Activity Hazard Analysis-Form (10).docx
DOCX document 39 KB Posted
- Attached to
- Residence Painting Services
- Solicitation number
- 19EC7524Q0013
- Issued by
-
Department of State US Embassy Quito
About this file
This document is an Activity Hazard Analysis (AHA) form related to a federal contract opportunity for Residence Painting Services at the US Embassy in Quito, Ecuador.
The key details are: The work required under this fixed-price contract consists of providing all professional services, labor, materials, equipment, and supplies to complete painting of a US Government-owned residence located at Campo Alegre, Quito. The contractor must submit a detailed cost breakdown, project schedule, quality management plan, safety plan, and other required documents. The period of performance is 90 calendar days. Attendance at a mandatory pre-quotation conference and site visit on September 23, 2024 is required, with quotes due by September 25, 2024. The AHA form identifies potential hazards and required controls, safety-qualified personnel, and inspection requirements for the work. The contract will be awarded to the lowest priced technically acceptable offeror.
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Other files
| File | Type | Posted |
|---|---|---|
| Hot Work Permit_2023 (1).docx | DOCX document | |
| SOW PAINT DCMR (1).docx | DOCX document | |
| SF18CoverPage.pdf | ||
| RFQ 19EC7524Q0013.docx | DOCX document |
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Text version
Activity Hazard Analysis (AHA)
| Activity/Work Task: |
| 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.) |
| 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 |
| Equipment to be Used, included PPE |
| Training Requirements/Competent or Qualified Personnel name(s) |
| Inspection Requirements |
Safety Competent/Qualified Personnel:
List of Training required for Workers:
Inspections that will be required.
File details come from the government source that posted it. Updated .