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Revised: 08/03/2022 1 <br />ACTIVITY HAZARD ANALYSIS <br />Date Prepared:08 / 03 / 2022 <br />AHA No.:20220803-002 <br />Project Name:Johnstone Moyer Inc. <br />Activity/Work Task:HVAC Removal and Refrigerant Evacuation <br />Department/Division/Section:All <br />Location(s):1188 East 14th Street San Leandro 94577 <br />Developed By:Grant Cunningham <br />Start Date:08 / 03 / 2022 <br />Duration: <br />(Level D PPE Required: Hardhat, Safety Glasses, High <br />Visibility Vest, Long Sleeve Shirt, Fall Protection, Steel <br />Toe Work Boots, Cut Resistant Gloves <br />Supervisor:Chad Cunningham <br />Reviewed By:Terry Dussault <br />Overall Risk Assessment Code (RAC): M <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. Remove HVAC Unit from <br />Rooftop using Excavator with <br />Thumb Attachment <br />- Falling Objects <br />- Damage to HVAC <br />- Refrigerant Release <br />1. Heavy equipment operator shall ensure that excavator thumb <br />attachment has a frim grip on HVAC unit when attempting to <br />break it free from the rooftop and moving it to ground level. <br />2. Use the minimum amount of force needed to remove the <br />HVAC Unit from the structure and avoid damage from hydraulic <br />pinching. <br />3. Follow all EPA reporting requirements (40 CFR Part 82, <br />Subpart F ) Section 608 of the Clean Air Act. <br />M <br />Excavator with Thumb <br />NC-25-1137 Tiwana & Sons <br />1210 East Hammer Lane, Stockton, CA 95210