Attachment F - Activity Hazard Analysis.pdf
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- Solicitation number
- 478778
- Issued by
-
Department of Energy
About this file
This is a template for a UT-Battelle Subcontractor Activity Hazard Analysis (AHA) Form used to document and control workplace hazards for subcontract work performed at Oak Ridge National Laboratory. The form is designed to be completed by subcontractors prior to commencing work and requires approval from the UT-Battelle Technical Project Officer (TPO) and concurrence from the ES&H/QHSP Representative.
The AHA form requires subcontractors to: (1) identify the project title, subcontract number, and subcontractor name; (2) provide a comprehensive description of planned activities and tasks for the entire project scope; (3) identify all applicable Environment, Safety & Health (ES&H) clauses amended to the subcontract by selecting from 28 standardized hazard categories including asbestos, biohazards, confined space, explosives, hoisting and rigging, lasers, welding and hot work, and various other occupational hazards; and (4) break down the work scope into individual activity/task steps and complete a detailed hazard analysis table for each step. For each task, subcontractors must identify applicable hazards and specify three types of controls: engineering controls (such as local exhaust ventilation or HEPA filtration), administrative controls (work methods, procedures, and training), and personal protective equipment (safety glasses, hearing protection, etc.). The form includes space for the AHA author's signature and date, and requires final approval signatures from both the UT-Battelle TPO and an ES&H/QHSP Representative. The template provides multiple rows for activity/task analysis and is structured to ensure that all ES&H clause requirements identified in the subcontract are properly addressed in corresponding task steps.
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Text version
Activity Hazard Analysis (AHA) Form Page 1 of 4 Rev. 2 – April 15, 2025
Project Title Subcontract Number Subcontractor Name
Description of Planned Activities/Task for the Scope-of-Work for the Entire Project
ES&H Clauses Amended to Subcontract ☐ Accessible - Exposed Electrical Hazards ☐ Lead ☐ Asbestos ☐ Lockout/Tagout ☐ Beryllium ☐ Noise ☐ Biohazards ☐ NRC Exemption ☐ Bloodborne Pathogens ☐ Outages of Emergency Evacuation-Notification Systems ☐ Confined Space ☐ Outages of Fire Protection Systems ☐ Cooling Towers ☐ Penetration through Fire Barrier ☐ Cryogenics ☐ Peroxide Forming Chemicals ☐ Dosimetry ☐ Powder Actuated Tools & Equipment ☐ Electrical – Post Receipt Field Evaluation ☐ Respirable Crystalline Silica ☐ Explosives – Blasting ☐ Respiratory Protection ☐ Firearms ☐ Unbound Engineered Nanoparticles ☐ Hoisting & Rigging Cranes ☐ Water/Boating Activities ☐ Lasers ☐ Welding, Cutting, & Hot Work ☐ Other Hands-on Work – No ES&H Clauses, No Purchase Rec, etc.
Directions
1. Break planned work scope into activity/task steps in the table below
2. Evaluate possible troubleshooting activities/tasks which may be needed
3. For each task step identify the applicable hazards and define the controls which will be used
4. Ensure requirements from ES&H Clauses identified in the subcontract are addressed in the appropriate task step
5. Additional guidance can be found here (link)
6. Submit completed AHA to UT-Battelle Technical Project Officer (TPO) for review and approval prior to commencement of work
AHA Author Date Completed
UT-Battelle TPO signature indicates approval of activity-specific hazard controls identified in the subcontractor AHA
Name: Signature: Date:
UT-Battelle ES&H/QHSP Representative Concurrence https://contracts.ornl.gov/activity-hazard-analysis-aha/
Activity Hazard Analysis (AHA) Form Page 2 of 4
Name: Signature: Date:
Activity/Task Step Hazard(s) Control(s) Engineering Controls (Local Exhaust Ventilation, HEPA Filtration, etc.)
Administrative Controls (Work Methods, Operation Procedures, Training, etc.)
Personal Protective Equipment (Safety Glasses, Hearing Protection Devices, etc.)
Activity Hazard Analysis (AHA) Form Page 3 of 4
Activity Hazard Analysis (AHA) Form Page 4 of 4
File details come from the government source that posted it. Updated .