Activity Hazard Analysis (AHA)
Activity/Work Task: Site Mobilization / Overall Risk Assessment Code (RAC) (Use highest code) / MProject Location: / Risk Assessment Code (RAC) Matrix
Contract Number: / Severity / Probability
Date Prepared: / Frequent / Likely / Occasional / Seldom / Unlikely
Prepared by (Name/Title): / Catastrophic / E / E / H / H / M
Critical / E / H / H / M / L
Reviewed by (Name/Title): / Marginal / H / M / M / L / L
Negligible / M / L / L / 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
Jobsite Orientation / Struck by vehicle or equipment / Follow designated pathway / L
All Activities / Strains, Sprains, and Lower back injuries / Implement "Stretch and Flex" program. / L
1.Train Employees / Employees not trained in the safe execution of their tasks. / Use formal and informal training to train employees. Employees need to be aware of the hazards of their activities such as dangers of working with hand tools, chemicals and risks of falls. / L
2. Put on personal protective equipment. / Bodily injury / You must wear a hard hat, safety glasses, leather Safety toe work boots, reflective vests and long pants at all times. Hand and hearing protection as needed. / L
3. Receive equipment and materials. / Crushing or pinching hands or feet. / Keep hands and feet clear of pinch points, wear gloves,
Keep equipment and materials out of traffic areas. Place equipment and materials as close to final work area as possible. / L
4. Lift and move materials and equipment. / Pulls and Strains from lifting. / Use a mechanical lift such as a dolly or hand truck when moving heavy materials.
Convert lifting and lowering tasks to pulling and pushing.
Use safe lifting techniques: bend knees and lift the bulk of the weight with leg strength. Keep the weight close to your body. / L
5. Check electrical tools and cords. / Electric shock due to electrical cords with cuts or worn insulation. / Tag defective equip. Do not use defective cords or equip. Use only Hard or extra-hard cords, factory assembled cords.
Repaired cords are not allowed on this jobsite.
Cords must be properly labeled.
Check that ground prong is intact.
Use GFCI protected circuits only. / M
6. Working from a ladder / Falling from ladder.
Ladder failure- falling.
Ladder tipping, shifting, or sliding. / Always maintain 3 points of contact.
Inspect ladders before use. Do not use a defective ladder. Remove it from the jobsite, even if it is the only one you have.
Set up ladders on firm level footing
Make sure all step ladders are equipped with ladder shoes.
Use step ladders only in the fully open position.
Don't work from a step ladder leaned against a wall.
Don't work from the top two steps of a step ladder.
Choose the correct size of ladder for the job
Use fall protection if above 6’. / M
7. Moving your ladder / Tools or Materials falling from ladders / Do not move a ladder while you are on it
Do not move ladder with tools or materials on it / L
8. Refueling gas powered equipment / Fire, explosion, chemical burn. / Shut off equipment and allow to cool before re-fueling.
Use approved fuel cans and funnels.
Open fueling caps slowly and pointed away from body.
Were appropriate PPE, including fuel resistant gloves.
Store in well ventilated areas.
Fuel only over protective barriers to prevent fuel spills into soil. / M
9. Responding to an emergency / Delayed emergency response- further injury or loss of life / Respond quickly and decisively in case of an accident. Call emergency response immediately.
Know where the emergency numbers are posted, where the first aid kit is, and who is trained in first aid.
Only persons trained in first aid should be allowed to administer first aid.
Report all accidents to your supervisor immediately. / M
10.Administering first aid / Exposure to Blood borne Pathogens / Use appropriate PPE when administering first aid such as gloves, masks, eye protection, and/or resuscitation equipment especially when blood is present.
Wash after contact with blood or other body fluids.
Dispose of soiled material in a labeled leak proof container.
Clean up accident area including tools. / L
11. Clean up / Tripping -- waste materials, improperly stored materials / Clean up work area at the end of each shift. Stack materials in designated lay down areas. / L
Equipment to be Used / Training Requirements/Competent or Qualified Personnel name(s) / Inspection Requirements
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