A2 - AHA FORM 51 BEJ Abutment Cutting 2022.pdf

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SAW FORM 51, MAY 2019 PREVIOUS EDITIONS ARE OBSOLETE.

VERSION 1.2

FORM EDITION

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SAW FORM 51, MAY 2019

FORM EDITION

U.S. ARMY CORPS OF ENGINEERS, WILMINGTON DISTRICT

ACTIVITY HAZARD ANALYSIS (AHA)

For use of this form, see DA Pamphlet 385-30 and EM 385-1-1; the proponent agency is CESAW-SO.

SECTION I - ACTIVITY DATA

SECTION II - RISK ASSESSMENT CODE (RAC) MATRIX

S E V E R I T Y

CATASTROPHIC

CRITICAL

MARGINAL

NEGLIGIBLE

FREQUENT

LIKELY

OCCASIONAL

SELDOM

UNLIKELY

PROBABILITY (Select - X only one)

L = LOW RISK

RAC CHART

STEP 1: REVIEW EACH “HAZARD” WITH IDENTIFIED SAFETY "CONTROLS" AND DETERMINE RAC.

“SEVERITY” IS THE OUTCOME / DEGREE IF AN INCIDENT, NEAR MISS, OR ACCIDENT AND OCCUR AND IDENTIFIED AS: CATASTROPHIC, CRITICAL, MARGINAL, OR NEGLIGIBLE.

STEP 2: IDENTIFY THE RAC (Probability / Severity) as E, H, M or L FOR EACH “HAZARD” ON THE AHA. ANNOTATE THE OVERALL HIGHEST RAC AT THE TOP OF AHA.

“PROBABILITY” IS THE LIKELIHOOD TO CAUSE AN INCIDENT, NEAR MISS, OR ACCIDENT AND IDENTIFIED AS: FREQUENT, LIKELY, OCCASIONAL, SELDOM OR UNLIKELY.

E E E H H H H H M M M M M L L L L L L L

E = EXTREMELY HIGH RISK

H = HIGH RISK

M = MODERATE RISK

SECTION III - ACTIVITY HAZARD ANALYSIS (AHA) STEPS

a.

PRINCIPLE JOB STEPS

ITEM

b.

HAZARDS

c.

CONTROLS

d.

RAC

SECTION IV - ACTIVITY HAZARD ANALYSIS (AHA) EQUIPMENT

ITEM

a.

EQUIPMENT TO BE USED

c.

INSPECTION REQUIREMENTS

b.

TRAINING REQUIREMENTS / COMPETENT OR QUALIFIED PERSONNEL NAME(s) 1.1 Forms Design Team CEIT-OPI-PF SAW FORM 63 Activity Hazard Analysis MAY 2019 Mark Cooper SAW FORM 51 Activity Hazard Analysis MAY 2019 mark.a.cooper@usace.army.mil 20190501 20190501