Attachment F - Activity Hazard Analysis.pdf
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- Solicitation number
- 485281
- Issued by
-
Department of Energy
About this file
This is the UT-Battelle Subcontractor Activity Hazard Analysis (AHA) Form (Rev. 2, April 15, 2025), a template document used to identify and document occupational safety and health hazards associated with subcontract work activities at Oak Ridge National Laboratory.
The form requires subcontractors to identify applicable Environmental, Safety & Health (ES&H) clauses amended to their subcontract from a comprehensive checklist including accessible electrical hazards, asbestos, beryllium, biohazards, bloodborne pathogens, confined spaces, cryogenics, explosives, hoisting and rigging, lasers, lead, lockout/tagout, noise, respiratory protection, welding/cutting/hot work, water/boating activities, and unbound engineered nanoparticles, among others. Subcontractors must break planned work scope into specific activity/task steps and for each step identify applicable hazards and define control measures organized into three categories: engineering controls (local exhaust ventilation, HEPA filtration), administrative controls (work methods, procedures, training), and personal protective equipment (safety glasses, hearing protection). The form requires evaluation of potential troubleshooting activities that may be needed and ensures all ES&H clause requirements identified in the subcontract are addressed in appropriate task steps. Completed AHAs must be submitted to the UT-Battelle Technical Project Officer (TPO) for review and approval prior to commencement of work, with concurrence required from the UT-Battelle ES&H/QHSP Representative. The form is four pages and includes signature blocks for the AHA author, TPO approval, and ES&H representative concurrence.
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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 .