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Revised: 02/02/2023 1 <br />ACTIVITY HAZARD ANALYSIS <br />Date Prepared:02 / 02 / 2023 <br />AHA No.:20200218-002 <br />Project Name:Various <br />Activity/Work Task:Backfill and Restoration <br />Department/Division/Section:All <br />Location(s):Various <br />Developed By:Terry Dussault <br />Start Date:02 / 01 / 2023 <br />Duration:Level D - Hard Hat, High Vis-Vest, Steel Toe, Safety <br />Glasses, Cut Resistant Gloves <br />Supervisor:TBD <br />Reviewed By:Health and Safety Department <br />Overall Risk Assessment Code (RAC): H <br />RISK ASSESSMENT CODE MATRIX <br />E=EXTREMELY HIGH <br />RISK <br />H=HIGH RISK <br />M=MODERATE RISK <br />L=LOW RISK <br />PROBABILITY <br />FREQUENT LIKELY OCCASIONAL SELDOM UNLIKELY <br />S <br />E <br />V <br />E <br />R <br />I <br />T <br />Y <br />CATASTROPHIC E E H H M <br />CRITICAL E H H M L <br />MARGINAL H M M L L <br />NEGLIGIBLE M L L L L <br />Job Steps Hazards Actions to Eliminate or Minimize Hazards RAC <br />1. Initial Site Entry - Pinch Points <br />- Slips/Trips/Falls <br />- Overhead obstacles (power lines or pipelines, <br />block and tackle, lights, structures) <br />- Dogs <br />1. Upon entering site be aware of hand placement around <br />swinging gates and latches, do not place hands between objects <br />that could cause pinching or crushing, Inspect gate hinges and <br />hardware prior to entry as gates can come unhinged and fall. Be <br />aware of wind gusts that can slam gates. <br />2. Visually scan for hazards on the ground, watch where you <br />walk, be aware of uneven surfaces, avoid slippery surfaces, wear <br />boots with adequate tread and a raised heel. <br />3. Visually scan the area for any overhead hazards that may <br />exist, large delivery trucks must maintain a minimum distance of <br />10' feet away from any overhead lines or hazards, drivers must <br />use a spotter to ensure safe guidance and prevent contact with <br />overhead hazards. <br />4. Prior to entering any property, visually scan the are for dogs, <br />ensure with Property owner that Dogs (pets) are placed in a <br />secured area with no possibility of getting loose. <br />L <br />NC-25-1137 Tiwana & Sons <br />1210 East Hammer Lane, Stockton, CA 95210