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Revised: 02/03/2023 1 <br />ACTIVITY HAZARD ANALYSIS <br />Date Prepared:02 / 03 / 2023 <br />AHA No.:20221008-001 <br />Project Name:Various <br />Activity/Work Task:Demo of Piping (PVC, ABS, Metal) <br />Department/Division/Section:All <br />Location(s):Various <br />Developed By:Terry Dussault <br />Start Date:02 / 01 / 2023 <br />Duration: <br />Modified Level D PPE Required: Hardhat, Safety <br />Glasses, Face Shield, Steel toe Boots, High Visibility <br />Traffic Vest, Long Sleeves, 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. Locate and Identify Piping - Misidentified Utility <br />- Slips/Trips/Falls <br />1. Review all system piping diagrams, P&IDs, As-builts, design <br />drawings and historical information to ensure that piping <br />defined in the scope of work matches physical piping to be <br />demoed. Do not proceed if you cannot verify in the field. <br />2. Watch where you walk, visually scan the ground surfaces for <br />hazards, do not take backward steps without looking, wear <br />boots without adequate tread and a raised heel, avoid wet <br />surfaces. <br />L <br />NC-25-1137 Tiwana & Sons <br />1210 East Hammer Lane, Stockton, CA 95210