Activity Hazard Analysis-Form.docx
DOCX document 39 KB Posted
- Attached to
- Residence Renovation - Marble Replacement
- Solicitation number
- 19EC7524Q0015
- 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 a Residence Renovation - Marble Replacement project at the U.S. Embassy in Quito, Ecuador.
The AHA form identifies potential hazards, risk assessment codes, and required controls and mitigations for the work tasks involved. It also lists the required equipment, training, and inspection requirements. The related federal contract opportunity is Solicitation Number 19EC7524Q0015, which seeks restoration services to replace the marble flooring at a U.S. Government-owned residence in Campo Alegre, Quito. The work is to be completed in 40 calendar days, with the residence unoccupied during construction. The contractor will be required to submit a detailed cost breakdown, phasing plan, construction schedule, quality management plan, safety plan, and other project documents. The contract will be awarded to the lowest-priced technically acceptable offeror. Interested vendors must be registered in SAM and provide a civil liability policy and DBA insurance. A pre-quote conference and site visit is scheduled for September 23, 2024, with quotes due by September 26, 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| Hot Work Permit_2023.docx | DOCX document | |
| 19EC7524Q0015- RFQ Residence Marble Replacement.pdf | ||
| PR12892926-SOW MARBLE FLOOR REPLACEMENT DCMR.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 .