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ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18,2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date: ___________________________ Date of Pre-Phase Meeting:______________________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
__________Safety Officer______________ ____________________________________ (Title) (Title) (Date)Comments by Govt. Rep:____________________________________________________________________________________________
__________________________________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec. 01 90 00
Mobilize on Site
Set up Traffic & Pedestrian Controls
Place Traffic Barriers &
Signs
Hit by automobiles
Traffic congestion & accidentsForeign Objects in Eyes
Foreign Objects in Eye
Hit by automobiles
Barriers hit by on coming autos
Traffic confusion & accidents
Two person crew minimum, wear orange safety vests, stay alert to traffic; have flag person or use stop sign
Strictly adhere to approved Traffic Control Plan diagrams and descriptions
Must wear safety glasses at all times while on jobsite
Two person crew minimum, work out of back of truck, wear safety vests, stay alert
Two person crew minimum, work out of back of truck, wear safety vests or reflective clothing, stay alert
Use traffic barriers with flashing lights from safety
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTS
Flashing Traffic Barriers &Approved Directional Signs
Daily, notify safety systems if any flashers are not working
OJT/Surrounding environment awareness
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete) (Sheet 1 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Temporary Control Fences
Temporary Electrical Power
Hand pinch and cut injuries
Eye Injury, Foot & Head Injury
Sunburn
Dehydration
Public Entry and tripping
Public Injury
Prevent Electrocution
All Potential Hazards
Wear leather gloves and use both hands to lift and open barricades for placement when necessary
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves
Make sure personnel stays hydrated
Install temporary construction fence to enclose area of sidewalk work
Stay within construction areaPost signs stating construction area; “hard hat area” etc.
Overhead lines will be flagged with (orange) marking ribbon.Upon completion DPW will be notified of where the circuit is located.
Assess work area prior to starting work on any task.Appropriate AHA's to be reviewed during Weekly Safety Meeting.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
__Safety Officer________________ _______________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.
02 41 00
Demolition
Foot and skin punctures
Tripping / falling
Inhalation of dust
Eye Injury, Foot & Head Injury
Remove any protruding nails from debris
General jobsite requires daily cleanup.Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Must wear two banded dust mask whenever generating dustUse wet method, if possibleUse half mask respirator when required.
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawPPEWheel Barrow
DailyPrior to each useDailyDaily
OJTTradesmenOJTOJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Debris falling and Hitting people below
Cuts
Loss of hearing
All Potential Hazards
Immediately pick up and bag all debris as it is createdTie trash bag down until ready to remove
No throwing debris from different levels unless proper precautions are taken
Wear leather gloves when handling debris
Use of ear plugs if noise exceeds DOD Noise exposure levels
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:___________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
______Safety Officer_____________ _____________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.
02 83 13.00 20LEAD IN
CONSTRUCTION
Inhalation, Skin Exposure
Foot and skin punctures
Tripping / falling
Inhalation of dust
Lead Paint Removal only by trained personnel from R&D TechnologyFollowing their approved Lead Plan and asbestos removal plan
Remove any protruding nails form debris
General jobsite requires daily cleanup.Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Must wear two banded dust mask whenever generating dust
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsRespiratoryPPE
DailyPrior to each useDaily
TradesmenTradesmenOJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Eye Injury, Foot & Head Injury
Cuts
Debris falling and Hitting people below
All Potential Hazards
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Wear leather gloves when handling debris
Immediately pick up and bag all debris as it is createdTie trash bag down until ready to remove
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_______Safety Officer______________ ___________________________________ (Title) (Title) (Date)Comments by Govt. Rep:____________________________________________________________________________________________
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.13280A
Asbestos Abatement
Asbestos Dust exposure
Foot & Head Injury
Back Injury
Exposure to Public of LCP
Shocks, Electrocution
Falls
All workers must comply with approved asbestos Removal Plan Operation Requirements
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Use correct Lifting Procedures, 2 people if needed
Wet Removal Methods to be used, Only R&D Personnel allowed in the containment area
Use GFCI on all power toolsInspect power and extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsRespiratorsPPEHarness/Lanyard
DailyPrior to each useDailyDaily, Prior to each use
TradesmenOJT; fittingOJTFall Protection Awareness
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
All Potential Hazards Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:_____________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_____Safety Officer______________ ______________________________________ (Title) (Title) (Date)Comments by Govt. Rep:____________________________________________________________________________________________
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.09100N
Metal Studs
Cut on hands
Back Injury
Dust when drilling
Shocks, Electrocution
Excessive Noise
Saws must have operable guards, Wear GlovesUse sharp hand saw, wear gloves when necessaryBend over sharp edges. Do not walk thru stud walls.
Use correct Lifting Procedures, 2 people if needed
Wear 2 banded particulate mask
Use GFCI on all power toolsInspect power and extension cords.
Use of ear plugs if noise exceeds DOD Noise exposure levels
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPELadder
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall protection/awareness training
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Trips & Falls
Eye Injury, Foot & Head Injury
Foot or hand puncture
All potential hazards
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyardAttached to anchor
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Keep site and work area clean of excess screws and debris.
Use proper handling of cut off pieces of metal and proper disposal methods.
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet _2_of _2_ Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
____Safety Officer_______________ ____________________________________ (Title) (Title) (Date)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.26 20 00
INTERIOR DISTRIBUTION
SYSTEM
Shock, electrocution
Excessive Noise
Trips & Falls
Eye Injury, Foot & Head Injury
Visual inspections shall be conducted to ensure that equipment or lines are de-energizedInspect power and extension cords.Use GFCI on all power toolsInspect power and extension cords.
Use of ear plugs if noise exceeds DOD Noise exposure levels
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchorClean up site daily
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTS
Hand ToolsPower ToolsPPEHarness/Lanyard
DailyPrior to each useDailyPrior to each use
Tradesman-ElectricianOJTOJTFall protection & awareness training, if used
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete) (Sheet _1_of _2_ Sheets)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Install new conduit runs
Cut on hands
Back Injury
Dust when drilling
Excessive Noise
Fire
All Potential Hazards
Saws must have operable guards, Wear Gloves if necessaryUse sharp hand saw, wear gloves when necessary
Use correct Lifting Procedures, 2 people if neededTwo or more person(s) lifting teamsUse mechanical aide such as hand truck
Wear 2 banded particulate mask when creating dust
Use of ear plugs if noise exceeds DOD Noise exposure levels
Current Burn permit on person doing hot workHave fire extinguisher where hot work being performedClean threading machine daily of excess shavingsUse clean, absorbent material to catch excess oil. Remove material from site if soiled.
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet _2_of _2_ Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
______Safety Officer______________ ______________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.06 20 00
FinishCarpentry
Dust
Back injury, muscle strain
Cut on hands
Falls
Foot, Head & Eye Injury
Wear 2 banded particulate mask when generating dust
Use caution lifting
Saws must have operable guards, Wear Gloves as necessary.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPEHarness/Lanyard
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall Protection Awareness
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Shocks, Electrocution
Excessive noise
All Potential Hazards
Use GFCI on all power tools.Inspect power and extension cords.
Use of ear plugs if noise exceeds DOD Noise exposure levels
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet _2_of _2_ Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_______Safety Officer_______________ ___________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.09 29 00
Gypsum Board
Foot and skin punctures
Tripping / falling
Inhalation of dust
Eye Injury, Foot & Head Injury
Remove any protruding nails from debris
General jobsite requires daily cleanup.Watch power cords. Keep out of walk areaUse proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Watch extension cords so not a tripping hazard
Must wear two banded dust mask when generating dustUse vacuum attachment to minimize dust
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawPPELadder
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall protection/awareness training
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Cuts to Hands & Body
Skin Irritation From GB Dust
Falls from Step Ladders
Punctures to hands
Shock / electrocution
All Potential Hazards
Use sharp knives and drywall saws
Use barrier cream on exposed skin
Use adequate height stepladders to reach work withoutStepping on top two steps
Use Gypsum Board Screws and screw gun to assemble
Use GFCI on all power tools.Inspect power and extension cords.
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet _2_of _2_ Sheets)
16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
________Safety Officer____________ _____________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________
__________________________________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.09200A
EFIS
Fire
Fumes/Vapors
Foreign object in eyes
Foot & Head Injury
No coatings to be stored on site – must be removed daily
Wear half face respirator during application of coatings
Must wear safety glasses at all times
Must wear steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPELadder
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall protection/awareness training
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Skin Irritation
Falls
All Potential Hazards
Must wear gloves during install. Wash hands immediately if compound is on skin.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: _______________________________ (Signature) (Signature)
_________Safety Officer___________ _____________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.09 90 00
PAINTS AND COATINGS
Airless spraying
Fire
Fumes/Vapors
Foreign object in eyes
Foot & Head Injury
Skin Irritation
No flammable paints or coatings to be stored on site - must be removed daily
Wear half face respirator during application of coatingsHave adequate ventilation (bring fan if necessary)
Must wear safety glasses at all times
Must wear steel toe shoes, and hard hat at all times while on jobsite
Wear gloves during install as necessary. Wash hands immediately if compound is on skin.
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSAirless sprayer equipmentElectric Saw
PPE
DailyPrior to each use
Daily
TradesmenTradesmen
OJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Falls
Trips
Shock / electrocution
All Potential Hazards
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Watch hoses and power cordsClean up daily
Use GFCI on all power tools & equipmentInspect power and extension cords.
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
____Safety Officer_______________ _______________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.06200A
Carpentry, Finish
Dust
Back injury, muscle strain
Cut on hands
Falls
Foot, Head & Eye Injury
Wear 2 banded particulate mask
Use caution lifting
Saws must have operable guards, Wear Gloves.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPEHarness/Lanyard
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall Protection Awareness
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Shocks, Electrocution
Excessive Noise
All Potential Hazards
Use GFCI on all power toolsInspect power and extension cords.
Use of ear plugs if noise exceeds DOD Noise exposure levels
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
__Safety Officer____________________ _____________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________
__________________________________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.07 84 00
Firestopping
Fire
Fumes/Vapors
Foreign object in eyes
Foot & Head Injury
Skin Irritation
No coatings to be stored on site - must be removed daily
Were half face respirator during application of coatings
Must wear safety glasses at all times
Must wear steel toe shoes, and hard hat at all times while on jobsite
Recommended wear gloves during install. Wash hands immediately if compound is on skin.
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPELadder
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall protection/awareness training
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Cut on hands
Eye Injury, Foot & Head Injury
Shock, electrocution
Falls from Step Ladders
All Potential Hazards
Saws must have operable guards, Wear Gloves
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Must Use GFCI on all electrical toolsInspect power and extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_________Safety Officer_____________ __________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.08 14 00
Install Wood Doors
Mount jams and hinges
Back injury Strains
Eye injury, foot & head injury
Falls
Shock
Trips, Falls
Skin Irritation
Face Cuts
Gunshot Nail Penetrations
Use adequate number of people to carry door
Must wear safety glasses, steel toe shoe and hard hat at all times while on jobsiteUse proper ladder setup for correct working height
Use GFCI at all times
Clean up site daily
Wear gloves and/or clean hands immediately if compound is on skinWhen saw cutting metal, use face shield over glasses
All powder actuated tool operators must be certified for the particular tool
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric Saw * DrillsCaulk gun, Hand ToolsPPEPowder Actuated Tools
DailyPrior to each useDailyDailyPrior to each use
TradesmanTradesmanOJTOJTOperators certification
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Cutting & Fabricating
Unloading
Eye injury, foot & head injury
Falls
Foreign Objects in Eyes
Dust Inhalation
Shock / electrocution
Trips, Falls
Crush Injuries
Sunburn
Shock when vacuuming
All Potential Hazards
Must wear safety glasses, steel toe shoe and hard hat at all times while on jobsite
Use proper ladder setup for correct working height
Must wear safety glasses at all times while on jobsite
Wet sweeping and vacuuming. Wear 2 banded particulate mask.
Use GFCI at all timesInspect power and extension cords.
Clean up site daily
Stay clear of load at all times, use bobcat with fork to unload and stack
Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves
Must use GFCI for all extension cord sources of power.
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
________Safety Officer______________ _________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.08 11 13
Doors, Hollow Metal & Frames
Back injury Strains
Eye injury, foot & head injury
Falls
Shock / electrocution
Trips, Falls
Use adequate number of people to carry doorUse mechanical aid when possible
Must wear safety glasses, steel toe shoe and hard hat at all times while on jobsite
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Use GFCI at all timesInspect power and extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPEHarness/Lanyard
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall Protection Awareness
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Foreign Objects in Eye
Face Cuts
Skin Irritation
Excessive noise
All Potential Hazards
Must wear safety glasses at all times
When saw cutting metal, use face shield over glasses
Wear gloves and/or clean hands immediately if compound is on skin
Use of ear plugs if noise exceeds DOD Noise exposure levels
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet _2_of _2_ Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520 & 525, Fort Shafter, Oahu,
Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_____Safety Officer______________ ____________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.10440
Signage, Interior
Eye Injury, Foot & Head Injury
Back and Muscle Strain
Excessive Noise
Trips & Falls
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Use adequate number of people to carry and lift sign
Use of ear plugs if noise exceeds DOD Noise exposure levels
Watch power cords to avoid tripping hazardUse proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPE
DailyPrior to each useDaily
OJTTradesmenOJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Shock / electrocution
All Potential Hazards
Inspect power and extension cords.Use GFCI on all power tools
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet _2_of _2_ Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520 & 525, Fort Shafter, Oahu,
Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_________Safety Officer_______________ ________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec. 16410A
Electrical, A.T.S & BP/ISO
SW
Shock, electrocution Lockout/Tag out all circuits prior to work. Key to be kept by electrician and Project Manager (unless another person has been designated). Phone number must be posted
Tags must be legible and understood by all authorized personnel.
Circuit breakers shall clearly indicate whether they are in the open or closed position.
Inspect power and extension cords.
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsTag out system
DailyDaily
Tradesman-ElectricianEmployees shall be trained in the limitations of tagsDaily inspections shall be conducted to ensure that all requirements are being followed
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete) (Sheet _1_of _1_ Sheets)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Eye Injury, Foot & Head Injury
Trips & Falls
Hearing loss
All Potential Hazards
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Clean up site daily
Use of ear plugs if noise exceeds DOD Noise exposure levels
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet _2_of _2_ Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
____________Safety Officer___________ ____________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.16415A
Electrical, Interior Lt.
Fixture
Shock, electrocution
Trips & Falls
Eye Injury, Foot & Head Injury
Must Use GFCI on all electrical toolsInspect power and extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Make sure extension cords are not in excess to cause tripping
Clean up site daily
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawLadderPPEHarness/Lanyard
DailyPrior to each usePrior to each useDailyPrior to each use
Tradesman-ElectricianOJTOJTFall protection and awareness training, if used
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete) (Sheet _1_of _2_ Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
__________Safety Officer_____________ _________________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.16375A
Electrical Underground
Heat Stress/ Heat Exhaustion
Cuts
Sunburn
Heart Attack
Keep and drink plenty of water during work dayWear sunscreen
Refer to all other AHA’s, keep Bio Hazard and First Aid Kits on site at all times
Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves
2 CPR Trained people on site at all times
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSWater Cooler with Cup DispenserFirst Aid Kits
PPE
Daily
Weekly
Daily
OJT
Checklist on site
OJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Shock, electrocution
Trips & Falls
Eye Injury, Foot & Head Injury
Back strain and sprain
All Potential Hazards
Must Use GFCI on all electrical toolsInspection of Frayed & exposed extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Make sure extension cords are not in excess to cause tripping
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Use mechanical aide when possibleUse proper lifting techniquesUse two – man lifting team when possible
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_______Safety Officer_______________ ___________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.09 51 00
Acoustical Ceilings
Dust
Back injury, muscle strain
Cut on hands
Falls
Foot, Head & Eye Injury
Wear 2 banded particulate mask
Use caution lifting
Saws must have operable guards, Wear Gloves.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPEHarness/Lanyard
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall Protection Awareness
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Shocks, Electrocution
All Potential Hazards
Use GFCI on all power toolsInspect power and extension cords.
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
___________Safety Officer____________ ________________________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec13851A Fire Alarm
Cut on hands
Eye Injury, Foot & Head Injury
Shock, electrocution
Falls from Step Ladders
Saws must have operable guards, Wear Gloves
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Must Use GFCI on all electrical toolsInspect power and extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawPPELadder
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall protection/awareness training
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Dust inhalation
Back injury, muscle strain
Excessive noise
All Potential Hazards
Wear 2 banded particulate mask when creating dust
Use caution lifting and mounting equipment
Use of ear plugs if noise exceeds DOD Noise exposure levels
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
________Safety Officer______________ _______________________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.13930A
Fire Sprinkler System
Cut on hands
Eye Injury, Foot & Head Injury
Shock, electrocution
Falls from Step Ladders
Saws must have operable guards, Wear Gloves
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Must Use GFCI on all electrical toolsInspect power and extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawPPELadder
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall protection/awareness training
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Dust
Back injury, muscle strain
All Potential Hazards
Wear 2 banded particulate mask
Use caution lifting and mounting equipment
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
__________Safety Officer____________ ____________________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.09 30 00
Ceramic Tile, Quarry Tile, and Paver Tile
Apply Leveling Compound / Adhesive
Dust inhalation
Fires
Eye, Foot & Head Injury
Wet Vacuum Floor Area, Wear Dust MaskWear half mask respirator when sanding
No Compounds or Adhesives to be stored on site - must remove from site dailyFire extinguisher at location
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsCaulk gun, Hand ToolsPPE
DailyDailyDaily
TradesmenTradesmenOJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Shocks, Electrocution
Skin Irritation
Fumes/Vapors
Cuts on hands
All Potential Hazards
Use GFCI on all power tools. Inspect power and extension cords.
Use barrier cream on exposed skin or appropriate gloves
Were half face respirator during application of adhesive, if necessary
Use of sharp bladesCut away from body or other people
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_________Safety Officer____________ ______________________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.02300
Earthwork Excavation
Mobilization
Traffic Accidents
Cut on hands
Eye Injury, Foot & Head Injury
Back and Muscle Strain
Watch and have traffic control Flagman to wear visible clothing
Obey base traffic laws, deliver to site designated and approved on Project Site Map
Saws must have operable guards, Wear Gloves if necessary
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Use adequate number of people to carry and lift
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawPPEBrooms/VacuumSurveying Equipment
DailyPrior to each useDailyDailyVisual
OJTOJTOJTSkilled Tradesmen
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Dust
Noise
Public Entry and tripping
Shock / electrocution
Sunburn
All Potential Hazards
Must wear appropriate dust maskUse wet method for dust controlCover dirt pile with cloth
Use of ear plugs if noise exceeds DOD Noise exposure levels
Install temporary construction fence to enclose area of sidewalk work
Must use GFCI for all extension cord sources of power.Inspect power and extension cords.
Wear sunscreen on all exposed skin and face. Wear long pants and shirt with sleeves
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
____________Safety Officer____________ ______________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.02360
HTRW Soil Treatment
Eye Injury, Foot & Head Injury
Back and Muscle Strain
Dust inhalation
Traffic Accidents
Back and Muscle Strain
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Use adequate number of people to carry and lift
Must wear appropriate dust mask
Obey base traffic laws, deliver to site designated and approved on Project Site Map
Use adequate number of people to carry and lift
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPE
DailyPrior to each useDaily
TradesmenTradesmenOJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Sunburn
Skin Irritation
Inhalation of fumes
All Potential Hazards
Wear adequate Sunscreen
Wear gloves and/or clean hands immediately if chemical is on skin
Wear half face respirator during application
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_______Safety Officer_____________ ____________________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.02770A
Concrete Curbs, Gutters S/W
Concrete Dust Inhalation
Falls
Foot & Head Injury
Eye Injury
Back injury, muscle strain
Wear 2 banded particulate mask.
Harness & Lanyards must be used in man lifts
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Must wear safety glasses
Use caution lifting
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawPPEHarness/Lanyard
DailyPrior to each useDailyPrior to each use
OJTOJTOJTFall protection class
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Heat Stroke/ Heat Exhaustion
Cuts
Sunburn
Heart Attack
All Potential Hazards
Keep and drink plenty of water during work day
Refer to all other AHA’s, keep Bio Hazard and First Aid Kits on site at all times
Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves
2 CPR Trained people on site at all times
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: October 1, 2009
Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
____________Safety Officer___________ _____________________________________________ (Title) (Title) (Date)
Comments by Govt. Rep:____________________________________________________________________________________________PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.04200
Masonry
Dust Inhalation
Falls
Foot & Head Injury
Eye Injury
Back injury, muscle strain
Wear 2 banded particulate mask.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Must wear safety glasses
Use caution lifting
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand Tools
PPEHarness/Lanyard
Daily
DailyPrior to each use
Tradesmen
OJTFall Protection Awareness
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Disassemble forms and remove
Cut on hands
Hand injury
Back injury, muscle strain
Heat stress
All Potential Hazards
Wear Gloves
Use screw gun to disassemble formwork and remove screws
Use caution when liftingTwo man teams to lift or move heavy itemsUse mechanical aide when possible
Wear sunscreenStay hydrated
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_______Safety Officer_____________ ____________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.23 00 00
Air supply, Distribution, Ventilation &
Exhaust Systems
Cut on hands
Eye Injury, Foot & Head Injury
Shock, electrocution
Falls from Step Ladders
Saws must have operable guards, Wear Gloves
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
Must Use GFCI on all electrical toolsInspect power and extension cords.
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsPower ToolsPPELadder
DailyPrior to each useDailyPrior to each use
TradesmenTradesmenOJTFall protection/awareness training
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Dust inhalation
Back injury, muscle strain
All Potential Hazards
Wear 2 banded particulate mask when dust is created
Use caution lifting and mounting equipment
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98
ACTIVITY HAZARD ANALYSIS
Date Submitted: August 18, 2010
Contract No.: W912CN-10-C-0044Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii
Activity Start Date:______________________________________ Date of Pre-Phase Meeting:___________________________
Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature)
_________Safety Officer___________ _____________________________________________ (Title) (Title) (Date)PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Spec. Sec.22 00 0022 07 19
22 33 30.00 10
Plumbing, General Purpose
Mobilization
Concrete Dust Inhalation
Slips, Trips & Falls
Eye Injury, Foot & Head Injury
Two person lifting team or mechanical aide used to unload material, equipment or tools
Jobsite Cleaning & sweepingWear two banded dust mask
Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor
Clean up site dailyUse of absorbent material under/around machines with oil
Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite
EQUIPMENT TO BE USED INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTSHand ToolsElectric SawPPEVacuumTemp. Fencing & posts
DailyPrior to each useDailyDailyVisual
TradesmanTradesmenOJTOJTOJT
POD Form 184-R (REV) (Edition of 22 Apr 91 is obsolete)16 Oct 98
ACTIVITY HAZARD ANALYSIS (Continuation)
PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN
Hand pinch and cut injuries
Sunburn
Back injury, muscle strain
Excessive Noise
Fire
Shock / electrocution
All Potential Hazards
Wear leather gloves, when necessary
Wear sunscreen on all exposed skin and face. Wear long pants and shirt with sleeves
Use caution picking upUse mechanical aid when possibleUse two (or more) man lifting team
Use of ear plugs if noise exceeds DOD Noise exposure levels
Current Burn permit on person doing hot workHave fire extinguisher where hot work being performedClean threading machine daily of excess shavingsUse clean, absorbent material to catch excess oil. Remove material when soiled.
Inspect power and extension cords.Use GFCI on all power tools
Appropriate AHA's to be reviewed during weekly safety meeting.Assess work area prior to starting work on any task.
POD Form 184-R (Rev) (Sheet 2 of 2 Sheets) 16 Oct 98