FY12_JHA.docx

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PRESCOTT NF BRADSHAW RANGER DISTRICT SURVEY SERVICES
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AG-94TZ-S-12-0008
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FY 12 JHA

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FS-6700-7 (11/99)

U.S. Department of Agriculture
1. WORK PROJECT/ACTIVITY
2. LOCATION
3. UNIT

Forest Service

Data Collection/Interviews

Precott, Chino Valley, Crown King and Camp Verde areas
PNF
JOB HAZARD ANALYSIS (JHA)
4. NAME OF ANALYST
5. JOB TITLE
6. DATE PREPARED

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

Susan Johnson
Recreation Manager
8/29/2011

7. TASKS/PROCEDURES

8. HAZARDS

9. ABATEMENT ACTIONS

Engineering Controls * Substitution * Administrative Controls * PPE

Field Work

Setting up and removing traffic counters

Pulling moving traffic to interview location

The interview

Driving to/from work in any weather condition.

Driving during evening hours.

No interviews after dark. See Law Enforcement Plan.

Working near moving traffic.

Flying gravel from moving vehicles.

Working near moving vehicle traffic.

Dangerous or uncooperative visitor.

Weather

Conduct and document tailgate safety sessions for new or inexperienced employees.

· Make sure equipment is in good working condition and is suitable for the planned work. Complete vehicle inspection prior to departure(see vehicle check list). Ensure that the vehicle is properly fueled.

· Observe local sign in/out procedures. Be specific to the location of the interview site. Be specific about when you will return and route you will follow when returning to station. Be aware of any local restrictions that are in place. Be knowledgable about the surroundings.

· Maintain radio/cell phone contact at all times.

· Maintain a clean windshield.

· Drive defensively with lights on.

· Be prepared for sudden weather changes (ice, snow, rain, etc.).

· Take breaks every two hours or when necessary (sleepy or tired). Allow 15 minutes every 2 hours.

· Wear proper clothing, footwear and hardhat.

· Be alert for poor footing, loose bark and hazards associated with stream crossing, wet logs, grasses and needles.

· Carry bee sting kit if allergic to insect stings.

· Know your physical capabilities when in hazardous and/or remote areas.

· Wear appropriate clothing for weather conditions, taking in to account the inactivity of standing. Use of sunscreen is recommended.

· Drink plenty of water, at least 2 quarts per day.

· Eat healthful food.

· Walk around. Stretch legs, back, arms, and hands. Sit during breaks.

· Field going personnel should have first aid and CPR training.

· If employee does not return at expected time, Supervisor must begin efforts to locate employee, This will include calling employee’s home, radioing employee, driving to last known work site along planned route. If unsuccessful in locating employee, formal search will begin.

· If returning after hours, call supervisor when you return to station.

· DO NOT setup interview location on a turn or in a area that has limited sight distances. Ensure that the enough is availible as to not restrict traffic in either direction. Wear bright orange/yellow reflective vest (type II) to increase visibility to traffic.

· Set up bright orange traffic cones on each side of installation area.

· Post extra person as a traffic lookout in heavy use areas.

· Wear safety glasses while installing/removing traffic counters. Use proper PPE (gloves)

· Post 2 traffic signs at least 150 feet BEFORE the traffic pull-off site. One should read "STOP AHEAD" and the other should read "VOLUNTARY RECREATION USE SURVEY AHEAD". Ensure that the warning signs are properly weight for the expected weather conditions (wind).

· Place at least 4 traffic cones near interview point. One before the pull-off, 1 after the pull-off, and 2 between where the recreation vehicle will stop and the flow of ongoing traffic. Ensure that adequate space is available for the interviewer to stand that DOES NOT place the individual in direct flow of local traffic.

· Wear bright orange reflective safety vest (type II)at all times when flagging vehicles over.

· Do not force vehicles to stop. If someone is not slowing down, do not attempt to stop them for an interview.

· When a vehicle is pulling into the pull-off or exiting the pull-off, stand well back from the vehicle (Beware, sometimes trailers are wider than the vehicle pulling them).

· Have the vehicle pull well off the roadway, as far from the traffic flow as practical.

· If the visitor does not want to participate in the interview, do not delay letting them leave. Remain courteous at all times.

· At anytime during the interview process, if employee feels threatened or uncomfortable, excuse yourself from visitor and walk to your own vehicle.

Immediately call for help on radio or cell phone.

· If suspicious persons are stopped, allow them to leave. Take vehicle license number and direction of travel if possible. Inform Dispatch/LEO’s of suspicious persons and get a general discription of individuals.

· Wear proper PPE at all times (shoes, glasses, hat). Have the appropriate sunscreen or bug spray available.

· During lightening storms return to vehicle and wait until all danger has passed before continuing interviews.

· Be extra careful during rain, fog, or snow conditions. Use 2 people for traffic stops and wear bright, visible rain gear.

· Use emergency flashers.

10. LINE OFFICER SIGNATURE
11. TITLE
12. DATE
/s/ Betty Mathews
FOREST SUPERVISOR
9/16/2011

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) involved in the process, the date(s) of acknowledgment, and the name of the appropriate line officer approving the JHA. The line officer 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 frequencies.

e. Contact person.

f. Local hazards to ground vehicles or aviation.

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

h. Topography.

i. Number of individuals to be transported.

j. Estimated weight of individuals 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, and 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.

I have read and understand the Job Hazard Analysis for duties included in the National Visitor Use Monitoring program.

File details come from the government source that posted it. Updated .