c. JHA.docx

Restoration Services Contract Solicitation AG-04R3-S-10-0004 03/03/2010

ATTACHMENT 1 – JHA

FS-6700-7 (2/98)

Forest Service

References-FSH 6709.11 and -12 (Instructions on Reverse)

Engineering Controls * Substitution * Administrative Controls * PPE

Previous edition is obsolete

(over)

JHA Instructions (References-FSH 6709.11 and .12)

The JHA shall identify the location of the work project or activity, the name of employee(s) writing the JHA, the date(s) of development, and the name of the appropriate line officer approving it. The supervisor acknowledges that employees have read and understand the contents, have received the required training, and are qualified to perform the work project or activity.

Blocks 1, 2, 3, 4, 5, and 6: Self-explanatory.

Block 7: Identify all tasks and procedures associated with the work project or activity that have potential to cause injury or illness to personnel and damage to property or material. Include emergency evacuation procedures (EEP).

Block 8: Identify all known or suspect hazards associated with each respective task/procedure listed in block 7. For example:

a. Research past accidents/incidents

b. Research the Health and Safety Code, FSH 6709.11 or other appropriate literature.

c. Discuss the work project/activity with participants

d. Observe the work project/activity

e. A combination of the above

Emergency Evacuation Instructions (Reference FSH 6709.11)

Work supervisors and crew members are responsible for developing and discussing field emergency evacuation procedures (EEP) and alternatives in the event a person(s) becomes seriously ill or injured at the worksite.

Be prepared to provide the following information:

a. Nature of the accident or injury (avoid using victim's name).

b. Type of assistance needed, if any (ground, air, or water evacuation)

c. Location of accident or injury, best access route into the worksite (road name/number), identifiable ground/air landmarks.

d. Radio frequency(s).

e. Contact person.

f. Local hazards to ground vehicles or aviation.

g. Weather conditions (wind speed & direction, visibility, temp).

h. Topography.

i. Number of person(s) to be transported

j. Estimated weight of passengers for air/water evacuation.

The items listed above serve only as guidelines for the development of emergency evacuation procedures.

JHA and Emergency Evacuation Procedures Acknowledgment

Block 9: Identify appropriate actions to reduce or eliminate the hazards identified in block 8. Abatement measures listed below are in the order of the preferred abatement method:

We, the undersigned work leader and crew members, acknowledge participation in the development of this JHA (as applicable) and accompanying emergency evacuation procedures. We have thoroughly discussed and understand the provisions of each of these documents:

a. Engineering Controls (the most desirable method of abatement).

For example, ergonomically designed tools, equipment, and

SIGNATURE DATE

SIGNATURE DATE

furniture.

b. Substitution. For example, switching to high flash point, non-toxic solvents.

Work Leader

c. Administrative Controls. For example, limiting exposure by reducing the work schedule; establishing appropriate procedures and practices.

d. PPE (least desirable method of abatement). For example, using hearing protection when working with or close to portable machines

(chain saws, rock drills portable water pumps)

e. A combination of the above.

Block 10: The JHA must be reviewed and approved by a line officer. Attach a copy of the JHA as justification for purchase orders when procuring

PPE.

Blocks 11 and 12: Self-explanatory.