A.02_CPFFCD19_PWS_Attachment_5.pdf

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Attached to
Demolition of Portable Floating Fish Collector
Solicitation number
W9127N19Q0142
Issued by

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PWS Attachment 5

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Other files

File Type Posted
B.08_19Q0142_Amendment_0001.pdf PDF
C.08_PFFC_Viewing_Location.pdf PDF
A.02_CPFFCD19_PWS_Attachment_1.pdf PDF
A.02_CPFFCD19_PWS_Attachment_7.pdf PDF
A.02_CPFFCD19_PWS_Attachment_8.pdf PDF
A.02_CPFFCD19_PWS_Attachment_3.pdf PDF
B.08_19Q0142_Combined_Synopsis-Solicitation.pdf PDF
A.02_CPFFCD19_PWS_Attachment_6.pdf PDF
A.02_CPFFCD19_PWS_Attachment_2.pdf PDF
A.02_CPFFCD19_PWS_Attachment_4.pdf PDF

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E= Extremely High Risk H= High Risk M= Moderate Risk L= Low Risk S e v e r i t y

PROBABILTY

E E H H M E H H M L H M M L L M L L L L

U.S. ARMY CORPS OF ENGINEERS

ACTIVITY HAZARDS ANALYSIS

RISK ASSESSMENT CODE MATRIX

Reference EM 385-1-1, Section 01.A.14/15

Form Revised: 03/21/2017 8.2.1.4029.1.523496.503679 406-526-3431 ext 3204 Lara Smith AHA Form 10/20/2015 10/20/2015 Page of Print Employee Name Employee Signature * Date Print Employee Name Employee Signature * Date Page of

* Employee signatures certify they have read and understood the corresponding AHA.

Cell1:
Cell2:
Cell3:
Cell4:
Cell5:
PrintButton1:
ResetButton1:
Date the AHA was prepared.:
Date the AHA was revised.:
For multiple job steps, use the highest obtained Risk Code. Note: the risk code is the residual risk after controls have been implemented. The following codes require the appropriate personnel approvals:

E = Division Commander (E = Extremely High Risk). Equates to loss of ability to accomplish mission if hazards occur during mission.

H = District Commander (H = High Risk). Results in significant degradation of mission capabilities if hazards occur during mission.

M = Program Manager, Project Manager, Project Engineer (M = Moderate). Minor injury, lost workday accident, compensable injury or illness, minor system damage, or minor property damage.

L = First Line Supervisor, Quality Assurance Representative (L = Low). Little or no impact on mission accomplishment.:

Name of person(s) preparing this AHA form.:
Name of person(s) revising this AHA form.:
Name of person(s) revising this AHA form.:
AHANumber:
Describe specific job in which this AHA is being prepared, i.e.., Unit 2 Annual Maintenance:
Responsible person who has reviewed the AHA form for accuracy and completeness. Note: the AHA does not need to list minor hazards but should list major hazards most likely to result in personal injury, damage to property, materials, or the environment.:
WONum:
Describe specific job in which this AHA form is being prepared for, i.e., Unit 2 Annual Maintenance:
Responsible person who has reviewed the AHA form for accuracy and completeness. Note: the AHA does not need to list minor hazards but should list major hazards most likely to result in personal injury, damage to property, materials, or the environment.:
Responsible person who has reviewed the AHA form for accuracy and completeness. Note: the AHA does not need to list minor hazards but should list major hazards most likely to result in personal injury, damage to property, materials, or the environment.:
Responsible person who has reviewed the AHA form for accuracy and completeness. Note: the AHA does not need to list minor hazards but should list major hazards most likely to result in personal injury, damage to property, materials, or the environment.:
Responsible person who has reviewed the AHA form for accuracy and completeness. Note: the AHA does not need to list minor hazards but should list major hazards most likely to result in personal injury, damage to property, materials, or the environment.:
Responsible person who has reviewed the AHA form for accuracy and completeness. Note: the AHA does not need to list minor hazards but should list major hazards most likely to result in personal injury, damage to property, materials, or the environment.:
Date the AHA was revised.:
Name of person(s) revising this AHA form.:
Name of person(s) revising this AHA form.:
Name of person(s) revising this AHA form.:
Name of person(s) revising this AHA form.:
Button2:
Button1:
cmdAdd:
cmdDel:
Button3:
List equipment needed for the job.:
List any specialized training or certifications needed for the job.:
List any inspection requirements, before, during, or after the job is complete.:
TextField:
DateTimeField2:
CurrentPage: 1.00000000
CurrentPage: 2.00000000
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PageCount: 2.00000000
SignatureField1:
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Cell6:
:

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