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Activity Hazard Analysis (AHA)
| Activity/Work Task: |
| Overall Risk Assessment Code (RAC) (Use highest code) |
| X |
| Project Location: |
| Risk Assessment Code (RAC) Matrix |
| Contract Number: |
| Severity |
| Probability |
Date Prepared:
| Frequent |
| Likely |
| Occasional |
| Seldom |
| Unlikely |
| Prepared by : |
| Catastrophic |
| E |
| E |
| H |
| H |
| M |
| Reviewed by : |
| Marginal |
| H |
| M |
| M |
| L |
| L |
Notes: (Field Notes, Review Comments, etc.)
Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC (See above)
| “Probability” is the likelihood to cause an incident, near miss, or accident and identified as: Frequent, Likely, Occasional, Seldom or Unlikely. |
| RAC Chart |
| “Severity” is the outcome/degree if an incident, near miss, or accident did occur and identified as: Catastrophic, Critical, Marginal, or Negligible |
| E = Extremely High Risk |
H = High Risk
| Step 2: Identify the RAC (Probability/Severity) as E, H, M, or L for each “Hazard” on AHA. Annotate the overall highest RAC at the top of AHA. |
| M = Moderate Risk |
L = Low Risk
| Job Steps |
| Hazards |
| Controls |
| RAC |
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