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ACTIVITY HAZARD ANALYSIS

Date Submitted: August 18,2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date: ___________________________ Date of Pre-Phase Meeting:______________________________________ Accepted by Govt. Rep.: ______________________________ (Signature)

Submitted by Contractor: _________________________________ (Signature)

__________Safety Officer______________ ____________________________________ (Title) (Title) (Date) Comments by Govt. Rep:____________________________________________________________________________________________ __________________________________________________________________________________________________________________ PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Spec. Sec. 01 90 00 Mobilize on Site Set up Traffic & Pedestrian Controls Hit by automobiles Two person crew minimum, wear orange safety vests, stay alert to traffic; have flag person or use stop sign

Traffic congestion & accidents Strictly adhere to approved Traffic Control Plan diagrams Foreign Objects in Eyes and descriptions Foreign Objects in Eye Must wear safety glasses at all times while on jobsite Two person crew minimum, work out of back of truck, wear safety vests, stay alert

Place Traffic Barriers & Signs

Hit by automobiles

Barriers hit by on coming autos Two person crew minimum, work out of back of truck, wear safety vests or reflective clothing, stay alert EQUIPMENT TO BE USED Flashing Traffic Barriers & Approved Directional Signs Traffic confusion & accidents Use traffic barriers with flashing lights from safety INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTS Daily, notify safety systems if any flashers are not working OJT/Surrounding environment awareness

POD Form 184-R (REV) 16 Oct 98

(Edition of 22 Apr 91 is obsolete)

(Sheet 1 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Hand pinch and cut injuries

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Wear leather gloves and use both hands to lift and open barricades for placement when necessary

Eye Injury, Foot & Head Injury Sunburn

Must wear safety glasses, steel toe shoes, and hard hat
at all times while on jobsite Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves Make sure personnel stays hydrated Install temporary construction fence to enclose area of sidewalk work Stay within construction area Post signs stating construction area; hard hat area etc. Overhead lines will be flagged with (orange) marking ribbon. Upon completion DPW will be notified of where the circuit is located.

Temporary Control Fences

Dehydration Public Entry and tripping

Public Injury Temporary Electrical Power

Prevent Electrocution

All Potential Hazards

Assess work area prior to starting work on any task. Appropriate AHA's to be reviewed during Weekly Safety Meeting.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) __Safety Officer________________ (Title) _______________________________________ (Title) (Date)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. Spec. Sec. 02 41 00 Tripping / falling General jobsite requires daily cleanup. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Must wear two banded dust mask whenever generating dust Use wet method, if possible Use half mask respirator when required. ACTIVITY Demolition POTENTIAL HAZARDS Foot and skin punctures PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Remove any protruding nails from debris

Inhalation of dust

Eye Injury, Foot & Head Injury Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite EQUIPMENT TO BE USED Hand Tools Electric Saw PPE Wheel Barrow POD Form 184-R (REV) 16 Oct 98 INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Daily (Edition of 22 Apr 91 is obsolete) TRAINING REQUIREMENTS OJT Tradesmen OJT OJT

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Debris falling and Hitting people below

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Immediately pick up and bag all debris as it is created Tie trash bag down until ready to remove No throwing debris from different levels unless proper precautions are taken

Cuts

Wear leather gloves when handling debris

Loss of hearing

Use of ear plugs if noise exceeds DOD Noise exposure levels

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:___________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) ______Safety Officer_____________ (Title) _____________________________________ (Title) (Date)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Spec. Sec. 02 83 13.00 20 LEAD IN CONSTRUCTION Lead Paint Removal only by trained personnel from R&D Technology Following their approved Lead Plan and asbestos removal plan Remove any protruding nails form debris

Inhalation, Skin Exposure

Foot and skin punctures

Tripping / falling

General jobsite requires daily cleanup. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Must wear two banded dust mask whenever generating dust TRAINING REQUIREMENTS Tradesmen Tradesmen OJT

Inhalation of dust EQUIPMENT TO BE USED Hand Tools Respiratory PPE

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily

POD Form 184-R (REV) 16 Oct 98

(Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Eye Injury, Foot & Head Injury

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Cuts

Wear leather gloves when handling debris

Debris falling and Hitting people below

Immediately pick up and bag all debris as it is created Tie trash bag down until ready to remove

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature)

_______Safety Officer______________ ___________________________________ (Title) (Title) (Date) Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Spec. Sec. 13280A Asbestos Abatement Asbestos Dust exposure All workers must comply with approved asbestos Removal Plan Operation Requirements Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite Use correct Lifting Procedures, 2 people if needed Wet Removal Methods to be used, Only R&D Personnel allowed in the containment area Use GFCI on all power tools Inspect power and extension cords.

Foot & Head Injury Back Injury Exposure to Public of LCP Shocks, Electrocution Falls

EQUIPMENT TO BE USED Hand Tools Respirators PPE Harness/Lanyard POD Form 184-R (REV) 16 Oct 98

Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor INSPECTIONS REQUIREMENTS TRAINING REQUIREMENTS Daily Tradesmen Prior to each use OJT; fitting Daily OJT Daily, Prior to each use Fall Protection Awareness (Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


All Potential Hazards

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date:_____________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) _____Safety Officer______________ ______________________________________ (Title) (Title) (Date) Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. Spec. Sec. 09100N ACTIVITY Metal Studs POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Saws must have operable guards, Wear Gloves Use sharp hand saw, wear gloves when necessary Bend over sharp edges. Do not walk thru stud walls. Use correct Lifting Procedures, 2 people if needed Wear 2 banded particulate mask

Cut on hands

Back Injury Dust when drilling

Shocks, Electrocution Excessive Noise

Use GFCI on all power tools Inspect power and extension cords. Use of ear plugs if noise exceeds DOD Noise exposure levels TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall protection/awareness training

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Ladder POD Form 184-R (REV)

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

16 Oct 98

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Trips & Falls

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard Attached to anchor Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Eye Injury, Foot & Head Injury

Foot or hand puncture

Keep site and work area clean of excess screws and debris. Use proper handling of cut off pieces of metal and proper disposal methods.

All potential hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet _2_of _2_ Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) ____Safety Officer_______________ (Title) PHASE NO. Spec. Sec. 26 20 00 ACTIVITY INTERIOR DISTRIBUTION SYSTEM POTENTIAL HAZARDS Shock, electrocution ____________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Visual inspections shall be conducted to ensure that equipment or lines are de-energized Inspect power and extension cords. Use GFCI on all power tools Inspect power and extension cords. Use of ear plugs if noise exceeds DOD Noise exposure levels Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Clean up site daily Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Excessive Noise

Trips & Falls

Eye Injury, Foot & Head Injury

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Harness/Lanyard POD Form 184-R (REV)

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS Tradesman-Electrician OJT OJT Fall protection & awareness training, if used

(Sheet _1_of _2_ Sheets)

16 Oct 98

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY


Install new conduit runs

POTENTIAL HAZARDS
Cut on hands

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Saws must have operable guards, Wear Gloves if necessary Use sharp hand saw, wear gloves when necessary Use correct Lifting Procedures, 2 people if needed Two or more person(s) lifting teams Use mechanical aide such as hand truck Wear 2 banded particulate mask when creating dust

Back Injury

Dust when drilling

Excessive Noise

Use of ear plugs if noise exceeds DOD Noise exposure levels

Fire

Current Burn permit on person doing hot work Have fire extinguisher where hot work being performed Clean threading machine daily of excess shavings Use clean, absorbent material to catch excess oil. Remove material from site if soiled. Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet _2_of _2_ Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ (Signature) ______Safety Officer______________ (Title) Accepted by Govt. Rep.: ______________________________ (Signature) ______________________________________ (Title) (Date)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. Spec. Sec. 06 20 00 ACTIVITY Finish Carpentry POTENTIAL HAZARDS Dust PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Wear 2 banded particulate mask when generating dust

Back injury, muscle strain

Use caution lifting Saws must have operable guards, Wear Gloves as necessary. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Cut on hands Falls

Foot, Head & Eye Injury

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Harness/Lanyard POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall Protection Awareness

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Shocks, Electrocution

Use GFCI on all power tools. Inspect power and extension cords.

Excessive noise

Use of ear plugs if noise exceeds DOD Noise exposure levels Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet _2_of _2_ Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii

Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) _______Safety Officer_______________ (Title) ___________________________________ (Title) (Date)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Spec. Sec. 09 29 00 Gypsum Board Foot and skin punctures Tripping / falling Remove any protruding nails from debris General jobsite requires daily cleanup. Watch power cords. Keep out of walk area Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Watch extension cords so not a tripping hazard Inhalation of dust Must wear two banded dust mask when generating dust Use vacuum attachment to minimize dust

Eye Injury, Foot & Head Injury Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite EQUIPMENT TO BE USED Hand Tools Electric Saw PPE Ladder POD Form 184-R (REV) 16 Oct 98 INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete) TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall protection/awareness training

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Cuts to Hands & Body

Use sharp knives and drywall saws

Skin Irritation From GB Dust Use barrier cream on exposed skin

Falls from Step Ladders

Use adequate height stepladders to reach work without Stepping on top two steps Use Gypsum Board Screws and screw gun to assemble

Punctures to hands

Shock / electrocution

Use GFCI on all power tools. Inspect power and extension cords. Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet _2_of _2_ Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) ________Safety Officer____________ (Title) _____________________________________ (Title) (Date)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. Spec. Sec. 09200A ACTIVITY EFIS Fire No coatings to be stored on site must be removed daily POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Fumes/Vapors

Wear half face respirator during application of coatings

Foreign object in eyes

Must wear safety glasses at all times

Foot & Head Injury

Must wear steel toe shoes, and hard hat at all times while on jobsite

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Ladder

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use

TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall protection/awareness training

POD Form 184-R (REV) 16 Oct 98

(Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Skin Irritation

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Must wear gloves during install. Wash hands immediately if compound is on skin.

Falls

Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: _______________________________ (Signature) (Signature) _________Safety Officer___________ (Title) _____________________________________ (Title) (Date)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. Spec. Sec. 09 90 00 ACTIVITY PAINTS AND COATINGS POTENTIAL HAZARDS Fire PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN No flammable paints or coatings to be stored on site must be removed daily Wear half face respirator during application of coatings Have adequate ventilation (bring fan if necessary) Must wear safety glasses at all times Must wear steel toe shoes, and hard hat at all times while on jobsite Wear gloves during install as necessary. immediately if compound is on skin. Wash hands

Fumes/Vapors Airless spraying Foreign object in eyes Foot & Head Injury

Skin Irritation

EQUIPMENT TO BE USED Airless sprayer equipment Electric Saw PPE POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS Tradesmen Tradesmen OJT

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Falls

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor

Trips

Watch hoses and power cords Clean up daily Use GFCI on all power tools & equipment Inspect power and extension cords. Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

Shock / electrocution

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) ____Safety Officer_______________ (Title) Accepted by Govt. Rep.: ______________________________ (Signature) _______________________________________ (Title) (Date)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. Spec. Sec. 06200A ACTIVITY Carpentry, Finish POTENTIAL HAZARDS Dust PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Wear 2 banded particulate mask

Back injury, muscle strain

Use caution lifting Saws must have operable guards, Wear Gloves. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall Protection Awareness

Cut on hands Falls

Foot, Head & Eye Injury

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Harness/Lanyard POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Shocks, Electrocution

Use GFCI on all power tools Inspect power and extension cords.

Excessive Noise

Use of ear plugs if noise exceeds DOD Noise exposure levels Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) _____________________________________ (Title) (Date)

__Safety Officer____________________ (Title)

Comments by Govt. Rep:____________________________________________________________________________________________ PHASE NO. Spec. Sec. 07 84 00 ACTIVITY Firestopping POTENTIAL HAZARDS Fire Fumes/Vapors Foreign object in eyes Foot & Head Injury PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN No coatings to be stored on site - must be removed daily Were half face respirator during application of coatings Must wear safety glasses at all times Must wear steel toe shoes, and hard hat at all times while on jobsite Recommended wear gloves during install. immediately if compound is on skin. Wash hands

Skin Irritation

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Ladder POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall protection/awareness training

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Cut on hands

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Saws must have operable guards, Wear Gloves

Eye Injury, Foot & Head Injury

Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Shock, electrocution

Must Use GFCI on all electrical tools Inspect power and extension cords.

Falls from Step Ladders

Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii

Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) _________Safety Officer_____________ (Title) ACTIVITY POTENTIAL HAZARDS Install Wood Doors Back injury Strains __________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

PHASE NO. Spec. Sec. 08 14 00

Use adequate number of people to carry door

Eye injury, foot & head injury Must wear safety glasses, steel toe shoe and hard hat at all times while on jobsite Falls Use proper ladder setup for correct working height Shock Trips, Falls Skin Irritation Face Cuts Gunshot Nail Penetrations Use GFCI at all times Clean up site daily Wear gloves and/or clean hands immediately if compound is on skin When saw cutting metal, use face shield over glasses All powder actuated tool operators must be certified for the particular tool TRAINING REQUIREMENTS Tradesman Tradesman OJT OJT Operators certification

Mount jams and hinges

EQUIPMENT TO BE USED Hand Tools Electric Saw * Drills Caulk gun, Hand Tools PPE Powder Actuated Tools POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Cutting & Fabricating

Eye injury, foot & head injury Falls Foreign Objects in Eyes Dust Inhalation

Must wear safety glasses, steel toe shoe and hard hat at all times while on jobsite Use proper ladder setup for correct working height Must wear safety glasses at all times while on jobsite Wet sweeping and vacuuming. mask. Wear 2 banded particulate

Shock / electrocution Unloading Trips, Falls Crush Injuries Sunburn Shock when vacuuming

Use GFCI at all times Inspect power and extension cords. Clean up site daily Stay clear of load at all times, use bobcat with fork to unload and stack Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves Must use GFCI for all extension cord sources of power. Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii

Activity Start Date:_______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) _________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

PHASE NO. Spec. Sec. 08 11 13

________Safety Officer______________ (Title) ACTIVITY POTENTIAL HAZARDS Doors, Hollow Metal & Frames Back injury Strains

Use adequate number of people to carry door Use mechanical aid when possible

Eye injury, foot & head injury Must wear safety glasses, steel toe shoe and hard hat at all times while on jobsite Falls Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Use GFCI at all times Inspect power and extension cords. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall Protection Awareness

Shock / electrocution Trips, Falls

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Harness/Lanyard POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Foreign Objects in Eye Face Cuts

Must wear safety glasses at all times When saw cutting metal, use face shield over glasses

Skin Irritation

Wear gloves and/or clean hands immediately if compound is on skin

Excessive noise

Use of ear plugs if noise exceeds DOD Noise exposure levels

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet _2_of _2_ Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520 & 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) _____Safety Officer______________ (Title) ACTIVITY POTENTIAL HAZARDS Signage, Interior ____________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

PHASE NO. Spec. Sec. 10440

Eye Injury, Foot & Head Injury Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite Back and Muscle Strain Excessive Noise Use adequate number of people to carry and lift sign Use of ear plugs if noise exceeds DOD Noise exposure levels Watch power cords to avoid tripping hazard Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor

Trips & Falls

EQUIPMENT TO BE USED Hand Tools Power Tools PPE

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily

TRAINING REQUIREMENTS OJT Tradesmen OJT

POD Form 184-R (REV) 16 Oct 98

(Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Shock / electrocution

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Inspect power and extension cords. Use GFCI on all power tools

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet _2_of _2_ Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520 & 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) ________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Lockout/Tag out all circuits prior to work. Key to be kept by electrician and Project Manager (unless another person has been designated). Phone number must be posted Tags must be legible and understood by all authorized personnel. Circuit breakers shall clearly indicate whether they are in the open or closed position. Inspect power and extension cords.

_________Safety Officer_______________ (Title) PHASE NO. Spec. Sec. 16410A ACTIVITY Electrical, A.T.S & BP/ISO SW POTENTIAL HAZARDS Shock, electrocution

EQUIPMENT TO BE USED Hand Tools Tag out system

INSPECTIONS REQUIREMENTS Daily Daily

TRAINING REQUIREMENTS Tradesman-Electrician Employees shall be trained in the limitations of tags Daily inspections shall be conducted to ensure that all requirements are being followed (Sheet _1_of _1_ Sheets)

POD Form 184-R (REV) 16 Oct 98

(Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Eye Injury, Foot & Head Injury

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Trips & Falls

Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Clean up site daily

Hearing loss

Use of ear plugs if noise exceeds DOD Noise exposure levels Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet _2_of _2_ Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii

Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) ____________Safety Officer___________ (Title) ACTIVITY POTENTIAL HAZARDS Electrical, Interior Lt. Fixture Shock, electrocution ____________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

PHASE NO. Spec. Sec. 16415A

Must Use GFCI on all electrical tools Inspect power and extension cords. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Make sure extension cords are not in excess to cause tripping Clean up site daily

Trips & Falls

Eye Injury, Foot & Head Injury

Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

EQUIPMENT TO BE USED Hand Tools Electric Saw Ladder PPE Harness/Lanyard POD Form 184-R (REV) 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS Tradesman-Electrician OJT OJT Fall protection and awareness training, if used (Sheet _1_of _2_ Sheets) 16 Oct

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009 Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) __________Safety Officer_____________ (Title) PHASE NO. Spec. Sec. 16375A ACTIVITY Electrical Underground POTENTIAL HAZARDS _________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Keep and drink plenty of water during work day Wear sunscreen

Heat Stress/ Heat Exhaustion

Cuts

Refer to all other AHAs, keep Bio Hazard and First Aid Kits on site at all times Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves 2 CPR Trained people on site at all times

Sunburn

Heart Attack

EQUIPMENT TO BE USED Water Cooler with Cup Dispenser First Aid Kits PPE POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Weekly Daily (Edition of 22 Apr 91 is obsolete) OJT

TRAINING REQUIREMENTS

Checklist on site OJT

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Shock, electrocution

Must Use GFCI on all electrical tools Inspection of Frayed & exposed extension cords. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Make sure extension cords are not in excess to cause tripping

Trips & Falls

Eye Injury, Foot & Head Injury

Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Back strain and sprain

Use mechanical aide when possible Use proper lifting techniques Use two man lifting team when possible Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii

Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: ____________________________ _____ Accepted by Govt. Rep.: ______________________________ (Signature) _______Safety Officer_______________ (Title) POTENTIAL HAZARDS Dust

(Signature) ___________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

PHASE NO. Spec. Sec. 09 51 00

ACTIVITY

Acoustical Ceilings

Wear 2 banded particulate mask

Back injury, muscle strain

Use caution lifting Saws must have operable guards, Wear Gloves. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall Protection Awareness

Cut on hands Falls

Foot, Head & Eye Injury

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Harness/Lanyard POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Shocks, Electrocution

Use GFCI on all power tools Inspect power and extension cords.

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) ________________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Saws must have operable guards, Wear Gloves Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

___________Safety Officer____________ (Title) PHASE NO. Spec. Sec 13851A ACTIVITY Fire Alarm POTENTIAL HAZARDS Cut on hands

Eye Injury, Foot & Head Injury

Shock, electrocution

Must Use GFCI on all electrical tools Inspect power and extension cords. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor

Falls from Step Ladders

EQUIPMENT TO BE USED Hand Tools Electric Saw PPE Ladder POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall protection/awareness training

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Dust inhalation

Wear 2 banded particulate mask when creating dust

Back injury, muscle strain Excessive noise

Use caution lifting and mounting equipment Use of ear plugs if noise exceeds DOD Noise exposure levels

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) _______________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Saws must have operable guards, Wear Gloves

________Safety Officer______________ (Title) PHASE NO. Spec. Sec. 13930A ACTIVITY Fire Sprinkler System POTENTIAL HAZARDS Cut on hands

Must wear safety glasses, steel toe shoes, and hard hat Eye Injury, Foot & Head Injury at all times while on jobsite Shock, electrocution Must Use GFCI on all electrical tools Inspect power and extension cords.

Falls from Step Ladders

Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor

EQUIPMENT TO BE USED Hand Tools Electric Saw PPE Ladder POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall protection/awareness training

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Dust

Wear 2 banded particulate mask

Back injury, muscle strain

Use caution lifting and mounting equipment

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) ____________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Wet Vacuum Floor Area, Wear Dust Mask Wear half mask respirator when sanding

__________Safety Officer____________ (Title) PHASE NO. Spec. Sec. 09 30 00 ACTIVITY Ceramic Tile, Quarry Tile, and Paver Tile POTENTIAL HAZARDS

Dust inhalation

Fires

No Compounds or Adhesives to be stored on site - must remove from site daily Fire extinguisher at location Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Apply Leveling Compound / Adhesive

Eye, Foot & Head Injury

EQUIPMENT TO BE USED Hand Tools Caulk gun, Hand Tools PPE

INSPECTIONS REQUIREMENTS Daily Daily Daily Tradesmen Tradesmen OJT

TRAINING REQUIREMENTS

POD Form 184-R (REV) 16 Oct 98

(Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Shocks, Electrocution

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Use GFCI on all power tools. Inspect power and extension cords. Use barrier cream on exposed skin or appropriate gloves Were half face respirator during application of adhesive, if necessary Use of sharp blades Cut away from body or other people Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

Skin Irritation Fumes/Vapors

Cuts on hands

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) _________Safety Officer____________ (Title) PHASE NO. Spec. Sec. 02300 ACTIVITY Earthwork Excavation POTENTIAL HAZARDS Mobilization Accepted by Govt. Rep.: ______________________________ (Signature) ______________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Watch and have traffic control Flagman to wear visible clothing Obey base traffic laws, deliver to site designated and approved on Project Site Map Saws must have operable guards, Wear Gloves if necessary

Traffic Accidents

Cut on hands

Eye Injury, Foot & Head Injury Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite Back and Muscle Strain Use adequate number of people to carry and lift

EQUIPMENT TO BE USED Hand Tools Electric Saw PPE Brooms/Vacuum Surveying Equipment POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Daily Visual (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS OJT OJT OJT Skilled Tradesmen

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Dust

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Must wear appropriate dust mask Use wet method for dust control Cover dirt pile with cloth

Noise Public Entry and tripping

Use of ear plugs if noise exceeds DOD Noise exposure levels Install temporary construction fence to enclose area of sidewalk work Must use GFCI for all extension cord sources of power. Inspect power and extension cords. Wear sunscreen on all exposed skin and face. pants and shirt with sleeves Wear long

Shock / electrocution

Sunburn

All Potential Hazards

Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) ______________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

____________Safety Officer____________ (Title) PHASE NO. Spec. Sec. 02360 ACTIVITY HTRW Soil Treatment POTENTIAL HAZARDS

Eye Injury, Foot & Head Injury Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite Back and Muscle Strain Dust inhalation Traffic Accidents Use adequate number of people to carry and lift Must wear appropriate dust mask Obey base traffic laws, deliver to site designated and approved on Project Site Map Use adequate number of people to carry and lift

Back and Muscle Strain

EQUIPMENT TO BE USED Hand Tools Power Tools PPE POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily (Edition of 22 Apr 91 is obsolete) Tradesmen Tradesmen OJT

TRAINING REQUIREMENTS

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Sunburn Skin Irritation

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Wear adequate Sunscreen Wear gloves and/or clean hands immediately if chemical is on skin Wear half face respirator during application Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

Inhalation of fumes All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) _______Safety Officer_____________ (Title) PHASE NO. Spec. Sec. 02770A ACTIVITY Concrete Curbs, Gutters S/W POTENTIAL HAZARDS Concrete Dust Inhalation Falls Foot & Head Injury Accepted by Govt. Rep.: ______________________________ (Signature) ____________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Wear 2 banded particulate mask. Harness & Lanyards must be used in man lifts Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Eye Injury

Must wear safety glasses

Back injury, muscle strain

Use caution lifting

EQUIPMENT TO BE USED Hand Tools Electric Saw PPE Harness/Lanyard POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

TRAINING REQUIREMENTS OJT OJT OJT Fall protection class

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Heat Stroke/ Heat Exhaustion Keep and drink plenty of water during work day

Cuts

Refer to all other AHAs, keep Bio Hazard and First Aid Kits on site at all times Wear Sunscreen on all exposed skin and face, Wear long pants and shirt with sleeves 2 CPR Trained people on site at all times Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

Sunburn

Heart Attack All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: October 1, 2009

Contract No.: W9128A-09-C-0006 Name of Project: Restore Showers and Replace Water Heaters with Solar Heaters, Bldg. 520& 525, Fort Shafter, Oahu, Hawaii Activity Start Date:______________________________________ Date of Pre-Phase Meeting:_____________________________ Submitted by Contractor: _________________________________ (Signature) Accepted by Govt. Rep.: ______________________________ (Signature) _____________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

PHASE NO. Spec. Sec. 04200

____________Safety Officer___________ (Title) ACTIVITY POTENTIAL HAZARDS Masonry Dust Inhalation Falls

Wear 2 banded particulate mask. Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite

Foot & Head Injury

Eye Injury

Must wear safety glasses

Back injury, muscle strain EQUIPMENT TO BE USED Hand Tools PPE Harness/Lanyard POD Form 184-R (REV) 16 Oct 98

Use caution lifting TRAINING REQUIREMENTS Tradesmen OJT Fall Protection Awareness

INSPECTIONS REQUIREMENTS Daily Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS


Cut on hands

PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN


Wear Gloves

Disassemble forms and remove

Hand injury

Use screw gun to disassemble formwork and remove screws

Back injury, muscle strain Use caution when lifting Two man teams to lift or move heavy items Use mechanical aide when possible

Heat stress

Wear sunscreen Stay hydrated Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii

Activity Start Date:______________________________________ Date of Pre-Phase Meeting:____________________________ Submitted by Contractor: _________________________________ (Signature) _______Safety Officer_____________ (Title) ACTIVITY POTENTIAL HAZARDS Air supply, Distri Cut on hands bution , Ventil ation Eye Injury, Foot & Head Injury & Exhaus t System Shock, electrocution s Accepted by Govt. Rep.: ______________________________ (Signature) ____________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Saws must have operable guards, Wear Gloves

PHASE NO. Spec. Sec. 23 00 00

Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite Must Use GFCI on all electrical tools Inspect power and extension cords.

Falls from Step Ladders

Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor TRAINING REQUIREMENTS Tradesmen Tradesmen OJT Fall protection/awareness training

EQUIPMENT TO BE USED Hand Tools Power Tools PPE Ladder POD Form 184-R (REV) 16 Oct 98

INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Prior to each use (Edition of 22 Apr 91 is obsolete)

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Dust inhalation

Wear 2 banded particulate mask when dust is created

Back injury, muscle strain All Potential Hazards

Use caution lifting and mounting equipment Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

ACTIVITY HAZARD ANALYSIS


Date Submitted: August 18, 2010

Contract No.: W912CN-10-C-0044 Name of Project: Tunnel Renovation, Bldg.1292, Fort Shafter, Oahu, Hawaii

Activity Start Date:______________________________________ Date of Pre-Phase Meeting:___________________________ Submitted by Contractor: _________________________________ Accepted by Govt. Rep.: ______________________________ (Signature) (Signature) _________Safety Officer___________ (Title) ACTIVITY POTENTIAL HAZARDS _____________________________________________ (Title) (Date) PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN Two person lifting team or mechanical aide used to unload material, equipment or tools Jobsite Cleaning & sweeping Wear two banded dust mask Use proper ladder setup for correct working height. Height exceeds 6 feet must be fully harness and lanyard attached to anchor Clean up site daily Use of absorbent material under/around machines with oil Eye Injury, Foot & Head Injury Must wear safety glasses, steel toe shoes, and hard hat at all times while on jobsite EQUIPMENT TO BE USED Hand Tools Electric Saw PPE Vacuum Temp. Fencing & posts POD Form 184-R (REV) 16 Oct 98 INSPECTIONS REQUIREMENTS Daily Prior to each use Daily Daily Visual (Edition of 22 Apr 91 is obsolete) TRAINING REQUIREMENTS Tradesman Tradesmen OJT OJT OJT

PHASE NO.

Spec. Sec. 22 00 00 Plumbing, 22 07 19 General Purpose 22 33 30.00 10

Mobilization Concrete Dust Inhalation

Slips, Trips & Falls

ACTIVITY HAZARD ANALYSIS (Continuation) PHASE NO. ACTIVITY POTENTIAL HAZARDS PRECAUTIONARY ACTION & CONTROLS TO BE TAKEN

Hand pinch and cut injuries Wear leather gloves, when necessary Sunburn Wear sunscreen on all exposed skin and face. pants and shirt with sleeves Wear long

Back injury, muscle strain Use caution picking up Use mechanical aid when possible Use two (or more) man lifting team

Excessive Noise

Use of ear plugs if noise exceeds DOD Noise exposure levels

Fire

Current Burn permit on person doing hot work Have fire extinguisher where hot work being performed Clean threading machine daily of excess shavings Use clean, absorbent material to catch excess oil. Remove material when soiled.

Shock / electrocution

Inspect power and extension cords. Use GFCI on all power tools Appropriate AHA's to be reviewed during weekly safety meeting. Assess work area prior to starting work on any task.

All Potential Hazards

POD Form 184-R (Rev) 16 Oct 98

(Sheet 2 of 2 Sheets)

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