HAZARD ASSESSMENT SAFETY ACTION PLAN (HASAP)

Project Manager: Jacobs Operating Group: (i.e. JFI, JCV, JCI)

Project MOP: Project Name:

Project Number: Project Location:

Date: (date HASAP written) Revision Date: (latest HASAP revision date)

The HASAP is a planning tool to ensure that Jacobs divisional, regional, and project management, plus the HSE
Department, understands the scope, safety hazards, and control measures associated with this project.

Introduction
Write a couple paragraphs answering the following questions:
-What does the project consist of?
-What role will Jacobs be providing?
-Is this a joint venture project? Who are Jacobs other partners and what percentage is each?
-Who is the client/owner?
-Who is general contractor?
-How large is the project (building, structure, road, tunnel, etc.)?
-Is there an OCIP on the project? Will Jacobs be enrolled in program?

Contractual HSE Responsibilities

This section is to outline Jacobs contractual safety responsibilities associated with this project. It is recommended that
the actual contractual language be quoted in this section. If the responsibilities are extensive attach the safety section of
Jacobs contract to the HASAP. It is possible that Jacobs contract does not mention safety. In any case, it is important to
understand what the client/owners project representatives expectations are of Jacobs in regard to safety on the project.
Be sure to review whether Jacobs proposal language addresses any safety responsibilities over and above the contract
language.

Contractual HSE Requirements

Outline in this section the safety policies and procedures that the client/owner is requiring Jacobs to implement. These
requirements may be as simple as following current Federal or state OSHA Regulations, to a full client/owner safety
program. At this point try to highlight the client/owner safety requirements that are more stringent than current Jacobs
safety requirements. Again the contract may be silent in this area.

Contractual Indemnification
Contractual indemnification is the legal transfer of liability to another party. The Jacobs Legal Department ensures that all
contracts signed have some legal indemnification so that Jacobs is not fully liable for negligence of subcontractors or
other contractors. It is important to ensure that this indemnification is part of each subcontract released by Jacobs.

On construction management/agency type projects it is important that the indemnification clause on the contract between
the client/owner and the construction contractor includes wording that protects the client/owner and Jacobs from
negligence of construction contractors. (i.e. the contractor shall indemnify, defend and hold harmless the client/owner and
all its agents, project managers, and their officers, agents and employees, from and against any and all liability, claims,
damages, losses, expenses, actions, attorneys fees, costs and suits.).

Client HSE Expectations

Review with our project management team, and if possible the clients project representative, the clients safety
expectations for this project. This will be another opportunity to ensure that Jacobs project personnel, Jacobs HSE, and
the client understand what is expected from the Jacobs project management team in regard to safety.
Project Regulatory Inspection Procedures
Outline the projects regulatory inspection procedures (i.e. Federal &/or state OSHA, EPA, Health Department, etc.). Who
for the client, contractor, and Jacobs is to be notified and should participate in regulatory inspections? Jacobs project
management should participate in these type of inspections to ensure that infractions observed or identified are noted
appropriately and that the client receives the correct information pertaining to the inspection. Jacobs project management
should also participate in inspections to ensure that Jacobs is not cited for something that we are not contractually
responsible for.

Personnel & Duration

Personnel
Outline the number of Jacobs employees, plus subcontractor and contractors workers that will be assigned to the
project during low and peak periods.

Duration
Outline the duration of the project

Project or Company Vehicles

Outline the type and number of project, company, and client owned or leased vehicles assigned to this project that are
being driven by employees. Outline the employees who are authorized and qualified to drive these vehicles. Do
employees have a copy of Jacobs Motor Vehicle Safety Policy and signed the qualification form? Does the project have a
copy of these individuals Drivers License?. Where are vehicles parked at night? Are vehicles driven long distances or
transporting equipment? If an employee is using their personal vehicle for business, is it in good operating condition, and
do they have at least liability insurance? Have employees complete Jacobs Defensive Driving Training?

Project Safety Coverage & Billability

Outline this projects safety coverage.
-Who is responsible for safety on the overall project?
-Who is responsible for safety for Jacobs on this project?
-Will this project need a full-time site safety supervisor/manager?
-Will additional safety coverage be needed during peak periods?

What is budget for safety on this project? Is it enough? Is safety a billable, cost reimbursable expense from the
client/owner either as a line item or in project G&A?

Drug Screening Requirements

Outline the drug screening requirements for Jacobs personnel, plus subcontractor and contractor workers.
-What are the client/owners drug screening requirements?
-To what extent can the Jacobs Drug-Screening Program be implemented? (why and why not?).
-Is DOT drug-screening requirements being enforced on this project? Which agency does this fall under (i.e., CDL,
pipeline, etc.)?
-Who, when, and where for specimen collection (i.e., in-house, clinic, etc.)? Address both afterhour and normal working
situations.

Training Requirements
Outline the training required for Jacobs personnel, plus subcontractor and contractor workers.
-(i.e. Orientation, HAZWOPER, HAZCOM, OSHA Outreach, Defensive Driving, Safety Leadership, SPA/SOR, Asbestos,
Mold. etc.).
-List the parties (internal & external) that are available to perform this training and tentative training dates.
Project Safety Goals & Recognition Program
Identify and/or develop project specific safety goals and recognition program.
Examples: What is projects workhour per E-1 and/or indemnity goal? What are the projects OSHA Recordable and/or
Lost Time Rate goals? On CIP projects what is the cost per workhour goal for insurance, and/or returned savings to the
program/client/Jacobs?

What recognition will employees, workers, and/or (sub)contractors receive for reaching these goals or milestones? (lunch,
BBQ, shirt, hat, money, raffle, etc.)

Special Requirements
Outline any special safety requirements for the project.

Also include the projects plan for visitor control and accountability. The sign-in/sign-out procedure, escort requirements,
definition of a Visitor (client personnel are sometimes considered visitors, as well as vendors, outside inspectors, visiting
dignitaries, etc.), PPE requirements, etc.

Project Specific Hazards & Control Measures

Outline all potential hazards and control methods in regard to this project, including but not limited to:

Working at Elevations Tools and Equipment Natural Conditions:

Electrical Hot/Cold temperatures Tornados Biohazards (ticks, snakes)
Cranes and Lifts Vehicular traffic & pedestrian safetyEarthquakes High Altitudes
Excavations Working over or near water Other weather Difficult terrain

Personal Hazards (PPE)

All employees, subconsultants, subcontractors and visitors are required to wear the appropriate
PPE when surveying the construction environment. This includes; but is not limited to:

A. Hard Hat
B. Safety Glasses w/side shields
C. Shirt/Blouse w/at least 2 inch sleeves
D. Long pants/slacks
E. Construction Type Footwear

Hazardous Materials (Asbestos, Lead, PCBs)

Is asbestos or lead a potential hazard on this project? How will asbestos and/or lead be addressed, and who is
responsible for monitoring these activities? How will mold be prevented and addressed during demolition, storage of
materials, and during construction? What are the procedures and who is to be notified if asbestos, lead and/or mold is
identified on this project?

Mold (Design, Construction, Completion, Contractually)

Has the project reviewed the companys Mold Prevention Program? How is mold being addressed during the design,
construction, and completion phases of the project (Project Specific Mold Prevention Program)? Is contractual language
in regard to mold being put into contracts? Has employees completed Mold Awareness Training?

Working Alone
A number of employees work or travel to, from, and on projects with limited contact with Jacobs and/or client
management. The potential of employees becoming injured or ill to a point where they are unable to consciously
summons help is a hazard that we must address. Outline in this section what program will be put in place to monitor
employees who work or travel alone.

Confined Spaces
Given that Jacobs procedures requires that all confined spaces in which Jacobs personnel will enter be treated as Permit
Required Confined Space, we need to ensure that required HSE procedures are in place. Outline how this project will be
in compliance with Jacobs Confined Space Procedures.

List other potential hazards and control measures that our employees, subconsultants,
clients, or subcontractors may be exposed to.
 HAZARD ASSESSMENT SAFETY ACTION PLAN
FACILITY SITING ANALYSIS (FSA) CHECKLIST

Note: This checklist is to be completed as part of the projects Hazard Assessment Safety
Action Plan.
Facility Siting Criteria Yes No Reviewer Comments
The project HASAP has been completed and
addresses credible potential hazard exposures to the
occupied facility(s) associated with the work for which
Jacobs has control. Hazard exposures to be
considered include, but are not limited to:
Construction & maintenance operations &
activities (site traffic, crane operations, lifting,
etc.)
Storage of materials used on site (primarily
flammable, combustible, asphyxiating, toxic, or
explosive materials)
The client/owner has provided an inventory of the
credible potential hazard exposures to the occupied
facility(s) for work activities and operations under
client/owner control. Hazard exposures should
include, but not be limited to:
Inside battery (boundary) limits of process unit
Flare systems including thermal & radiant heat
zone
Potential fire exposures
Storage and use of flammable, combustible,
asphyxiating, toxic, or explosive materials
Atmospheric process vents and emergency
relief effluent points
High pressure hazards
Proximity to similar adjacent hazards in
adjacent and neighboring facilities
A client/owner provided siting analysis was provided,
reviewed by the Jacobs project team, and used as
basis for the Facility Siting Analysis (FSA) and in the
determination of the location and adequacy of the
occupied facility(s).
The FSA was completed by the Jacobs project team.
Siting of the occupied facility is consistent with the FSA
and the client/owner has approved the siting of the
occupied facility(s) including subcontractor occupied
facilities.
The HASAP and/or FSA addresses the following:
A mechanism or process for communicating
work status and operations activities
associated with adjacent and neighboring
facilities or process units
The emergency response plan including
evacuation plan for the occupied facility
 An emergency warning system(s) including
how the warning system(s) are tied into the
occupied facility
A description of intended facility occupants and
the access control plan (Access should be
limited to essential direct hire employees.)
Adequacy of the occupied facility taking into
consideration the location and hazards (type of
construction, electrical classification, etc.)
A mechanism or process to provide notification
of start-ups, shut-downs, and other potentially
hazardous activities in adjacent and
neighboring facilities and process units
Consideration to climate conditions that could
affect the potential impact of releases or spills
including prevailing wind direction
Visibility of a windsock visible from the
occupied facility
Other: (This space can be used to document
other relevant items involved with the FSA.)
 PROJECT EMERGENCY RESPONSE ACTION PLAN
Project Manager: Jacobs Operating Group: (i.e. JFI, JCV, JCI)

Project MOP: Project Name:

Date: (date written) Project Location:

Coordinator: Planning Team Members:

Asst. Coordinator/Back-up:

Employee, Subcontractor, Contractor Accident/Incident

In the event of an incident the following individuals are to be notified as appropriate given the
seriousness of the incident. Media interaction is done on a Jacobs Corporate level and all
inquires are to be forwarded to the Jacobs Corporate Office.

A. All Incidents Notify:

Project Manager (name & #):

Client Representative (name & #):

B. Serious Incidents - Additional Notification:

Manager of Projects (name & #):

or Regional Operations Manager (name & #):

Regional HSE Manager (name & #):

or Division HSE Manager (name & #):

Motor Vehicle Accidents

The following individuals are to be notified in the event of motor vehicle accident to a company,
leased, rental, or client vehicle. The following individuals are also to be notified if you are
involved in a vehicle accident with your personal vehicle while on company business.

Project Manager

Manager of Projects or Regional Operations Manager:

Regional HSE Manager or Divisional HSE Manager:

Medical Information

A. First Aid/CPR Trained

List the names of those that are first aid and CPR trained.

B. Medical & Post-Accident Drug Screening Clinic Location(s)

List the name, address, phone number, and hours of the nearest medical and post-accident drug screening
clinic(s)
 C. Hospital Location
List the name, address, and phone number of the nearest hospital.

E. Key Personnel Phone #s

List the names and phone numbers of other key project and company individuals.

Location Specific Hazards & Plan

Outline specific hazards associated with this geographic location and how they will be addressed. Examples below.

A. Severe Weather (hurricane, tornado, winter storm, thunder/lighting, flooding, etc.)

B. Civil Unrest, Violence, &/or Robbery

C. Terrorist Threat &/or Attack (bomb threat)

D. Contagious Diseases

E. Emergency Response for Contaminated Areas/Exclusion Zones

How will emergencies be handled in asbestos/lead containment areas, or in areas where other hazardous
soils/materials are being removed where access is required to be controlled?

How To Turn In Alarm

Evacuation Alarms

Type For Area

"All Clear Signal"

Tested on: (Day) (Time)

Assembly Points For Area Responsible Person

1.
2.
3.
4.

Evacuation route maps on back (numbered to correspond to assembly points).

Procedures

This Emergency Response Action Plan must be completed, widely publicized and posted to
those it affects throughout the project.
All personnel must know exactly what action to take in the event alarms sound other than on
the test times.
A responsible person must be assigned to each "assembly point" to make a "head count".
Responsible person is to forward their list of names to the Evacuation Coordinator.
No effort should be made to re-enter evacuated areas to locate missing persons until the "all
clear" is sounded. Missing persons must be reported to the client/superintendent
immediately.
No one is to leave the property unless told to by responsible authorities.
 HAZARD ASSESSMENT SAFETY ACTION PLAN (HASAP)

ACKNOWLEDGMENT FORM
Project Manager: Jacobs Operating Group: (i.e. JFI, JCV, JCI)

Project MOP: Project Name:

Project Number: Project Location:

Date: (date HASAP written) Revision Date: (latest HASAP revision date)

After reviewing the above HASAP, please sign in the space provided below to acknowledge your
acceptance of and agreement to this HASAP. Forward this completed form to the HSE
Department.

Project Manager Date

Project Director / Manager of Projects Date

Regional Operations Manager Date

Regional HSE Manager Date

Division/Senior HSE Manager Date