Activity Hazard Analysis (AHA)

Activity/Work Task: Install Anchor Bolts Overall Risk Assessment Code (RAC) (Use highest code) L
Project Location: Risk Assessment Code (RAC) Matrix
Contract Number:
Severity Probability
Date Prepared: Frequent Likely Occasional Seldom Unlikely
Catastrophic E E H H M
Prepared by (Name/Title):
Critical E H H M L
Marginal H M M L L
Reviewed by (Title):
Negligible M L L L L
Notes: 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, RAC Chart
Seldom or Unlikely.
“Severity” is the outcome/degree if an incident, near miss, or E = Extremely High Risk
accident did occur and identified as: Catastrophic, Critical, H = High Risk
Marginal, or Negligible
Step 2: Identify the RAC (Probability/Severity) as E, H, M, or M = Moderate Risk
L for each “Hazard” on AHA. Annotate the overall highest L = Low Risk
RAC at the top of AHA.

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AHA-008. Install Anchor Bolts, Rev. 001
 Activity Hazard Recommended Controls RAC
Installation of Anchor Bolts for Structural  Exposure to Glues, Sealants,  To protect against eye hazards ANSI approved safety glasses,
Steel and Epoxies. goggles or shield shall be worn.
 To protect from spill hazards Wear nitrile or neoprene gloves and
disposable suit.
 Avoid contact with skin. Wash affected areas with water and mild L
soap immediately.
 Close container when not in use.
 Review MSDS of all chemicals prior to use and ensure MSDS is
accessible to all associates who are affected by the chemical in use.
 Manual Material Handling  Workers will ensure that they observe proper lifting techniques and
will minimize movements such as over reaching, bending and
twisting.
L
 Workers should not lift more than 51 lbs. without help from a co-
worker(s) or mechanical assistance.
 Use a dolly or other mechanical method when practical.
 Hand injury while using hand  Use tools with handles to smooth the surfaces. Use the larger
and power tools muscles of your shoulders to move the trowel and avoid twisting
your back.
 If you are smoothing a walking surface, bend your legs, not your
back, and apply the trowel.
 Consider wide mats and knee pads to help you access areas that need
smoothing
 Tools will be used according to the manufacturer's instructions.
L
 Associates will be familiar with the proper use of the tool being used.
 Tools will be maintained according to manufacturer’s
recommendations.
 Tools will be inspected before each use.
 Damaged or defective tools will be placed out of operation until
repaired or replaced.
 Gloves will be worn to protect hands and aid in keeping tools from
slipping out of the hand.

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AHA-008. Install Anchor Bolts, Rev. 001