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Work Type Tieback Anchors « Hicacrsves
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By 69 pono
DAILY RISK ASSESSMENT on
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|, sequence of Basic Job steps Prosi | Semtty | kn
Wove teback aring machine [Seldom |Ortical | MED)
4 jnto postion |
Seldom | Grtcal_ | MED |
2 moving mach
Teback Gling Farnfutenergy release Tom | peaair gereee beciwe [Seldom | rical MED
2 contact wi
Ope Sekiom
Peaw urers
[Handing teback rods and
5 |casing,
[Grout application.
(Grout may splash
lexposure, chemical burs.
lirt paws [Seldom
oo [Occasional Neiiible
adie Channa)
Gating Poi‘SUPERVISOR'S INSPECTION CHECKLIST
“SAFELY LEADING THE WAY”
(CREW SIGN-IN
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LETT LTT RR
DATE 2015-04-10
siyeor
MEETING: 7:00
JOBNAME: CRO SErmV EL
contract
numpeR: Co IS-AS
crew
SUPERVISOR: uc.
siowarure, Mey Cremash
SUBCONTRACTORS & VISITORS SIGN-IN
fe
Every New Worker less than 3 months) MUST be
assigned @ Mentor
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1#| Sequence of Basie Job Steps
fave feback ariling machine
[Critical
lexposure, chemical burns.
Puke With we ATR
1 nto position.
Seldom | Criteal | MED
2
eback oiling, Telease form | perm eAcE [Seldom | riical _ | MED
3 ‘underground Berow Wnows Uneines
pee [Seldom |Crical | MED
4
Fears TECH Que Seldom | Griical | MED
(Grout application. Dae [Occasional Negliaible LOW
Emergency Phone ®
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deep foundetion contractor ine
“SAFELY LEADING THE WAY" a
CREW SIGNIN
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Work Type:Steel Fabrication
‘Aree: 28
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* of Basie Job Stops
teal member
[Seldom | Oftical
location |
| |
Seldom [Marginal | LOW
| L
oe Occasional: Marginal “MED
tobe welded in
jon for welder
werome Sceeew
Pee Secasional Negligible TOW
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Work Typ: Tieback Anchors / eat
DAILY RISK ASSESSMENT
Risk = Probabilty
xSeverty
5 casing.
reaching rods and casings.
[Pinch points on equipment.
|, Sequence of Basie Job Stops Potntil Hazard Contote Proteniny | sony | mist
[Move feback drilling machine Machine may shift and partially |ana-~ fale platav~ Inspec? “em |Seiaom |Grtcal TED
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ending feback rods and — Muscle stain ining and [ypr lth, Pega, (We Seldom | Grlical WED
[Grout application.
[Grout may splash causing
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(Occasional Negiiaible
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ARAARRAMAGN ART ARE TO
oooopoca0ge+) Soqance Sei sob steps Potential Hezarda contots ed ee ee
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‘ieriniecton
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ers pape Finyny. areee eweaT [Seldom (Marginal LOW
gee ela deriy. Avedlph |
T Occasional Marginal “MED |
| damage, spies, slecro, |1T |
cing Fires and bums romtoch | pe. Fhe etbuiber (Occasional Negligible LOW |
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Tedeep DAILY RISK ASSESSMENT
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Werk Type:Tieback Anchors
Aree: 25-2.
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Probabitty
‘this sessed AFTER cons in pace
| sequence of Basle Job Steps Potential Hazards ‘controls ak Leet
Wave Taback dling machine [Machine may shiv and parialy [Sapa Tern, Char patio, Cale Bete MED
1 Into position
iting overnead ullties while | jot, oA AA ary MED
2 Imoving machine.
Wiebackaatng ri poms MED
2
ger, haw Pobcion MED
[Handling tieback rods and Tit, Badge ned to be Crtect, [#0 m MED
s lcasing Teaching rods and casings. prs
Pinch polnis on equipment.
(Grout application [ecutmay splash eausing TBF yTaes Low
. lexposure, chemical bums g
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crew
supervisor: __G. C@ auc
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SUBCONTRACTORS A VISITORS SIGN
“SAFELY LEADING THE WAY"
CREW SIGNAN
1 Fret ead eb) £
: Y vary New Werkar (oes than 3 months) MUST be
sssgned a Mentor
‘ORANGE HARD HAT BLUEHARD HAT
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Work Type:Stee! Fabrication
vant | Lowe | Med
Sen ome ty
Probability
Rais enenses AFTER cols nace
Controls Probattty | Soverty | Rsk Leet
lr Trded Petoony, Chor priate [Seldom |Gical [MED
Tp 7 PRE aT Be Bare
se Aeig» Atl pk pte
Tergnal” [LOW
‘Bums from slag, eve re ‘Oecasional Marginal WHED
damage, splinters, electro,
‘and bums fromtorch |ppe, Pre Cetewiher ‘Occasional Negligible LOW
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‘Work Type:Steel Fabrication
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DAILY RISK ASSESSMENT
‘isk = Probabily x Severity
#|- Sequence of Basie Job Steps
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cont any | sow mak
Fost see menbert nec eeoe aaa | oa [ED
4 Noting eaten fae |
| [oes
| {Sete to be welded in ‘Secveg Ferte Péceauwe [Seldom [Marginal || LOW
2.| working positon for welder | coo |
‘ums from slag, eye | PRE ‘Occasional Merginal MED
| welding | domagelesirtore | etbme. seaeens
| Fi Pa ios = ‘Occasional’ Negligible TOW
afroen cating Creeaeiaieeions | ane. '
: Fuee ry Gasuer
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Tato Channeldeep
WorcType:Steel Fabrication
T
#) Sequence of Basic Job steps |
Potontil Hazards Controls Probabitty | Seventy | Rik Level
Holst steel memberto | Insecureloverhead loads, [Seldom |Criical | MED
welding location |
‘Set material to be welded in [Seldom Marginal | LOW
2| working position for welder
| Bums rom slag, eve Occasional Marginal “MED
3|Welaing damage, splinters, electro.
ae Cccasionai’ Negligible LOW
Bret can Fes and bums rom rch
‘
6
Rall Channel
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