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Revised: 01/31/2023 1 <br />ACTIVITY HAZARD ANALYSIS <br />Date Prepared:01 / 31 / 2023 <br />AHA No.:20171113-001 <br />Project Name:Various <br />Activity/Work Task:Moving Trench Plates <br />Department/Division/Section:All <br />Location(s):Various <br />Developed By:Terry Dussault <br />Start Date:02 / 01 / 2023 <br />Duration: <br />(Level D PPE Required: Hardhat, Form Fitting Safety <br />glasses, Steel toes, High Visibility Vest, Long Sleeves, <br />Cut Resistant Gloves) <br />Supervisor:TBD <br />Reviewed By:Health and Safety Department <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. Establish Work Zone - Vehicle and Equipment Traffic 1. Do not work with your back towards traffic, Wear high <br />visibility vest at all times, use traffic control devices such as <br />barricades, cones, delineators and caution tape to define work <br />zone. Consider use of a work truck or equipment as a barrier <br />from oncoming traffic. <br />M <br />2. Attach Both Ends of Lifting <br />Cable <br />- Equipment Damage from Incorrect <br />Attachment <br />- Pinch Points <br />- Sharp objects <br />1. Wear cut resistant gloves. <br />2. Do not place your hands between objects that could cause <br />pinching or crushing, power off equipment prior to attaching <br />cable. <br />3. Attach cable to equipment's designated lifting point only. <br />L <br />Lifting Cable Equipped with SwivelNC-25-1137 Tiwana & Sons <br />1210 East Hammer Lane, Stockton, CA 95210