions, chemical handling, ventilation, heat stress, lighting, housekeeping, and asbestos concerns); ergonomic hazards (working in tight areas, repetitive motions, heavy lifting); work-at-height hazards (barricades, floor holes, ladders, scaffolding, and fall arrest equipment); activity-specific hazards (operational lasers, welding, compressed gases, energized equipment, airborne particles, and slips/trips/falls); and personal limitations (distractions, working alone, noise levels, and physical limitations). The form also addresses permits required (confined space, excavation, hot work, roof access, scaffold work, radiation work) and specifies required Personal Protective Equipment (PPE) including safety glasses, hearing protection, respirators, hard hats, safety vests, chaps, safety shoes, and additional specialized equipment as needed. A task-hazard-control table must be completed documenting specific tasks, associated hazards, and implemented controls, with signatures required from both the employee/crew and supervisor/work group leader, as well as the OFPM Safety Office. This template serves as a preventive safety management tool applicable to the exterior lighting inspection and repair work described in the related NIST Boulder solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| 1333ND26QNB190295001.pdf | ||
| Att 02 Copy of Safety Plan Checklist.xlsx | XLSX spreadsheet | |
| Att 05 NIST Release of Claims.pdf | ||
| Att 04 Site Exterior Lighting Map.pdf | ||
| 1333ND26QNB190295.pdf | ||
| ATT 01 NIST Boulder General Contractor Requirements - Rev C.docx | DOCX document | |
| Att 03 Risk Levels for Service Contract Personnel-Form.doc | DOC document |
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Text version
Sheet1
| Safety is Everyone’s Responsibility! | |||||||
| OFPM | |||||||
| Pre-Job Hazard Analysis | |||||||
| Please complete this Pre-JHA prior to start of each task or change in conditions. | |||||||
| BMSS | |||||||
| Shop/Group | Date | Time | Work order # | ||||
| Grounds Shop Maintenance | NIST | ||||||
| Project | Task location | ||||||
| Prior to performing the job, identify tasks and hazards. Use the checklist to help find hazards or list hazards | |||||||
| not identified in the checklist and record results in the Table. | |||||||
| Environmental Hazards | Ergonomic Hazards | Permits Required | |||||
| 1. Spill potential | 26. Working in a tight area | Confined space # _________ | |||||
| 2. Weather conditions | 27. Parts of body in line of fire | Excavation | |||||
| 3. MSDS (chemical handling) | 28. Working above your head | Impairment | |||||
| 4. Ventilation required | 29. Pinch points identified | Hot Work/Burn | |||||
| 5. Heat stress/cold exposure | 30. Repetitive motion | Penetration | |||||
| 6. Other workers in area | Work at Height Hazards | Radiation Work | |||||
| 7. Lighting levels too low | 31. Barricades, flagging, and signs | Roof Access | |||||
| 8. Housekeeping | 32. Floor holes | Scaffold | |||||
| 9. PACM-Possible asbestos containing material | 33. Protect from falling items | PPE Requirements | |||||
| 10. Radiation | 34. Powered platforms/Arial Lifts | Monogoggles/face shield | |||||
| 11. Lead paint | 35. Others working overhead/below | gloves (Kevlar, leather or specialty) | |||||
| 12. Fume hood exhaust | 36. Fall arrest | Arc Flash clothing/coveralls | |||||
| Activity Hazards | 37. Ladders/scaffolding | (fire retardant) | |||||
| 13. Operational lasers | 38. Leading edge work | Hearing protection | |||||
| 14. Welding/grinding | Personal Limitations/Hazards | Respirator protection | |||||
| 15. Burn/heat sources | 39. Clear instructions provided | Safety Glasses / or safety glasses | |||||
| 16. Compressed gasses | 40. Trained to use tool and perform task | w/side shields/face shield | |||||
| 17. Energized equipment in area | 41. Distractions in work area | Additional PPE required: | |||||
| 18. Electrical shock from cords/tools | 42. Working alone (communication) | Hard Hats | |||||
| 19. Equipment/tools inspected | 43. Lift too heavy/awkward position | Safety Vest | |||||
| 20. Critical lift required | 44. External noise levels | Chaps | |||||
| 21. Lock out/Tag out required | 45. Physical limitations | Safety Shoes | |||||
| 22. Airborne particles | 46. Other Hazards | Dosimeters | |||||
| 23. Flammable liquids | Other: ___________________ | ||||||
| 24. Slips, trips & falls | |||||||
| 25. Standing water |
Describe the tasks, hazard(s) and the related controls in the following table.
TASK HAZARD CONTROL
| Employee/Crew Members (printed): | |
| Supervisor/Work Group Leader Signature: | |
| OFPM Safety Office Signature: | 5/1/13 |
Sheet2
Sheet3
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