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Overall Risk Assessment Code (RAC) (Use highest code)
Risk Assessment Code (RAC) Matrix Severity Probability
Frequent Catastrophic Critical Marginal Negligible E E H M Likely E H M L Occasional H H M L Seldom H M L L Unlike ly M L L L
Date Prepared: April 11, 2012 Prepared by (Name/Title): Company: Ambrose Construction, Ltd. Reviewed by (Name/Title): Paul “Tex” Medlin QCM/SSHO
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. “Severity” is the outcome/degree if an incident, near miss, or accident did occur and identified as: Catastrophic, Critical, Marginal, or Negligible 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.
E = Extremely High Risk H = High Risk M = Moderate Risk L = Low Risk
Job Steps Concrete Testing
Hazards Chemical Burn Eye Hazard Hit by swinging chutes
Curb machine string line Double Trowels Driving Metal Stakes Hauling materials with flatbed truck
Foot caught in trimmer Getting caught between concrete truck and curb machine Hand caught in conveyor Struck by Curb Machine Tripping and fall hazards Equipment Operation Smashed hand or fingers Struck by hammer head Struck by equipment/working on unsecured equipment
Controls Rubber gloves and boots are required Safety Glasses w/side shields and/or goggles. Face shield as required. One personnel will hold chute while testing personnel obtains sample. Stay clear from trimmer while machine is operating. Wear reflective vest and stay clear of concrete truck, be visible to the truck driver. Keep hands clear of conveyor belts. Stay safe distance from machine. Be alert and watch your step. Ensure that all operators are fully trained in the operations and safe handling procedures for double trowel machine. Hold metal stakes loose on sides. Beware of loose hammer head. Signal operator and insure he signals to the employee before employee approaches equipment. Always approach equipment from in front of the operator, never from behind. Contract the spotter for access to trucks and dumping areas.
L L L L
1. An initial equipment inspection and operational check
shall be conducted, which includes for back up alarms,
Steel/composite toed boot required. L L 1. Project is within 5 minutes of Corpus Christi Medical Center – Bay Area. Place in a de-energized state when not in operation. and general operating condition. Should an emergency occur. Fingers pinched or cut Emergency Procedures hydraulic and other line leaks. Rebar caps must be placed on all standing rebar and metal steel stakes. 3. a responsible person will call 361-961-3333. Pants that protect the full length of the leg. Ear protection required when exposed to loud equipment and power tools. Use articulation pin locks when working on equipment. shirt with sleeves that extend at least four inches over the shoulder and are not cropped off. Hard hats required. and crushing hazards Boom Operation Pump Stability Struck by Hazards from boom L L Rebar placement Impalement hazards Material handling forklift operation L Rebar Placement/Tie Rebar Impalement. Ensure that concrete pumps are set up on stable. Wear gloves and proper PPE. scrapes. Use spotter when necessary. FCI will be notified as soon as possible and a report shall be filed with FCI within 24 hours of any injury. Ensure all operators are properly trained. 1. Gloves shall be worn while working around rebar.Loading and unloading metal sheet stakes Mobilization of manpower. 2. Operator must have clear line of site at all times through boom areas. Set emergency brake and use chocks when parked on an incline. Have spotter while setting rebar with fork lift. Ensure that enough rebar caps will be available prior to installing rebar at the site. Safety glasses with side shields. All employees in the area must be aware of boom activity and locations at all times. equipment and materials to the jobsite. Provide caps for rebar. level ground and that area is frequently inspected to ensure stability. 2. puncture hazards of protruding steel rebar L . 2. Inspect forklift and rigging prior to use. cuts. Employees will receive orientation and proper training covering emergency procedures before working onsite. Proper hand protection required. Performing Concrete Test Crushed Toes Foreign particles in the Eye Loud Noise Sharp Object L Placing rebar with forklift Pumping concrete / Slab on Grade Strike to the head Pinch points. 3.
Ensure that operators are fully trained and physically capable personnel to operate walk behind single trowel. Overall Safety and stability of trench on 1. review MSDS and avoid contact with wet station (portable or stationary) shall be located in the immediate work area. Eliminate trip and other surface hazards. Access and egress of trench greater than 4 Ladder or steps must be provided within 25 ft. safety glasses. Dermal Irritant / Eye Irritant Review concrete MSDS and avoid contact with wet concrete or dry. and rubber gloves. Equipment left unattended in an energized Set emergency break. Stability of trench floors (washout) Daily inspection will ensure that no water gathers in floors of trenches. and rubber gloves. Use chocks when parked on an incline L L L L L . Wear acetate/acid resistant gloves and booties specific to chemical and face shield. including rubber gloves and rubber boots (if necessary). in depth of employees for trenches over 4 ft. Falling objects into trenches (PPE) Ensure that employees in trenched wear proper PPE. Ensure that trench spoils are placed no less than 2 ft. well lighted when needed. Inform employee of the location of the station. sprains and other hazards associated with improper manual lifting techniques Equipment operations Working with Concrete Working with Concrete Bonding Agent Working with Concrete Pump Truck Use proper lifting techniques. Avoid direct contact with wet concrete. daily basis/fall hazards into trenches 2. Cave in of trench greater than 5 ft. Wear long sleeve shirt. Have HSDS available in case of an emergency.Single Trowels Trenching Strains. Concrete Splashing Worker(s) at end of chute or concrete pump hose and vibrator operators must use eye protection and gloves. away from the edge of the trench. in depth All trenches 5 ft. in all directions ft. sloped or otherwise protected from cave in. Inhalation Hazard Provide adequate ventilation. Maintain dust control by application of wet mist for dust control but avoid direct contact to wet concrete. Concrete Burns and Blisters Wear proper PPE. deep or greater must be benched. Gloves shall be used while working with rebar. Wear long sleeve shirt. The location shall be told to the employee. Concrete vendor and worker access Clear and safe path or roadway. Lifting devices shall be used when the task requires them. Competent person will inspect daily. Dermal irritant / Eye irritant For job specific training. deep. Eyewash station shall be located in the immediate work area. Review MSDS and avoid contact with the chemical. Provide job specific training for concrete hazards prior to it’s use. Maintain dust control by application of wet mist for dust control. no debris. Dermal Contact Have MSDS on site for job specific training. safety glasses.
Avoid direct contact with wet concrete. Fire in Equipment/Hydraulic line Inspect equipment for improper mechanical or operation leak/working on unsecured equipment deficiencies: back-up alarm. Place in a de-energized state when not in operation. Trained Personnel Daily inspection of equipment. seat belts. Have MSDS available in case of an emergency. Qualified Operator Initial and Daily inspection of equipment once onsite. Dermal irritant / eye irritant Review concrete MSDS and avoid contact with wet concrete or L dry. safety glasses. hydraulic lines. Uncontrolled fluid spill Inspect equipment for improper mechanical or operation deficiencies. Provide job specific training for concrete hazards prior to its use. and rubber gloves. Inform employee of the location of the station. Keep from the swing radius of the equipment. Fire extinguisher. hydraulic lines. Equipment left unattended in an energized Set emergency brake. Working with a forklift Working with concrete mixing truck and concrete material Equipment to be Used Forklift Backhoe Curb Machine Concrete Pump Truck Trowel Machines Inspect equipment for improper mechanical o operational deficiencies: Fire Extinguisher required. Set L emergency brake when not in motion. maintain fork at a 6-inch height when operating forklift unless a greater clearance is required. seat belts. Maintain dust control by application of wet mist for dust control. Certified Operators Initial and Daily inspection of equipment. Fire Extinguisher. Use inspection form. Use chocks when parked on an incline state and not in use. observe posted speed limit. Wear long sleeve shirt. back up alarm.state Fire in equipment/hydraulic line leaks/working on unsecured equipment Equipment unoccupied in an energized state Struck by moving equipment and not in use. Qualified Operator Initial and Daily inspection of equipment. . Eyewash station shall be located in the immediate work area. operating turn lights. Signal the operator. Training Requirements/Competent or Inspection Requirements Qualified Personnel name(s) Certified Operators Initial and Daily inspection of equipment. and approach equipment in full view of the operator. operating turn lights. observe posted speed limit. insure he signals to the employee before the employee approaches equipment.
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