HAZARD ASSESSMENT SAFETY ACTION PLAN (HASAP)

Project Manager: Jacobs Operating Group: (i.e. GBNA, NAI, etc.)

Project MOP: Project Name:

Project Number: Project Location:

Date: (date HASAP written) Revision Date: (latest HASAP revision date. Note:
HASAP are to be updated at least annually)

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?

Jacobs Services
Identify the services that Jacobs will be providing to the client in this section. Be as specific as
possible.

Contractual HSE Responsibilities & Requirements

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 (copy and paste).
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. If so, please state “the contract is
slight in this area”.

Outline any safety requirements, policies, or 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, attorney’s fees, costs and suits.).
Risk Assessment
The objective for of this assessment is to identify risk factors which, if present, indicate that a
site/project may require additional support and resources to help mitigate risk
factors to achieve safety success.
Instructions: Consider each risk factor and mark the appropriate box (1-5)
based on your assessment of the current condition or situation.
The assessment range is from 1 (not implemented/non-compliant/never/no) to
5 (fully implemented/fully compliant/always/yes). If a risk factor is assessed as
2 through 4 provide the rationale for the assessment.

Assessment Comments and/or Actions to

No. Risk Factor
1 2 3 4 5 become Fully Compliant
1 Client and contractor key personnel have
been identified and are competent/aligned
with BeyondZero®

2 The Site Manager and HSE lead have

sufficient level of Jacobs experience to be
effective.

3 A gap analysis between prime contractors

safety culture and Jacobs safety culture has
been performed and the identified gaps have
been resolved or effectively managed.

4 The hazard information received from the

client has been communicated and effectively
integrated with project plans

5 There are no potential schedule challenges

that could create conditions such as a night
shift, congestion, or other factors that could
negatively impact safety performance.

6 There are no potential contract or financial

challenges such as increased risk
assumption, lack of scope clarity, budget
restrictions, etc. that could negatively impact
safety performance.

7 There are no potential location challenges

such as a remote location, housing
shortages/camp housing, long commute
times, elevation/altitude changes etc. that
could negatively impact safety performance.

8 A security risk assessment has been

performed and all identified risks have been
mitigated.

9 Plans, procedures and resources for

responding to credible emergency events
(weather events, unrest, evacuation, etc.)
have been developed or are in place.

10 There are no potential workforce challenges

such as availability of experienced workers in
the area, union issues, unskilled workers,
 Assessment Comments and/or Actions to
No. Risk Factor
1 2 3 4 5 become Fully Compliant
cultural challenges, competition from other
projects in the area, etc. that could negatively
impact safety performance.

11 Equipment and strategies for managing key

risks/critical risks have been agreed and are
available (e.g. 3 week look ahead, access
equipment/crane strategy)

Client HSE Expectations

This will require a conversation with our client representative. After that conversation, review
with our project management team what those safety expectations are 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.

BeyondZero® Project-Specific Plan

The project team will decide if this project will develop a Project-Specific BeyondZero Plan.

BeyondZero® is Jacobs’ commitment to a culture of caring with a primary focus on safety but is
much more than our commitment to safety; it’s about management and leadership. In order to
achieve a true BeyondZero® culture, we must integrate the philosophy in our daily lives both at
home and at work. At work, we will be implementing project specific BeyondZero® plans to
advance the integration of our BeyondZero® culture.

Preparing a site-specific BeyondZero® Plan for your project or program will not be a fill-in-the-
blank exercise. It will first require a commitment to being a leader in establishing a Culture of
Caring on your site, with your team, with your client and with all stakeholders, contractors,
visitors and consultants. Then it will take thoughtful evaluation of what approach works best for
your project/program environment. Your project BeyondZero® plan will be unique to your project
or program.

Project Regulatory Agency Inspection Procedures

Outline the project’s 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? During the development of the HASAP, the decision needs
to be made on Jacobs role during a Regulatory Inspection. If Jacobs is not asked (by the
Compliance Officer) to be part of the inspection, we need to consider the need for our presence
during the inspection. If we are brought into the inspection from a regulatory perspective, 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. We
have specific procedures for this inspections and they shall be followed.

ADD LANGUAGE IN HERE

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? Identify and implement a process for tracking Jacobs
business-related vehicle miles. 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

HSE Roles and Responsibilities
Describe the HSE roles and responsibilities of all parties involved with the project, preferably by
quoting actual contractual language. Address expectations of the client/owner regarding
company HSE. Refer to the Safety Management Roles and Responsibilities, January 2006
corporate directive for details.

Outline this project’s 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?

How many workhours are in this project’s budget? Have you reviewed it with your HSE
Manager?

Project Safety Inspection and Auditing Requirements

During the planning stages of the HASAP, the project Team will identify the appropriate type of
project below. This will allow the Team to understand the required type/frequency of HSE
surveys and will also serve as a tool for the PM to properly budget for the necessary cost of the
visits. All other contract types can be deleted from the

General Safety Surveys

Routine safety surveys and formal audits will take place on all field related projects where
Jacobs has a presence. The intent of these reviews is to:

1. Ensure the environment that Jacobs employees are working is safe and does not present
any health related hazards
2. Ensure Jacobs HSEPs are implemented as appropriate
3. Ensure our Client requirements and expectations are being met regarding HSE
4. Pro-actively identify best practices and areas of opportunity where HSE can better
support the project and Operations.

Below, identify the Jacobs services that will be performed on this project. The expectation for
frequency of projects is as follows:

PMCM Projects (CM At-Risk) – Full time coverage with Regional HSE Manager oversight. This
will be discussed an agreed to during the planning phase.

PMCM Projects (CM Agent role) –For projects that are Multi-prime, frequency will be at least 2
visits per month.
PMCM Projects (CM Agent, QA/QC, General Inspection) – at least monthly.

RE/CEI/CI – At least monthly, actual frequency will depend on type of work taking place, client
requirements, contractor performance, etc. This will be coordinated with the PM during HASAP
development.

Staff Augmentation – At least monthly, actual frequency will depend on type of work taking
place, client requirements, contractor performance, etc. This will be coordinated with the PM
during HASAP development.

Planning, Environmental, General Engineering, Other - Projects that only require Jacobs
employees to be present onsite from time to time. These projects will be visited as necessary by
the HSE department. Coordination will take place between HSE and the PM.

Safety Evaluation Reviews

The Safety Evaluation Report (SER) process is a core element of the Jacobs HSE program and
defines the approach for the evaluation of office and field locations. Periodic evaluation of
leadership engagement, employee engagement, implementation of HSE processes and systems
and the work environment can help ensure on-going focus on creating and sustaining a
BeyondZero® culture and environment that enables our people to work safely and go home
healthy.
The SER is intended to be comprehensive in scope and includes an evaluation of the
implementation of all appropriate HSE systems and processes, including company, client, and
regulatory requirements. The SER also includes an evaluation of leadership and employee
engagement in the implementation of those systems and processes and in establishing and
sustaining a BeyondZero® culture of caring.
The SER should be tailored to meet the specific needs and requirements of the site.
Specifically, for agency projects and staff augmentation projects, not all aspects of the evaluation
may be applicable. In those cases, the scoring form and actual conduct of the evaluation should
be tailored to provide the maximum benefit to the site.
During the pre-mobilization phase of the project and the development of the HASAP, the Project
Management Team and HSE should agree that an SER will or will not be conducted on this
project. This determination should take into account the following:
 Are we At-Risk. If so, SERs are required
 Is there added value to conducting this formal review?
 Is the client asking for a formal review of the contractor?
 How many Jacobs’ employees are onsite?
 Frequency needed?
 Other

If it is determined that an SER will be conducting on the project, the schedule for doing so should
be developed and communicated to allow for ample time to prepare. The SER should be
conducted in accordance with HSEP 2.2.

SER Schedule (only complete is applicable to this project):

Date Required Participants

Findings from the evaluation will help identify effective program implementation, specific
hazards, and other issues of concern, and will provide a basis for continuous improvement. In
addition, the SER will help identify best practices that may be beneficial to other parts of the
company.
Activities of employees, subcontractors, and any other exposures that could pose risk to them or
a liability for our client or for the Company shall be addressed in the evaluation. Concerns
identified during the evaluation that are not within the contractual responsibility of the Company
and that do not present an exposure to employees or subcontractors should be forwarded to the
appropriate responsible party but are not included in the evaluation report.
Field Office/Trailer Inspections
On a monthly basis, or more frequently is necessary, the PM should ensure that the field office
(building or trailer) is inspected to ensure the office environment remains in safe condition. The
Field Office/Trailer Checklist should be used to document this inspection. Corrective actions that
are identified will be the responsibility of the PM to ensure they are closed out and our
employees, subconsultants, and visitors are aware of any known hazards in the space. Once
completed, this document will be kept as part of the project file and available for review at any
time.

Drug Screening Requirements

Outline the drug screening requirements for Jacobs personnel, plus subcontractor and contractor
workers.
-What are the client/owner’s 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 after-
hours and normal working situations.

Training Requirements
During the planning phase, identify the required training that all employees will be required to
obtain prior to being exposed to a specific hazard. Also, the PM shall verify what training
assigned employees currently have.

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 project’s
OSHA Recordable and/or Days Away Rate goals? On Coordinated Insurance Programs 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 project’s 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.

Client Specific HSE Best Practices

When applicable, the PM, in conjunction with the responsible HSE Manager, should identify
Jacobs HSE best practices that could add value for the client and determine how they will be
reviewed and implemented with this client .
Hazard Identification and Risk Assessment
The primary goal of the hazard analysis is to identify hazards that pose a potential threat of harm
to assets to be protected; namely people, property, and the environment. A secondary goal is to
provide an understanding of the risk remaining after hazard controls have been identified. When
appropriate, other means or methods for hazard analysis may be used, provided they provide
results of similar quality. Although this process is primarily intended for project-level planning to
support development of this HASAP), the same principles apply to activity-level and task-level
planning (SPA). HSEP 2.22 can be referenced for a guide to completing the Hazard and Risk
Assessment.
The hazard analysis process is a collaborative effort involving personnel with the appropriate
expertise to ensure that all credible hazards are identified and addressed. Employees that
should be part of the assessment include: PM, CM, Site personnel, HSE, other with appropriate
expertise.
The hazard analysis shall serve as a means for identifying hazards and assessing risk for project
activities that have the potential to pose harm to our employees, property, or the environment.
When activities change or when new activities are identified, the hazard analysis should be
updated. Improvements in hazard controls or in the project/site HSE program resulting from the
updated hazard analysis shall be implemented in a timely and effective manner and shall be
communicated to the project team.
All the foreseeable hazards associated with a particular activity or project should be identified. In
addition to identifying top-level, generic hazards, the hazard analysis should strive to identify all
credible hazards associated with the specific work activities to be performed on the project.
Project Specific Hazards & Control Measures
The hazard section below shall be used to identify all known potential hazards on this project that
Jacobs employees and subconsultants may be exposed to as well as the client and other
contractors, vendors, etc. From this list, employees and managers (in conjunction with the
assigned HSE Manager), will be able to better identify what hazards should be addressed in their
Safe Plans of Action.

Included below are generic hazards that employees may encounter when on the project. When
assessing the scope of work for known hazards, the Team shall only include those hazards that
our employees and subconsultants may be exposed to. This will help make the HASAP site-
specific. For all hazards below that are not intended to be encountered on this project, delete
them from the list. If there are other hazards that are anticipated, add them with the appropriate
control measure.

This list of hazards and control measures are not intended to be all-inclusive and therefore need
to be assessed/modified for accuracy.

Hazard Control Measures

General Worksite Hazards
Construction Traffic within work area
Excavations
 Be aware of your surroundings at all times, constantly
scanning the work area for potential hazards.
 Properly plan your activity to ensure hazards are identified
ahead of time and proper equipment is available if needed
Wear appropriate Protective Equipment (PPE) including, but
not limited to, the following:
 Hard Hat
 Safety Glasses w/side shields
 Shirt/Blouse w/at least 4 inch sleeves
 Long pants/slacks
 Protective Hard-toe Footwear
 High Visibility Apparel (ANSI Class II or III) Orange (tear
away when in the ROW)
 6” boots for entering train right of way
 Cut resistant gloves
At a minimum take the following precautions:
 Be aware of construction vehicle entry, transport, and exit
points.
 Stand clear of operating equipment.
 Stand clear of equipments swing radius (cranes,
excavators, drill rigs, etc).
 Let the operator of any equipment know your presence
when attempting to cross the work area.
 Listen for the back-up alarm of the moving equipment and
stay out of his path of travel.
 Work or stand facing traffic whenever possible.
 Do not stand under suspended loads.
 Avoid pinch points between equipment.
 Make eye contact with the operator or spotter before
approaching the equipment
 Look for overhead power lines and stay clear of the
equipment
 When working around traffic wear Class III reflective
apparel.
 1 - Competent Person
 2’ – Spoils away from edge
 3’ – Ladder above landing/Surface
 4’ – Access & Egress
 5’ – Protective systems and atmospheric testing
 6’ – Fall protection required if angle >45 degrees
 20’ – Protective system designed by PE
 25’ – Distance to nearest ladder/ramp
 Walkways provided when crossing over excavation.
Struck-By Hazards  Be fully aware of operating construction equipment.
 Be aware of construction equipment movement, specially
swing radii and backing equipment.
 Do not walk too close to operating equipment unless you
have visual contact with the spotter or operator.
 Avoid pinch points between construction equipment and
fixed objects.
 Wear the required PPE, hand protection and face
protection.
 Ensure mobile equipment is equipped with back-up
devices (i.e. alarms, beacons, lights, etc.)
Slip, Trip and Fall  Wear appropriate skid resistant footwear.
 Look at the type and condition of the ground surface; the
ground surface could be uneven, unstable, or icy.
 Avoid walking on steep or slippery slopes or ice.
 Use caution while using ladders, stairs, or other means of
access and egress.
 Stand behind barricades or guardrails.
 Be aware of materials and equipment stored on the
ground.
 Avoid areas with poor housekeeping
Overhead Crane Movement  Locate any crane that may be working in the general
vicinity of your work area.
 Stay out of the crane’s swing radius and ensure the area is
barricaded.
 Stay clear of the work area of the base and boom of the
crane.
 Let the crane operator know your presence when
attempting to cross the work area.
 NEVER PASS DIRECTLY UNDER OR STOP BENEATH A
SUSPENDED LOAD.
 Do not touch the crane when operating near power lines
 Verify that all crane requirements are in place when
operating near power lines.
 Know what the path of overhead loads is prior to entering
the area.
 If a critical pick, verify that an engineered pick plan has
been developed, submitted as required by contract, and
implemented.
Fall Hazards
Confined Space
All exposure levels are based on
ACGIH TLV – NOT OSHA PEL
 Receive training prior to going to the area on the hazards,
control measures, use of systems, etc.
 Use proper fall protection whenever exposed to a potential
fall of 6 feet or greater.
 Use a body harness and lanyard tied into a secure
anchorage point able to withstand 5000lbs. force.
 If an area is observed to have unprotected sides/edges,
stay out of the area and notify the responsible party.
Remove all other workers as well and have a temporary
barrier installed. Proper fall protection is required in
these areas.
 Do not climb ladders unless required for access to perform
your duty. Ladders over 20ft. high require the use of a fall
protection system.
 Do not climb on or over material or equipment.
 Watch for unprotected floor openings, wall openings, and
elevated working surfaces.
 Ensure floor holes are properly protected with covers that
are secure, labeled, and can withstand 2x the intended
load.
 All employees who are expected to be exposed to fall
hazards, they shall be trained in the proper system to be
used, it use, and inspection.
 Ensure a hazard assessment has been completed prior to
entry
 Ensure all atmospheric and physical hazards have been
eliminated and/or controlled prior to entry.
 All entrants and attendants shall be trained prior to entry.
 All confined spaces are “Permit Required” confined space.
 Special project procedures apply.
 Ensure air monitors are present and maintained.
 Ensure air monitors have been bump tested prior to use
 A formal site-specific confined space entry program shall
be developed prior to entry.
 A rescue procedure shall be in place with appropriate
personnel trained in the response procedures.
Only persons trained in confined space recognition and entry
procedures may enter “Non-Permit Required” confined space.
Electrical Hazards  All work should be completed in a de-energized state
 Jacobs employees shall not perform any electrical work.
 Always assume that electrical lines and equipment are
energized until circuits have been properly isolated,
grounded, tagged, locked out and tested.
 If a circuit cannot be de-energized, or clearance cannot be
met, Do not become exposed to live conductors or parts.
 Jacobs does not allow the use of aluminum ladders.
 Do not use metal ladders or scaffolds in and around high
voltage areas.
 Do not work within 10 feet of bare live circuits above 50
volts that are not barricaded or covered. The 10 foot
measurement must be from the nearest part of the body or
hand held object.
 Avoid contact with insulated aerial conductors. Never
assume that insulation on conductors is intact.
 Be extremely cautious in wet conditions.
 Do not rush to the aid of a victim before considering the
source of the problem. Immediately de-energize the circuit
if possible . Call 911 immediately.
 Stay clear from worn or frayed electric cables. Have a
qualified contractor remove such cables.
 Always use left hand when operating any disconnect
switch.
 All electrical outages shall be scheduled with the
appropriate authority.
 Only authorized and qualified persons may enter
energized electrical substations and motor control centers.
Unauthorized employees must be accompanied by a
qualified electrician.
 Prior to any excavation work, the underground utilities
shall be identified.
 Even when the utility company lays out the underground
line, precautions should be taken to ensure that the utility
is visually identified prior digging. Use methods such as
pot holing (i.e. hand digging).
 Whenever red concrete is encountered during excavation,
stop the excavation until a decision is made as to how to
handle the red concrete.
 When digging around a red concrete ductbank, assume
that the ductbank contains live circuits.
 When excavating under ductbanks, assure that the
ductbank is properly shored.
 Never use ductbank as a walkway across excavation.
 Prior to cutting any portion of red concrete duct bank
contact the Electrical engineer assigned to the project.
 Qualified electricians should establish proper approach
boundaries to any area with live exposure (if required to
remain live)
 All portions of the most current version of NFPA 70E are
implemented
Catenary Electrical Requirements
Extreme Hot or Cold Weather
 All work on the ROW requires permission from the host
railroad
 Whenever a track will be fouled, the proper notification
and permission is required from the Host railroad
 Ensure the Electrical Technician is on site during this work
 Verify that the centenary system has been proper de-
energized and is grounded. You should visually see the
grounding.
 Know where the limits of the work zone are – the
centenary is live on the other side of the ground.
 Keep equipment away from overhead lines.
Be aware of warning signs for heat related illnesses, frostbite and
hypothermia. Observe for signs of over exposure to heat or cold
and take corrective steps.
Hot Weather
 Know how to recognize the three most common types of
heat-related illness: Heat Stroke, Heat Exhaustion, and
Heat Cramps.
 Heat strokes are the most severe, can be fatal. Symptoms
include temperature to as high as 105 degrees; red, hot,
and dry skin; a rapid, weak pulse; and rapid, shallow
breathing.
 As first aid for a heat stroke, call 9-1-1 immediately. Wrap
damp sheets around the victim and start fanning them.
Wrap cold packs in a cloth and place them on the victim’s
wrists and ankles, in the armpits and on the neck.
 Victims of heat exhaustion will have a normal temperature,
but will have other symptoms: cool, moist, pale skin;
heavy sweating, headache, nausea or vomiting and
dizziness.
 Heat Cramps are muscular pains and spasms that result
from intense exertion. Cramps most often attack the
abdomen and legs.
 To avoid heat illnesses:
1. Wear lightweight, light-colored clothing,
2. Drink plenty of water,
3. Take regular breaks,
4. Eat small meals.
Cold Weather
Frostbite and hypothermia are two types of cold injury. Two factors
influence cold injury: Temperature and wind velocity.
Symptoms: Pain in the extremities, severe shivering.
Prolonged exposure to cold air, or to immersion in cold water can
lead to hypothermia.
Remedies:
 Wear appropriate wind resistant warm clothing in layers.
 Protect exposed skin.
 Monitor temperatures and take breaks in warm shelter as
necessary to prevent over exposure.
Drill-rig Operations
Welding, burning, and Cutting
 Stand clear of operating machinery.
 Do not approach rotating parts of the equipment unless the
equipment is idle and you have made eye contact with the
operator
 Wear ear protection.
 Stand away from the excavated edges of the footing
excavations.
 Look for signs that the excavation may cave in (i.e.
cracking, fissuring, sloughing, etc.)
 Have a dust mask or respirator available for use, as
warranted by field conditions (respirator program and
requirements would be required).
 Fall protection is required when at the edge of a shaft.
 Stay clear of the swing radius and pinch points
 DO NOT watch a welding operation. Doing so may cause
“flash” burn on your eyes.
 Verify that the proper hot work permit system is in place.
 Note any combustibles or flammables that are within 35ft.
of the operation (this could be below, on the other side of a
wall, etc.)
 Protect yourself from sparks, flying slag, and flame
brilliance at all times.
 Wear appropriate PPE, including hardhats, safety glasses,
earplugs, and safety vest.
 Have protective screens installed to protect others from
exposure.
 Never permit oil, grease or other readily combustible
substances to come in contact with oxygen cylinders or
valves.
 Have a fire extinguisher within 25 ft. of work area.
 Have appropriate hot work permit in place with the project
and any regulatory agency
 For NYC, fire watches and those performing hot work must
have the Certificate of Fitness on them.
 When possible, designate hot work areas for welding
Ladders and Stairs Ensure that all ladders are:
 Inspected on a regular basis,
 Not broken or damaged,
 Secured at top and bottom,
 Extend 3 feet above the top of landing.
 Appropriate for the intended use.
 Do not separate or use separated extension ladders
 Use step ladders in the full open position, do not lean them
against a wall

While on a ladder:
 Maintain three-point contact. Always face the ladder and
grip it with both hands.
 Never lean or reach outside the rungs of the ladder.
 Use another employee to help stabilize the ladder when
necessary
 DO NOT carry materials or equipment when ascending
and descending the ladder

Ensure that all stairs:

 Are secured and in good condition.
 Have handrails on at least one side of the stair way
 Have stair rails on all open sides of the stair when there
are 4 or more risers or 30” high
 Have anti-slip coating on treads.
 Ensure handrails do not have projections
Demolition Ensure that:
 There is an engineered demo plan has been developed
when there is a chance of unplanned collapse of the
structure.
 Ensure that all utilities have been de-energized, capped
and verified dead prior to demolition.
 The public is protected from the hazards of demolition
activities by erecting site fencing, barricades, canopies,
etc.
 Safe access to local businesses and residences is
maintained.
 Pedestrians and curious souls are escorted away from the
demolition area.
 Appropriate traffic control and maintenance devices are in
place.
 Dust control measures are being utilized.
 Housekeeping is maintained.
 Chutes are utilized to control the path of discarded
materials. Do not throw materials from an upper level.

During field inspection:

 Stay clear of the demolition equipment.
 Have a dust mask or respirator available for use. If
required for the task, training, medical clearance, and fit
testing is required.
 Do not go near any part of the building/structure being
demolished.
 Have appropriate fall protection to inspect any elevated
part of the structure.
Work near or at track (rail)
Lead Exposure
Asbestos Exposure
 Do not stand on, walk on, sit on, or use the third rail or
protection board/cover as a step.
 Do not come in contact with the third rail unless
specifically required in the performance of duty.
 Do not carry any metal objects when close to the third rail.
 Keep away as far as possible from the third rail during wet
conditions.
 Never assume that the third rail is dead.
 Avoid stepping on loose material piled close to the third
rail.
 Do not come in contact with any third rail shoe of a car, all
third rail shoes are energized if at least one shoe is in
contact with the third rail.
 Do not walk between the running and third rail of any
track.
 Become aware of the third rail anchors and cable feed, as
they are tripping hazards.
 Do not look at train collector shoes during movement,
particularly at track switches (turnouts) and third rail gaps.
 Follow safety rules covered during Railroad Worker Safety
Training.
 Wear proper PPE for ROW
 Be aware that the FRA has jurisdiction and can cite an
employee personally for not following the rules
 Do not use cell phones when in the ROW
 Do not cross the rails at a switch area.
 Do not go in any area where potential for lead exposure
exists.
 Ensure that the contractor establishes the extent of lead
exposure.
 All eating, drinking and smoking areas must be well away
from any lead exposure operations. A minimum distance is
50 feet; longer distances are desirable.
 Employees who are potentially exposed or could be, they
shall me trained
 Employees must be entered into the Lead Monitoring
Program

 Do not go in any area where asbestos abatement is
performed.
 Ensure that the independent CIH conducts air monitoring.
 Do not enter the asbestos abated area until the CIH
establishes it is safe to enter the area.
 All eating, drinking and smoking areas must be well away
from any asbestos abatement areas.
 If asbestos is noticed, leave the area immediately and
contact the responsible party
Tunneling Hazards  Do not enter until you receive the necessary training
 Be aware of tunneling equipment, such as but not limited
to; excavators, blasting equipment, cranes, haulers,
conveyors, TBM equipment, etc. This equipment is
operating in any location at any time.
 Back up alarms should be audible for the environment
they are working in.
 Ensure the atmospheric conditions are maintained
properly through the ventilation system.
 Ensure the ventilation system is operating as designed.
 Do not enter areas where active mining is taking place.
Stay clear until the area is safe to enter and we have told
so.
 Follow the developed entry procedures for all shotcrete
areas.
 If gassy operations are encountered, evacuate the space
until the atmosphere is safe to enter.
 Wear all required PPE
 Follow the evacuation procedures if necessary. Ensure
you fully understand them and where you should go to
muster.
 Have a self rescue respirator available or know where to
get one.
 Ensure you sign in/out on the entry board
Scaffold Hazards and Use  Ensure you have proper scaffold training for Users prior to
(Supported Scaffold) accessing the scaffold. (In NYC, 4hr Scaffold User training
is required. Card must be on the person.)
 Visually inspect the scaffold prior to use, ensure the
designated competent person has for that day/shift. Verify
scaffolds are tagged.
 Ensure working platforms are complete and planked front
to back with no gaps greater than 1inch.
 Ensure planking is in good condition, no dry rot, cracking,
etc.
 Ensure proper access is provided; attached ladder,
extension ladder, stair sections). If not, do not access the
scaffold. Use of the cross bracing is not allowed. Only
certain types of frames are designed to be used as a
ladder.
 Verify that the foundation is adequate, look for signs of
failure is the base.
 Leveling jacks, base plates, and mudsills should always be
used.
 Ensure guardrails are in place with toe boards at all
heights over 10ft.
 Ensure that the scaffold is secured to the structure at
required intervals or as required by the
Qualified/Competent Person (first tie is at 4h:1b ratio,
every 26ft. thereafter and 30ft. horizontally)
 Scaffolding design is appropriate to its intended purpose.
 Scaffolds are inspected daily by a competent person. If it
is not inspected and tagged, do not go on the scaffold.
 Defects are repaired in a timely manner.
 If enclosing the scaffolding, make sure qualified person
identifies the wind load and makes proper modifications to
the tie-in requirements to prevent collapse,

Activities That Require A Safe Plans Of Action (SPA)

For all the hazards identified above, when an employee sets out to perform an activity that
includes one of the stated hazards they should complete and SPA.

Jacobs HSE Procedure 2.16, SPA (Pre-Task Planning), outlines Jacobs’ procedures on this topic.

This section is to address the following:

 When and where the SPA shall be completed.
 Identification of tasks that require or do not require a SPA.
 Employee and supervisor involvement in SPA development including review and
approval.
 Supervisor and HSE involvement in SPA monitoring and assessment.
 Work stoppage when a deficiency in the SPA is discovered due to a change.
 The SPA shall be documented using the SPA form (HSEP 2.16f1). The SPA
assessment shall be performed using the SPA Assessment and Observation card (HSEP
2.16f2).

Daily Safety Briefings

Due to the ever changing environment on our project sites, our project team should conduct a
daily safety briefing to include the entire team. The intent of this meeting is a high level
overview of the days known activities that will be taking place on the site. This will allow the
team to discuss known issues that they should be aware of and inform others that may not be as
familiar with the site/activities. This meeting should be a documented meeting with employee
signatures and dates. This document should be filed on the job and available for observation at
any time. Examples of items that should be covered daily include, but are not limited to:

 Access and egress throughout the site, changes in access/egress points, etc.
 Major contractor activities (crane lifts, excavations, etc.)
 Known visitors and who will be responsible for them
 Weather
 Fall hazards and control measures
 Other
 HAZARD ASSESSMENT SAFETY ACTION PLAN
PRE-MOBILIZATION OFFICE LOCATION SAFETY CHECKLIST

It is critically important that the areas our employees will work out of are in a safe and
secure area. The following checklist is to be completed
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. GBNA, NAI,
etc).
Project MOP: Project Name:

Date: (date written) Project Location:

Coordinator: Planning Team Members:

Asst. Coordinator/Back-up:

Jacobs Project Emergency Response Action Plan

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. Refer to Addendum 1 to ensure
consistent implementation of contact information.

It is important that all employees understand how to properly respond in the event of an
emergency and what their role will be. This procedure identifies the steps necessary to properly
respond to an emergency situation.

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)

Contact Kelly Bankston in Risk Management to identify the medical clinics in the area of
the project that meet Jacobs requirements.

Drug screening locations are identified from the Local HR Partner and vary depending
on the employees location.

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

F. 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 (numbered to correspond to assembly points).

Enter an evacuation map here

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. GBNA, NAI,

etc.)
Project MOP: Project Name:

Project Number: Project Location:

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

After reviewing the above HASAP, please sign (or Email confirmation) in the space provided
below to acknowledge your acceptance of and agreement to this HASAP. A copy of signatures
(or Email confirmation) is to be kept in the project’s files.

Project Manager Date

Project Director / Manager of Projects Date

Regional Operations Manager (or Email confirmation) Date

Regional HSE Manager (or Email confirmation) Date

Division/Senior HSE Manager (or Email confirmation) Date