SJA80015Q0008_-_Attachment_8_Hazard_Assessment_Sheet.doc

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Attached to
Janitorial Services for U. S. Embassy Tokyo Federal contract opportunity
Solicitation number
SJA800-15-Q-0008
Issued by
Department of State US Embassy Tokyo

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Attachment 8 - Hazard Assessment Sheet

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Text version

Request for Quotations (RFQ) No. SJA800-15-Q-0008

Attachment 8

Attachment 8 - Hazard Assessment Sheet Project:

Scheduled Start Date:

Scheduled Completion Date:

Determine Significant Hazards

Safety Hazards - hazards caused by equipment, unsafe working conditions or work practices.

abrasive wheels people carriers animal attacks power and hand tools/equipment battery charging rotating equipment confined spaces scaffolds cranes/hoists slippery walking and working Surfaces electrical hazards storage areas/warehouses forklifts underground work inadequate housekeeping vehicle hazards inadequate machine guarding violence (eg. unlit parking lots) ladders or personnel lifts working with the public material handling systems others. List them

Physical Hazards electricity lasers lighting noise pressure radiation temperature extremes vibration x-rays others. List them.

Chemical Hazards acrylonitrile fire/explosions anesthetic gases isocyanates arsenic lead benzene mercury cancer causing agents personal protective equipment cleaning products/detergents silica coke oven emissions solvents compressed gases vapors disinfectants/antiseptics vinyl chloride drugs wastes ethylene oxide others. List them

Biological Hazards allergies insects animal bites parasites bacteria plants bird and bat feces sunlight bodily fluids viruses fungi (mould) human/animal waste others. List them Ergonomic Hazards - hazards caused by anatomical, physiological, and psychological demands on the worker.

awkward postures prolonged standing manual material handling repetitive work pace of work shift work poorly designed equipment using force poorly designed tools workload (overload/underload) poorly designed workstations work organization prolonged sitting others. List them.

Do you put controls in place for the hazards you have identified?

Yes No

If Yes, please list controls:

If No, please explain:

Your Name

Company Name

Date

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