Attachement 2 DS-4319 Activity Risk Assessment.doc

This is a DS-4319 Activity Risk Assessment form for the U.S. Embassy Warehouse Roof Repair Project (Solicitation 19AJ2026Q0013) in Baku, Azerbaijan, dated July 27, 2026. The form serves as a template for contractors to identify, assess, and mitigate risks and hazards associated with the roof repair activity. The document includes a five-step risk management framework: identify hazards, assess hazards, develop controls, implement controls, and supervise/evaluate. One example subtask is provided—drilling ceiling penetrations and installing AC unit brackets from heights—which presents hazards including work at heights, dust generation, and noise, initially classified as High risk. The contractor must complete a comprehensive assessment identifying all subtasks, corresponding hazards, initial risk levels using the provided risk assessment matrix, control measures, implementation responsibility, and residual risk levels after controls are applied.

The form requires contractors to evaluate risk using a matrix that correlates probability of occurrence (Improbable through Frequent) with severity levels (Negligible through Catastrophic) to determine overall risk classification. Contractors must list up to 12 subtasks with detailed hazard analysis and control strategies, designate responsible individuals for implementing each control, and determine the resulting residual risk level. The document requests an overall residual risk level representing the highest remaining risk, along with additional comments supporting the assessment. The form is intended for non-routine activities and complements job hazard analyses. Completed assessments should be submitted to the U.S. Department of State's Bureau of Overseas Buildings Operations, Office of Safety, Health, and Environmental Management (SHEM).