ACTIVITY_HAZARD_ANALYSIS.doc

ACTIVITY HAZARD ANALYSIS

EM 385 1-1 November 2003

Names of the Competent Qualified Person(s) for the Above Activity 01.A.13.c The names of the competent/qualified person(s) required for a particular activity will be identified and included in the AHA. Proof of their competency/qualification must be submitted to the GDA for acceptance prior to the start of that work activity.

01.A.13.d.1 If more than one competent/qualified person will be used on the AHA activity, a list of names shall be submitted as an attachment to the AHA. Those listed shall be competent/qualified for the type of work involved in the AHA and familiar with current site safety issues.

01.A.13.d.2 If an new competent/qualified person (not on the original list) is added. The list shall be updated (an administrative action not requiring an updated AHA). The new person shall acknowledge in writing that he/she has reviewed the AHA and is familiar with current site safety issues **By signing person(s) are accepting the above Activity Hazardous Analysis (AHA) & understand and reviewed the above information stated in the AHA

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CENWO-SO AHA FORM 08-25-2005