JHA 2022 English and Spanish.xlsx
XLSX spreadsheet 37 KB Posted
- Attached to
- Mexico City - Rooftop Pergola Installation
- Solicitation number
- 19MX5324Q0009
- Issued by
-
Department of State US Embassy Mexico
About this file
This document contains a Job Hazard Analysis template in English and Spanish as well as details of a federal contract opportunity for a rooftop pergola installation at the U.S. Embassy in Mexico City. The construction effort requires building a rooftop pergola at a government-owned residence located in Mexico City with an estimated value between $25,000 and $100,000 U.S. dollars. Interested construction contractors must meet technical and financial requirements to perform the work including understanding English, having necessary personnel and equipment, required licenses and permits, insurance, and the ability to obtain performance bonds. Contractors should contact mexicocitygsosolicitations@groups.state.gov to request Solicitation No. 19MX5324Q0009 for this requirement from the Department of State's U.S. Embassy in Mexico.
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Other files
| File | Type | Posted |
|---|---|---|
| 0002-Amendment - extend due date.v2.pdf | ||
| 0001-Amendment.pdf | ||
| Questions and Answers.pdf | ||
| 19MX5324Q0009 Rooftop Pergola Installation RFQ.pdf | ||
| RFQ SF-1442 19MX5324Q0009 Cover.docx | DOCX document | |
| Letter to offerors - 19MX5324Q0009.pdf | ||
| Safety Plan - FAC.docx | DOCX document |
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Text version
Format in English JOB HAZARD ANALYSIS RAC table
DATE:
LOCATION:
TASK:
INVOLVED PERSONNEL:
REQUIRED SAFETY PROTECTIVE EQUIPMENT:
| JOB STEPS (TASKS) | IDENTIFIED HAZARDS | RAC RATE | CONTROLS (SAFE PROCEDURES AND PROTECTIVE MEASURES) | CLASS AFTER CONTROLS | |
| 1 |
sPECIAL SAFETY PROTECTIVE EQUIPMENT (IN CASE REQUIRED):
| SUPERVISOR APPROVAL/APPROVED BY : | |
| Page 1 of ____ |
Formato en español
ANALISIS DE RIESGO DEL TRABAJO CALIFICACION DE RIEGO
FECHA:
UBICACION:
TAREA:
PARTICIPANTES DE LA TAREA:
EQUIPO DE PROTECCION PERSONAL REQUERIDO:
| PASOS DE LA TAREA | RIESGOS IDENTIFICADOS | CALIFICACION | CONTROLES A APLICAR | RECALIFICACION | |
| 1 |
EQUIPO DE PROTECCION ESPECIAL ESPECIFICO (EN CASO DE REQUERIRSE):
| AUTORIZACION DEL SUPERVISOR/APROBADO POR: | |
| Hoja 1 de ____ |
RAC - tabla de riesgo
| SEVERIDAD | ||||||
| 1 | 2 | 3 | 4 | |||
| PROBABILIDAD DE QUE OCURRA O DE EXPOSICION | ||||||
| PARA UNA UNIDAD DE TIEMPO DETERMINADA | CATASTOFRICO |
Muerte o incapacidad permanente
CRITICO
Incapacidad de hasta 3 meses
MODERADO
Lesión menor, días de incapacidad
MENOR
Primeros auxilios, Tratamiento Médico menor
| 1 | FRECUENTE | |||
| Es probable que ocurra repetidamente | 1 =ALTO | 1= ALTO | 2 =SERIO | 3= MEDIANO |
| 2 | PROBABLE | |||
| Es probable que ocurra muchas veces | 1= ALTO | 2= SERIO | 3= MEDIANO | 4 = BAJO |
| 3 | OCASIONALMENTE | |||
| Es probable que ocurra en alguna ocasión | 2= SERIO | 3= MEDIANO | 4 = BAJO | 5= MUY BAJO |
| 4 | REMOTA | |||
| No es probable que ocurra | 3= MEDIANO | 4 = BAJO | 5= MUY BAJO | 5= MUY BAJO |
| 5 | IMPROBABLE |
Casi imposible, podemos asumir que no va a ocurrir
| SEVERITY | ||||
| 1 | 2 | 3 | 4 | |
| LIKEHOOD OF OCCURRENCE OR EXPOSURE | CATASTROPHIC |
DEATH OR PERMANENT INJURY/ILLNESS
CRITIC
UPON 3 MONTHS AWAY FROM JOB
MODERATED
MINOR INJURY, DAYS AWAY FORM JOB
MINOR
FIRST AID, MINOR MEDICAL TREATMENT
| 1 | VERY PROBABLE | |||
| VERY SURE TO HAPPEN OR BE EXPOSED | 1 =HIGH | 1 =HIGH | 2 =SERIOUS | 3= MID |
| 2 | PROBABLE | |||
| MAY HAPPEN | 1 =HIGH | 2 =SERIOUS | 3= MID | 4 = LOW |
| 3 | OCASSIONAL | |||
| MAY HAPPEN IN SPECIAL SITUATION | 2 =SERIOUS | 3= MID | 4 = LOW | 5= VERY LOW |
| 4 | REMOTE | |||
| NOT PROBABLE TO HAPPEN | 3= MID | 4 = LOW | 5= VERY LOW | 5= VERY LOW |
| 5 | IMPROBABLE |
ALMOST IMPOSIBLE TO HAPPEN
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