Addendum 1 Attachment B-Gravitech-Middle Schools Fall Protection Report.pdf
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- S-KS0043-00002709
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- Marion County, Oregon
About this file
This is a fall protection hazard survey report prepared by Gravitec Systems Inc. for the Beaverton School District in Beaverton, Oregon, covering rooftop fall hazard assessments at nine middle schools conducted during March and May 2019. The survey identifies and prioritizes fall hazards across the district's school buildings, with specific detailed assessments for Five Oaks Middle School and comparative analysis across all nine facilities. The report documents hazards related to roof edges, ladder access points, skylights, HVAC equipment, and other elevated work surfaces, providing relative risk ratings for each identified hazard based on probability, protection, and severity indices. Gravitec surveyed the facilities during two site visits from March 24-29 and May 13-15, 2019, with recommendations developed for abating each hazard through engineered solutions including guardrails, horizontal lifelines, designated work areas, fixed ladders with safety gates, and skylight covers. The report establishes a comprehensive framework for prioritizing fall protection improvements across the district's rooftop maintenance operations.
The survey employs a quantitative risk rating system (R = P x T x S) that evaluates hazards on a scale from 0.01 to 69, categorizing them as low, medium, high, dangerous, or extreme risk. Gravitec's recommendations follow the fall protection hierarchy, prioritizing hazard elimination and passive protection systems (guardrails) over fall restraint and fall arrest systems. The report references applicable Oregon OSHA standards under Chapter 437 (Division 2 for general occupational safety and Division 3 for construction activities) and federal OSHA regulations. Five Oaks Middle School has six identified roof areas with multiple hazards, including edge fall distances ranging from 7 to 40 feet, with the highest-risk edge hazards rated between 21.96 and 29.75 on the relative risk scale. No pricing information or contract award details are provided in this technical assessment document; the report serves as a foundational planning tool for the district to develop capital improvement projects and establish fall protection work procedures for custodial and maintenance staff accessing rooftops.
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PROTECTING WORKERS AT HEIGHT
ENGINEERING TRAINING EQUIPMENT TESTING
FALL PROTECTION HAZARD SURVEY
ROOF SURVEY - MIDDLE SCHOOLS
BEAVERTON SCHOOL DISTRICT
BEAVERTON, OR
MAY, 2019
meeuwsenku Typewritten Text Note - Sections removed from report not pertaining to Five Oaks Middle School meeuwsenku Cloud
4.0 Mitigating Fall Hazards:
1.0 Introduction…………………………………………………………………………………………
2.0 Legislation……………………………………………………………………………………………... 2
2.1 General……………………………………………………………………………………….. 2
2.2 Division 2: General Occupational Safety and Health……………………………………. 3
2.3 Division 3: Construction…………………………………………………………………….. 6
3.0 Hazard Ranking .……………………………………………………………………………………... 8
3.1 General……………………………………………………………………………………….. 8
3.2 Relative Risk Rating: R = P x T x S………………………………………………………. 9
3.2.1 Probability Index (P)……………………………………………………………… 10
3.2.1.1 Frequency Index (F)…………………………………………………. 11
3.2.1.2 Occurrence Index (O)………………………………………………... 11
3.2.1.3 Proximity Index (X)………………………………………………
3.2.1.4 Duration Index (D)……………………………………………………. 12
3.2.1.5 Interference Index (I)………………………………………………
3.2.1.6 Security Index (C)……………………………………………………. 12
3.2.1.7 Environment Index (E)………………………………………………. 13
3.2.2 Protection Index (T)………………………………………………………………. 13
3.2.3 Severity Index (S)………………………………………………………………… 14
3.3 Comparison to Other Risk Ranking Systems…………………………………………….. 14
3.4 Beaverton School District Assumptions and Simplifications……………………………. 14
3.4.1 Assumptions………………………………………………………………………. 15
3.4.2 Simplifications…………………………………………………………………….. 15
4.0 Mitigating Fall Hazards………………………………………………………………………………. 16
4.1 Fall Protection Hierarchy…………………………………………………………………… 16
5.0 Hazard Survey .………………………………………………………………………………………. 17
5.1 Ceder Park Mills …………………………………………………………………………….. 17
5.2 Conestoga……………………………………………………………………………………. 61
5.3 Five Oaks…………………………………………………………………………………….. 161
5.4 Highland Park………………………………………………………………………………... 192
5.5 Meadow Park………………………………………………………………………………… 236
5.6 Mountain View……………………………………………………………………………….. 284
5.7 Stroller ……………………………………………………………………………………….. 321
5.8 Timberland…………………………………………………………………………………… 361
5.9 Whitford………………………………………………………………………………………. 403
6.0 Relative Risk Rating ……………………………….………………………………………………
6.1 All Middle Schools ….……………………………………………………………. 434
6.1.1 Access……………………………………………………………………………... 443
6.1.2 Edge ……………………………………………………………………………
6.1.3 Other ……………………………………………………………………………… 450
1.0 Introduction:
1.0 Introduction
Beaverton School District contracted Gravitec Systems Inc. to conduct a rooftop fall hazard survey of 61 of their schools and administrative buildings, located in Beaverton, Oregon. During the course of two site visits, March 24th to March 29th and May 13th to 15th of 2019, Brendon Gobeske, Austin McCutchen, Rae Taylor and Kyle Van Wyck of Gravitec Systems Inc. performed this survey, identifying and prioritizing fall hazards. The survey relied on Andrea Radona and other Beaverton School District personnel to direct Gravitec Systems to identify fall hazards. The main staff of each location provided information on tasks and fall hazards relating to the areas. Other Beaverton School District personnel were involved and consulted as the survey progressed.
This document does not intend to judge current safety practices. Its purpose is to report observed hazards and to compare them to industry best practices and legislative requirements. The ultimate goal is to elevate the awareness of current risks and to provide guidance on how to reduce or eliminate them.
Gravitec’s recommendations are drawn from many years of experience, professional affiliations and intimate knowledge of applicable legislation and consensus standards. The primary focus is on practical solutions that enhance the work process. The most effective protection often involves training and personal protective equipment to empower workers to recognize and address the fall hazards by themselves. In some areas, engineered solutions are proposed if the hazard and frequent exposures warrant more positive protection than temporary systems can provide. Engineered solutions require less critical decisions from workers exposed to fall hazards. In all cases where fall protection equipment is required, proper procedures for use and rescue should be written and accompany the fall protection system for the hazard.
Gravitec follows a hierarchy of fall protection when listing recommended solutions for abating hazards.
This dictates the order of solutions based on limiting of risks to the worker. The hierarchy consists of first eliminating the hazard, followed by passive fall protection (such as guardrails), then fall restraint, and finally fall arrest. Refer to Section 4.1 for additional details on the hierarchy. In most cases, based upon a balance between the hierarchy, cost effectiveness, user friendliness, and some of the Relative Risk Rating information, Gravitec recommends a hazard abatement solution. In some cases a combination of solutions may be recommended, or, similar solutions may be recommended from which the client can select their preferred option.
The report is broken into sections as detailed in the Table of Contents. Each hazard or topic contains a risk rating matrix, a description of the hazard, present conditions, recommendations for abatement, and rescue options. Section 6.0, in the back of the report, contains tables that summarize the hazards and their conceptual solutions, which are sorted by issue number and by Relative Risk Rating. The table sorted by Relative Risk Ratings is helpful in prioritizing abatement of hazards. Once the report is reviewed and the Beaverton School District has prioritized the hazards to be abated, Gravitec can provide pricing estimates for the solution abatements.
A Glossary of Terms can be found in Appendix A.
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2.0 Legislation
2.1 General
Fall protection legislation and technology are not always consistent with each other, due to a rapid evolution of available equipment and systems. Sometimes the regulations challenge industry to develop solutions that are not yet in existence. At other times, new systems and components provide a level of protection that exceeds current legal requirements.
While a few states still maintain their own Occupational Safety and Health Administration (OSHA) legislation, the majority have fully adopted the Federal OSHA standards. Oregon State is one of the few states, which maintain their own OSHA legislation with significant adoptions of Federal OSHA, Code 29 CFR 1910.
Oregon OSHA standards contain a variety of approaches to providing fall protection:
• Chapter 437, Division 2: General Occupational Safety and Health Division 2 focuses on permanent “conventional” fall protection systems such as guardrails and ladders, which are covered in Subdivision D- Walking-Working Surfaces. The only section containing well-developed fall arrest requirements is Subdivision I - Personal Protective Equipment. It is important to note that Oregon OSHA General Occupational Safety and Health standard cites the use of Division 3 - Construction standards when referring to scaffolds and rope descents systems, the need to eliminate inconsistences between construction and general industry, when it comes to specific terminology and strengths. Division 2, Subdivision B - Adoption & Extension of Established Federal Standards defines construction as alteration, repair, painting and decorating. As such these activities should refer to Division 3 regulations.
• Chapter 437, Division 3: Construction Division 3 standards address a wider variety of fall protection methods/requirements because of the temporary nature of construction work. Subdivision M provides several fall protection methods, many of them highly skill-oriented, to address the difficult fall protection issues faced during construction activities.
When developing fall protection policies, it is prudent to review the requirements in other jurisdictions. This does not necessarily mean adoption of the most restrictive legislation currently in force since technological improvements are allowing relaxation of some requirements (such as anchorage strengths and fall arresting distances). Expert advice, based on knowledge of the legislative and technological trends, is the best way to predict where agreement will be reached during future harmonization of standards. Corporate policies that are allowed to vary from or improve upon current legal requirements may provide better protection for the employees and a fall protection program that will better meet future regulations.
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2.2 Division 2: General Occupational Safety and Health
Oregon OSHA Division 2 – General Occupational Safety and Health applies to most operating activities. While the actual standard should be consulted in detail when determining compliance, some relevant points are paraphrased below:
Subdivision B: Adoption and Extension of Established Federal Standards
1910.12 – Construction Work is defined as construction, alteration, and/or repair, including painting and decorating. This clause brings the requirements of the Division 3 - Construction standards into many Division 2 - General Industry activities.
Subdivision D: Walking – Working Surfaces
1910.21 – Definitions
Designated area - a distinct portion of a walking-working surface delineated by a warning line in which employees may perform work without additional fall protection.
Fall hazard - any condition on a walking-working surface that exposes an employee to a risk of harm from a fall on the same level or to a lower level.
Grab bar - an individual horizontal or vertical handhold installed to provide access above the height of the ladder.
Hole - a gap or open space in a floor, roof, horizontal walking-working surface, or similar surface that is at least 2 inches (5 cm) in its least dimension.
Low-slope roof - a roof that has a slope less than or equal to a ratio of 2 in 12 (vertical to horizontal).
Opening - a gap or open space in a wall, partition, vertical walking-working surface, or similar surface that is at least 30 inches (76 cm) high and at least 18 inches (46 cm) wide, through which an employee can fall to a lower level.
Unprotected sides and edges - any side or edge of a walking-working surface (except at entrances and other points of access) where there is no wall, guardrail system, or stair rail system to protect an employee from falling to a lower level.
Warning line - a barrier erected to warn employees that they are approaching an unprotected side or edge, and which designates an area in which work may take place without the use of other means of fall protection.
1910.22 – General requirements Loads - The employer must ensure that each walking-working surface can support the maximum intended load for that surface.
Access and egress - The employer must provide, and ensure each employee uses, a safe means of access and egress to and from walking-working surfaces.
Aisles, Passageways, Walkway and Inclines – must be a minimum of 22 inches wide.
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1910.23 – Ladders This section covers in detail the dimensional specifications for ladders across a variety of applications, namely:
a) General requirements for fixed ladders
1. Ladder rungs, steps, and cleats are parallel, level, and uniformly spaced when the ladder is in position for use.
2. Ladder rungs, steps, and cleats are spaced between 10 to 14 inches, measured between the centerlines.
3. Ladder rungs, steps, and cleats have a minimum clear width of 16 inches for fixed ladders.
4. Each employee faces the ladder when climbing up or down, uses at least one hand to grasp the ladder when climbing and do not carry an object or load that could cause the employee to lose balance and fall while climbing.
5. The minimum perpendicular distance from the centerline of the steps or rungs, or grab bars, or both, to the nearest permanent object in back of the ladder is 7 inches.
6. The side rails of through or sidestep ladders extend 42 inches above the top of the access level or landing platform served by the ladder.
7. Grab bars extend 42 inches above the access level.
8. Fixed ladders having a pitch greater than 90 degrees from the horizontal are not used.
9. Step across distance of not less than 7 inches and not more than 12 inches to the nearest edge of the structure, building, or equipment accessed from the ladders.
10. Fixed ladders without and cage have a clear width of at least 15 inches on each side of the ladder centerline to the nearest permanent object.
11. A minimum perpendicular distance of 30 inches from the centerline of the steps or rungs to the nearest object on the climbing side.
b) Portable Ladders
1. Ladder rungs, steps, and cleats have a minimum clear width of 11.5 inches on portable ladders and 16 inches for fixed ladders.
2. Portable ladders used to gain access to an upper landing surface have side rails that extend at least three feet above the upper landing surface.
1910.25 – Stairways This section covers all stairways including standard, spiral, ship, and alternating tread-type stairs.
a) General requirements for fixed ladders
b) Vertical clearance above any stair tread to any overhead obstruction is at least 6 feet, 8 inches.
c) Landings and platforms are at least the width of the stair and at least 30 inches in depth.
d) When a door or gate opens onto a stairway a platform of a minimum of 20 inches, pre-
2017 build, and 22 inches post-2017 build has to be provided.
e) Each stair can support at least five times the normal anticipated live load, but never less than a concentrated load of 1000 pounds at any point.
f) Are installed at angles between 30 to 50 degrees from the horizontal.
g) Have a maximum riser height of 9.5 inches.
h) Have a minimum tread depth of 9.5 inches.
i) Have a minimum width of 22 inches between vertical barriers.
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j) The height of the stair rail system installed before January 17, 2017 is not less than 30 inches and on or after January 17, 2017 is not less the 42 inches measured from the leading edge of the stair tread to the top surface of the top rail.
Ship Stairs
k) Are installed at a slope of 50 to 70 degrees from the horizontal;
l) Have open risers with a vertical rise between tread surfaces of 6.5 to 12 inches.
m) Have minimum tread depth of 4 inches.
n) Have a minimum tread width of 18 inches.
1910.28 – Duty to have fall protection and falling object protection
The employer must ensure that each employee on a walking-working surface with an unprotected side, edge, hole (including skylights) or opening that is four feet or more above a lower level is protected by one or more of the following:
a) Guardrail systems;
b) Safety net systems: or
c) Personal fall protection systems, such as personal fall arrest, travel restraint, or positioning systems.
Each employee must be protected from tripping into or stepping into or through any hole that is less than four feet above a lower level by covers or guardrail systems. In the case of ladderway floor holes, the employee must be protected from falling by a guardrail system and toeboards erected on all exposed sides, except at the entrance to the hole, where a self-closing gate or an offset must be used.
For all new fixed ladders that extend more than 24 feet above a lower level, the employer must ensure each is equipped with a personal fall arrest system or a ladder safety system. Safety cages and wells will no longer meet ladder fall protection requirements as of 2036. Ladders with personal fall arrest systems or ladder safety systems must provide rest platforms at a maximum interval of 150 feet.
Ship stairs and alternating tread stairs are to be equipped with handrails on both sides 1910.28(b)(11)(ii). The handrail should be within 30 and 38 inches measured from the leading edge of the stair to the surface of the hand rail 1910.29(f)(1)(i).
For low slope roofs (ratio of less than or equal to 2:12), the fall protection required is dependent on both the frequency of work and distance from the edge of the roof;
• Less than six feet from the edge, all workers must be protected via a method named above,
• Six to 15 feet from the edge of the roof, fall protection must also be implemented unless the work is both infrequent and temporary. At which point a designated area may be used,
• Fifteen feet or more from the edge of the roof, workers must be protected by a guardrail system, safety net system, travel restraint system, personal fall arrest system or a designated area. The employer is not required to provide any fall protection, provided the work is both infrequent and temporary and work rules prohibiting employees from going within 15 feet of the roof edge without using fall protection is implemented.
If fall protection meeting 1910.29 standards is installed and available to use workers must use the protection, with no exemption. Section 1910.28 does not apply during inspections, investigations, or assessing workplace conditions or work to be performed prior to the start of work or after all work has been completed.
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1910.29 – Fall protection systems and falling object protection – criteria and practices
Guardrails must be nominally 42 inches high, plus or minus 3 inches above the walking-working surface. The top rail of the guardrail must support 200 pounds applied in any direction without failing or deflecting to a height less than 39 inches. Intermediate members should be installed midway between the top edge of the guardrail systems and the walking-working surfaces (1910.29(b)(2)(i)) and able to support a downward load of 150lbs.
When a designated area is used, an employer must ensure an employee remains within that area while working. Said area must be delineated with a warning line visible 25 feet away from anywhere within the designated area, has of 200lbs minimum braking strength, which does not sag to less than 34 inches about the walking surface and not higher than 39inches.
For falling object protection, toeboards should be at least 3.5 inches high and have a clearance of no more than 0.25 inches above the walking- working surface. They must be solid or have no more than a 1-inch opening and be capable of withstanding 50 pounds without failure.
1910.30 – Training requirements All employees must be trained by a qualified person before being exposed to a fall hazard.
Subdivision I: Personal Protective Equipment
1910.140 – Personal Fall Protection Systems
Section 1910.140 details the performance, care and use for all personal fall protection systems.
This section is referenced when considering fall protection design options for any situation.
2.3 Division 3 – Construction
The US Department of Labor - Occupational Safety and Health Standards for the Construction Industry applies to new construction activities. While the actual standard should be consulted in detail when determining compliance, some relevant points are paraphrased below:
Division 3 – Subdivision M, Fall Protection
1926.501 – Duty to Have Fall Protection
In Oregon each employee on a walking / working surface 6 feet or more above lower levels, shall be protected from falling by use of a guardrail system, safety net system, or personal fall arrest system. Regardless of height, each employee on a walking/working surface must be protected from tripping in or stepping into or through holes (including skylights) by covers, or equivalent.
It should be noted here Oregon OSHA repealed 1926.501(a) and (b) and replaced with 437- 003-1501. This replacement removes the FedOSHA 1926.501(b)(2)(i) exception, ‘When the employer can demonstrate that it is infeasible or creates a greater hazard to use these systems, the employer shall develop a fall protection plan.’
1926.502 – Fall Protection System Criteria and Practices Oregon OSHA has tried to simplify the use of the standards by making numbers in Division 2 and 3 the same, where possible. As such Division 3 Subdivision M contains many on the same values for passive fall protection; guardrails, as that of Division 2 Subdivision D and personal fall protection systems as that of Division 2 Subdivision I. Division 3 Subdivision M contains additional information regarding warning lines to that of Division 2.
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• Stanchions shall be capable of resisting, without tipping over, a force of at least 16 pounds applied horizontally against the stanchion, 30 inches above the walking/ working surface, perpendicular to the warning line, and in the direction of the floor, roof, or platform edge;
• The rope, wire, or chain shall have a minimum tensile strength of 500 pounds, and after being attached to the stanchions, shall be capable of supporting, without breaking, the loads applied to the stanchions as prescribed in paragraph (f)(2)(iii) of this section;
• The line shall be attached at each stanchion in such a way that pulling on one section of the line between stanchions will not result in slack being taken up in adjacent sections before the stanchion tips over.
1926.503 – Training Requirements
The employer shall ensure that each employee who might be exposed to a fall hazard is trained by a competent person to:
• Recognize the hazard,
• Properly understand, erect, inspect, use and maintain all provided fall protection systems,
• Properly understand employee roles in fall protection work procedures, particularly warning line and safety watch systems,
• Know and understand the OSHA 1926 sub part M standards.
The employer must maintain a record, certifying that its employees have received the required training. The employer must retrain employees when required, due to changes in work, fall protection systems, or when employees no longer retain the understanding and skill required by the standard.
Division 3 – Subdivision X, Stairways and Ladders
1926.1051 - General Requirements A stairway or ladder shall be provided at all personnel points of access where there is a break in elevation of 19 inches or more, and no ramp, runway, sloped embankment, or personnel hoist is provided.
1926.1053 – Ladders
Where the total length of a climb equals or exceeds 24 feet, or where the top of the ladder is higher than 24 over lower levels, fixed ladders shall be equipped with:
• Ladder safety devices; or
• Self-retracting lifelines and platforms at intervals not more than 150 feet apart; or
• A cage or well and lateral offsets of the ladder with landing platforms provided at maximum intervals of 50 feet.
Landing platforms are required where workers must step sideways greater than 12 inches to the access the structure or equipment. The rungs and steps of a fixed metal ladder shall be corrugated, knurled, dimpled, or coated with skid resistant material or otherwise treated to minimize slipping.
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3.0 Hazard Ranking
3.1 General
The key objective of a risk assessment is to rank the hazards and aid prioritization of the responses.
A true probabilistic rating of the risks associated with each fall hazard is difficult to accurately develop. To be practical and useful, factors involved in the hazard ranking must be quantitative.
Fortunately, factors that are difficult to measure quantitatively may be discounted, as they tend uniformly influence the risk and consequences of an accidental fall. By omitting qualitative factors, a numerical value of risk can be assigned to each hazard, this is referred to as a the “Relative Risk Rating”.
The qualitive factors omitted from the “Relative Risk Ranking” and presumed to have a uniform influence on all the hazards observed in the survey include:
• Human Factors; age, experience, health, training, motivation and state of mind. Such factors cannot be accurately determined without a detailed interview and examination of each member of the workforce and could not account for potential change in abilities, health, and state of mind.
• Uncontrollable Environmental Factors. A true assessment of weather’s influence on the probability of an accident would require lengthy statistical examination of historical data, regarding weather norms and extremes in the location outdoor work occurs. The result of this analysis shows that weather will equally affect the safety of all outdoor activities, i.e.
snow increases the risk of a fall in the parking lot just as much as on top of a scaffold.
• Working Conditions. These greatly influence the probability of accidents, and are mostly controlled by the employer. Working conditions will change over time as maintenance, housekeeping, and safety standards improve or degrade. Nonetheless, the overall condition of the work environment is usually uniform according to the current culture and practices driven or accepted by management. Although the hazard assessment should critique and suggest improvements to working conditions in a global sense, the relative risk ranking only needs to quantify notable variations from the norm to fulfill its purpose of prioritizing the hazards.
With the assumption that Human Factors, Uncontrollable Environmental Factors, and Working Condition factors have a uniform influence on the risks faced by workers and employers, we can develop a “relative” ranking of risks based only on those quantities’ factors.
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3.2 Relative Risk Rating: R = P x T x S
The Relative Risk Rating (R) of any hazard is a number between 0.01 (for negligible risk exposure) and sixty-nine (for extreme risk exposures). It is the mathematical product of the Probability Index (P), Severity Index (S), and Protection Index (T). For the purposes of this survey the hazards have been categorized into five groups relative to their rating.
Relative Risk Rating Hazard Rating
0 – 10 Low Risk Hazards
11 – 20 Medium Risk Hazards
21 - 30 High Risk Hazards
31 - 40 Dangerous Risk Hazards
41 or more Extreme Risk Hazards
The relative grouping was designed to match the severity of each hazard. As there is a point at which a hazard cannot become more hazardous, for example a worker falling from 60 feet or 90 feet, the Extreme hazards were designed to include a larger range of the relative risk rating.
Dangerous and Extreme hazards are uncommon and should be abated immediately. Medium and High-Risk hazards are serious and should not be dismissed due to the designation note being Extreme or Dangerous.
Probability Index (P) quantifies the possibility that a fall may occur. It is a composite of several measurable factors designed to vary from almost zero (0.1) for improbable accidents, to eleven
(11) where a high possibility that a fall may occur. As the value of P tends to zero, so does the chance of an accidental fall. Such a situation would not normally be included in a hazard survey as it is not technically a hazard. A value of P which tends towards 11, indicates almost all measured factors are approaching worst-case value. This situation is rare, yet highly significant.
Protection Index (T) assesses what fall protection is currently in use and factors the Risk Rating accordingly. Many identified hazards have some level of fall protection applied. Any hazard that has excellent protection such as guardrail; which would eliminate a fall, will be included in the calculation, ultimately reducing the Risking Rating to a negligible value. For example, a hazard that is high severity and high probability will be reduced to one tenth, if the existing system is excellent and prevents a fall. If the same situation incorporates a compliant fall arrest system the calculation will be multiplied by 0.25, as fall arrest systems (even compliant systems) have an elevated level of risk. Hazards where the existing fall protection needs improvement (but is not life-threatening, determined by the Severity Index) will be reduced to three quarters of the original number. Fall hazards that are not protected or have systems that are life-threatening will not be reduced.
Severity Index (S) quantifies the severity, cost or consequences of an accidental fall. It varies from one (1) for minor consequences to five (5) for extreme consequences. The value given for S is determined by the potential fall height. A full explanation of this is given in 3.2.1.
The highest ranking will occur where an extreme hazard has a frequent probability of occurring and is unprotected. The usual lowest rankings (< 1) will occur where a fall accident is improbable, has minor consequences and has excellent protection. The Relative Risk Rating is accompanied by the Probability Index, making a comparison between high hazards with minor
© Gravitec Systems Inc. 2019 -9-probability and minor hazards with high probability possible. This will reflect the attention these combinations should receive when developing a fall protection program.
3.2.1 Probability Index (P)
The Probability Index is a relative measure of the risk of an incident occurring at the hazard.
Excluding the human factors, uncontrollable environmental factors and working conditions;
discussed in section 3.1, the Probability Index is predominantly dependent on seven measurable factors:
• The Frequency (F) of the exposure, how often workers are at each location.
• The Occurrence (O) of the exposure, how many locations the hazard is found.
• The Proximity (X) of the exposure, how many feet is the worker from the hazard.
• The Duration (D) of the exposure, how long workers are exposed during each visit.
• The Interference (I) from other workers in the immediate vicinity.
• The Security (C) provided by the nature of the work environment, level flat surface or structural climbing.
• The Environment (E) under which the work is performed, indoors or outdoors.
Each of these seven effects is given a numerical value, which collate to produce the Probability Index. The system is designed to deliver a quantitative value, providing the ability to rank hazards irrespective of their diversity. The rating calculated for each hazard will then assign that hazard to one of five categories.
Probability Index
Probability Rating Description
Improbable 1.0 -2.0 The likelihood of a serious fall accident is very low, almost non-existent
Unlikely 2.1 -3.0 An accident is unlikely, but the possibility should be addressed
Low 3.1 -4.0 There is a low degree of possibility that a fall accident may occur at this hazard
Medium 4.1 -5.0 There is a medium degree of possibility that a fall accident may occur at this hazard
High 5.1 or more There is a high degree of possibility that a fall accident may occur at this hazard
There are occasional extreme events with values greater than 5.1. Values 5.1 and greater are for situations where most of the parameters are simultaneously “worst case” (such occurrences are both rare and serious).
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3.2.1.1 Frequency Index (F)
This index quantifies how frequently worker(s) would be exposed to the particular fall hazard.
Frequency Index (F):
Term F Description Never 0.1 Never been accessed
Occasionally 1.1 Worker(s) at the location once every 2 to 10 years Annually 1.2 Worker(s) at the location or task is done once or twice per year Quarterly 1.3 Worker(s) at the location 3-5 /yr; quarterly maintenance, “as-needed” work Monthly 1.4 Worker(s) at the location 6-12 /yr, monthly maintenance, “as-needed” work Weekly 1.5 Worker(s) at the location 13-52 /yr; weekly maintenance. “as-needed” work Daily 1.6 Worker(s) at the location on a daily basis or once per shift
3.2.1.2 Occurrence Index (O)
This index quantifies how often the particular hazard is found at the facility being studied.
Occurrence Index (O):
Term O Description
Unique 1.1 Hazard occurs at only one location Rare 1.2 Hazard occurs at two locations.
Common 1.3 Hazard occurs at 3 - 10 locations.
Very Common 1.4 Hazard occurs at 11 - 50 locations.
Recurring 1.5 Hazard occurs in more than 50 locations.
3.2.1.3 Proximity Index (X)
This index reflects how close worker is performed to the hazard, as follows.
Proximity Index (X):
Term X Description Far 1.0 Worker(s) from 11 to 15 feet of an improperly guarded fall hazard
Near 1.1 Worker(s) from 6 to 10 feet of a fall hazard Close 1.2 Worker(s) from 3 to 6 feet of a fall hazard
Very Close 1.3 Worker(s) from 1 to 3 feet of a fall hazard Immediate 1.4 Worker(s) directly exposed to a fall hazard or working from a ladder
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3.2.1.4 Duration Index (D)
This index quantifies how long workers spend at the location each time they are exposed to the hazard. The determination of man-hours must consider both the number of workers and the time spent at the hazard.
Duration Index (D):
Term D Description
Brief 1.1 Worker(s) at the location for less than 6 man-minutes (0.1 man-hour) per occurrence
Short 1.2 Worker(s) at the location from 0.1 to1.0 man-hours per occurrence, on average Medium 1.3 Worker(s) at the location from 1 to 8 man-hours per occurrence, on average
Long 1.4 Worker(s) at the location from 8 to 40 man-hours per occurrence, on average Extensive 1.5 Worker(s) at the location continuously or more than 40 hours per project
3.2.1.5 Interference Index (I)
This index examines the effect multiple workers at the same location may have on each other. It is assumed multiple workers with may interfere with each other’s movements or create trip or other hazards that are not seen by the other workers around them.
Interference Index (I):
Term I Description Independent 1.1 All workers are separated or there is only one worker Dependent 1.2 Two workers on the same work platform
Multiple 1.3 Multiple workers in close proximity
3.2.1.6 Security Index (C)
This index measures the security of the platform or structure that the worker is using to support their weight and the easy to which the worker can travers the area.
Security Index (C):
Term C Description
Excellent 1.0 Solid, flat, secure & stable, designed and engineered walking/working surface
Fair 1.1 Not designed for walk & work or outdoor / worker can still navigate relatively easily
Poor 1.2 Difficult structure, I-beams, bracing, structural climbing, pipe racks, trusses etc.
Vertical 1.3 Vertical ladder, rebar, bosun chair, hoist, rope access, temp. staging, or similar
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3.2.1.7 Environment Index (E)
This index measures whether work is being performed in an inside or outside work environment.
Environment Index (E):
Term E Description
Ideal 1.0 Indoor, climate controlled, clean, dry; worker(s) have adequate environmental PPE
Good 1.1 Some housekeeping, slipping, or tripping hazards
Variable 1.2 Uncontrolled variables or weather may compromise worker comfort & stability
Extreme 1.3 Continuously slippery, steep, extremely difficult or uncomfortable to navigate
3.2.2 Protection Index (T)
The protection index reduces the Risk Rating number according to the quality of existing fall protection.
Protection Index (T):
Term T Description
Excellent 0.1 Adequate guardrails or fall restraint. No fall possible, no visible concerns Good 0.25 Adequate fall arrest. Acceptable equipment, MAF, clearance, rescue plan, etc.
Poor 0.75 Protection needs improvement. Not life threatening. Swing fall, compatibility, etc.
None 1.0 No fall protection or system is life threatening Dangerous 1.25 Existing system increases fall hazard
Hazards that have fall protection systems that prevent falls (guardrails/barricades, fall restraint) will be reduced significantly as the system has abated the hazard. Hazards that use fall arrest systems are not reduced by the same amount as fall arrest systems have an inherent level of risk associated with them, even if the system is perfect. Hazards whose system needs improvement are slightly reduced, providing that the issue is not life threatening. Hazards that have no fall protection or whose fall protection is inadequate or non-existent is not reduced.
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3.2.3 Severity Index (S)
The Severity Index is a relative measure of the severity, cost or consequences of an accident.
The following table lists the five classifications of Severity used to aid risk ranking. This index assigns a numerical value of risk to a range of potential fall heights, considering the effect a fall from that height within that range would have on the body. It should be noted here, that there is always a risk of a fatality or serious injury in any fall, regardless of height, the index defines the likely severity based common injuries sustained rom these heights. Where other factors such as unguarded machinery or hazardous materials in the landing area need to be accounted for, the assessor would select the appropriate index based on the description rather than the height.
Severity Index (S):
Term S Description
Minor 1 0 to 4 ft: May cause minor injury requiring first aid or medical attention
Moderate 2 >4 to 10 ft: Likely to cause moderate injury requiring first aid or medical attention
Severe 3 >10 to 16 ft: Likely to cause severe injury or result in temporary disability
Critical 4 >16 to 30 ft: Likely to cause critical injury, permanent or temporary disability, or death
Extreme 5 >30 ft: extremely likely to cause permanent disability, or death
3.3 Comparison to Other Risk Ranking Systems
The Relative Risk Rating system uses easily measured factors to derive a relative risk ranking of the hazards observed. The values of the various indices can be adjusted as needed to provide a reasonable spread of data for the hazards observed during this survey. The developed ratings are therefore only valid for relative ranking of the hazards observed within this report and may not be directly comparable to the numerical rankings developed in other surveys unless identical indices, methodology and assumptions are applied.
3.4 Beaverton School District Assumptions and Simplifications
Due to the significant number of buildings being assessed in this survey and the similarities of the hazards being ranked, a number of assumptions are required to maintain standardization of tasks and therefore hazard exposure. Gravitec has also applied some simplifications by removing commonalities from the Risk Ranking in order to simplify and reduce the volume of the reports.
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3.4.1 Assumptions
1) A theoretical custodian is performing all the tasks - Gravitec has taken information regarding durations spent on tasks given by the custodians and averages these times. If all things being equal, one custodian takes a significantly longer than another to change a fan belt, then the increased duration will increase the probability index. This would then result in that hazard receiving a higher risk rating, thus more priority being given to the fall protection plan. If the custodians were then to switch places then the original lower risk task would have a sudden increase in risk. The theoretical custodian performing the work eliminates this issue.
2) All roofs are accessed once per week for drain checks. It was indicated by Beaverton School District that all custodians are expected to perform weekly drain checks and as such this has been included the risk rating. In some cases, lower roofs can be seen without having to be accessed; this is noted in the relevant assessments.
3) If a custodian reported a roof to be ‘too dangerous’ to access, Gravitec again employed the theoretical custodian from assumption 1. If the roof was assessed assuming it was never accessed, the frequency (F) would be 0.1, rather than the work program of weekly access for a drain check, giving a factor of 1.5. This would significantly reduce the probability index, suggesting the ‘too dangerous’ roof is in fact less dangerous than a roof the custodian is happy to access.
4) Where the fall height varies due to slopped ground or a stair or ramp access point the worst-case scenario is taken every time.
3.4.2 Simplifications
1) The task of cleaning gutters is performed from a ladder never less than eight feet and never more than 15 feet from the ground. The only variation in this task was the length of guttering being cleaned. If this task is included in the report, lager schools would have an artificially inflated Risk Rank, simply because there is a greater liner quantity of guttering. Whereas, in reality this hazard should rank the same at all schools and be addressed with the same urgency, irrespective of guttering length. To that end, assuming all workers maintain the same pace as each other the Relative Risk Ranking for cleaning guttering from a ladder is
16.86. This shall be added to the ranking, but should be applied to all schools which have guttering. Gravitec recommends gutter covers be places at all schools that have gutters.
Schools closer to trees should be prioritized, but they should be added to all schools to eliminate or reduce the need for a custodian to use a ladder.
2) All fall protection currently present on the roofs should be tested to verify their load capacity.
Gravitec Engineers performed cursory observations and notes a concern in the relevant roof report, where necessary. However, this does not negate the need for an anchor specific assessment involving testing.
3) Rescue options: If self-rescue is not possible, the primary rescue resources at all Beaverton facilities should be calling 911 and notifying a trained emergency responder. A fall from a roof top results in the worker being standard in vertical terrain, which requires a technical high angle rescue. Notifying a trained emergency responder along with the location of the closest medical facility should be adopted into a written fall protection plan.
4) All buildings will document and implement a work procedure detailing safe work practices for accessing and hoisting materials on to the roof (workers shall always maintain three points of contact when climbing on the ladder, all tools and equipment shall either be placed in work belts or hoisted on to the roof, do not store equipment behind the fixed ladder, etc.)
5) When a mechanical unit on a roof appears to have service requirements atop, which would require a worker’s feet to be four feet or more from the surface of the roof, the unit is discussed as a hazard. If there are mechanical units which do not have service requirements atop or would not need a worker’s feet to be four feet or higher from the roofs surface that units is not discussed. It should therefore be presumed that a mechanical unit not discussed in the reports presents no fall hazard.
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4.0 Mitigating Fall Hazards
4.1 Fall Protection Hierarchy
Once all information has been gathered and the hazards have been assessed and ranked, the next step is to determine the type of fall protection system to use at the hazard site. When determining the best solution, Gravitec recommends using the fall protection hierarchy. The fall protection hierarchy is an industrial standard, which should always be consulted when addressing a fall hazard, as it will result in the safest solution possible for a worker. The hierarchy divides fall protection solutions into five different categories the aim being to provide a fall protection solution in the lowest possible category, as this will provide the safest possible work environment.
Safest
Least Safe
1 Hazard Elimination: Eliminates the hazard that the worker is exposed to.
A worker is required to climb out on a small unprotected ledge, 15 feet above the ground, to grease the bearings on a piece of machinery. By running a grease line from the bearing to a safe location, the worker could grease the bearing without being exposed to the 15 feet fall hazard.
2 Passive Fall Protection: Places a physical barrier between the worker and the fall hazard Guardrails or a parapet around a roof edge.
3 Fall Restraint: Prevents any fall by limiting the worker’s travel to a fall hazard.
A worker using a 6 feet lanyard that is attached to an anchorage point, located 8 feet from a fall hazard. Fall restraint systems are limited to situations where the worker is on a flat or low sloped surface.
4 Fall Arrest: Protection after a fall occurs.
A worker falls at height in a full body harness connected to an anchor points via a lanyard and is arrests it in an acceptable manner before the worker strikes an unacceptable structure, while keeping arrest forces below harmful levels.
5 Administrative Controls: Used when no other methods of the hierarchy are feasible.
Control zones or safety zones.
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Date: 07-10-2019
Job Number: 110378
Company Name: Beaverton School District
Address: Five Oaks Middle School, 1600 NW 173rd Ave, Beaverton, OR 97006
Location/ GPS:
Phone Number: (503) 356-2600
Surveyor/ Auditor Name Brendon Gobeske
Location Five Oaks Middle School Roof One
Slope of Roof Flat < 2:12
Roof Surface EPDM
Method of Access Other
Other Standard Door
Roof Access Area Penthouse
Fall Hazards Edges
Edge Height (ft) 19
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Hazard Survey
Location Five Oaks Middle School
Area Roof One: Access
Roof One: Access
Relative Risk Rating: 1.10 Frequency: F = 1.5 Weekly - Worker(s) at the location 13-52 /yr; weekly maintenance, "as needed" work
Occurrence: O = 1.1 Unique - Hazard occurs at only one location
Proximity: X = 1.0 Far - Worker(s) from 11 to 15 feet of an improperly guarded fall hazard
Duration: D = 1.1 Brief - Worker(s) at the location for less than 6 man-minutes (0.1 man-hour) per occurrence
Interference: I = 1.1 Independent - All workers are separated or there is only one worker
Security: C = 1.1 Fair - Not designed for walk & work or outdoor / worker can still navigate relatively easily
Environment: E = 1.0 Ideal - Indoor, climate controlled, clean, dry; worker(s) have adequate environmental
PPE
Probability Score 2.20
Probability: 2.1 - 3.0 Unlikely - An accident is unlikely, but the possibility should be addressed
Protection: 0.25 Good - Adequate fall arrest; acceptable equipment, MAF, clearance, rescue plan, etc.
Severity: Moderate - >4 to 10ft: Likely to cause moderate injury requiring first aid or medical attention
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Hazard Description Risk Rating Level Low Risk Hazard
Task: Workers use this door as the primary access point for Roof One. This door is accessed via a ship ladder and transition platform with guardrail. Roof One has the following tasks: clean drains, remove balls from roof. The roof itself also requires maintenance and repair on a sporadic basis. The roof does not contain any HVAC units.
Hazard: When on the top transition platform workers are exposed to a 6' fall of the side edge of the guardrail.
Current Approach: Guardrails are used to protect workers from falling off the sides of transition platform. This guardrail system is not OSHA compliant because the mid-rail is not located halfway between the top rail and the platform's walking surface.
Hazard Abatement
Conceptual Solution 1: Modify Existing Guardrail. Install new mid-rails at this location and locate them half way between the top-rail and the platform's walking surface. Ensure the mid rail meets OSHA strength and dimensional requirements. KeeSafety makes a module guardrail component that will clamp to the existing vertical rails. Using these components will eliminate the need to cut or weld components to the existing guardrail system.
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Area Roof One: Edge
Roof One: Edge
Relative Risk Rating: 27.45 Frequency: F = 1.5 Weekly - Worker(s) at the location 13-52 /yr; weekly maintenance, “as needed” work
Occurrence: O = 1.5 Recurring - Hazard occurs more than 50 locations.
Proximity: X = 1.4 Immediate - Worker(s) directly exposed to fall hazard or working from a ladder
Duration: D = 1.2 Short - Worker(s) at the location from 0.1 to1.0 man-hours per occurrence, on average
Interference: I = 1.1 Independent - All workers are separated or there is only one worker
Security: C = 1.1 Fair - Not designed for walk & work or outdoor / worker can still navigate relatively easily
Environment: E = 1.2 Variable - Uncontrolled variables or weather may compromise worker comfort & stability
Probability Score 5.49
Probability: 5.0 and greater High - There is a high degree of possibility that a fall accident may occur at this hazard
Protection: 1.25 Dangerous - Existing System Increases Fall Hazard
Severity: Critical - >16 to 30 ft: Likely to cause critical injury, permanent or temporary disability, or death
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Risk Rating Level High Risk Hazard
Task: Roof One has the following tasks: clean drains, remove balls from roof. The roof itself also requires maintenance and repair on a sporadic basis. The roof does not contain any HVAC units.
Hazard: Workers are exposed to the roof edge (19' fall hazard) while performing maintenance, accessing equipment and cleaning roof drains.
Current Approach: Where possible, workers maintain a minimum 10' distance from the roof edge.
This is not always possible depending on the task. On average the current parapet wall varies between 18" and 37" and is non 1910.29(b)(1) complaint.
The parapet being present gives workers a false sense of security. There are small sections of the parapet wall that are 39" tall. The very small percentage at which these sections occur is negligible and not considered in the solutions section of this report.
Hazard Abatement
Conceptual Solution 1: Design and install guardrails to protect workers from a fall over the currently unprotected edges. Ensure the guardrails are designed to satisfy OSHA’s dimensional and strength requirements. Installing guardrails at the perimeter of the roof will allow workers to access their work area without being exposed to a fall hazard.
Conceptual Solution 2: Designated Area and Restraint Horizontal Lifeline (HLL): Install warning lines at meeting OSHA’s requirement 15 ft back from the building’s unprotected edge. Develop a work procedure which documents the area inside these warning lines as a Designated Area. OSHA does not require workers to use fall protection when working from or accessing a designated area. This would be combined by an engineered and installed fall restraint HLL to protect workers when working outside of the designated area.
Conceptual Solution…
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