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Universal Health & Safety Plan <br /> For use on all high-risk,industrial and HAZWOPER projects <br /> Department of Toxic Substances Control 9 sites <br /> Discuss as Applicable • Severity <br /> Modify THA as Needed Probability 5.Catastrophic 4-Critical 3-Major 2-Modefale 1-Minor <br /> Check 0if reviewed or mark N/A 5-Frequent25 20 16 10 <br /> ❑ Biological/Chemical/Electrical 4-Probable i 16 128 <br /> Hazards 3-flecaskonal115 129 B <br /> ❑ Decontamination Procedures 2-Remote1108 B <br /> ❑ Ergonomics-Lifting, Body 1-knprobable <br /> Position <br /> ❑ Lock Out/Tag Out Risk Rating(Probability x Severity) Rlsk Acceptance Authority <br /> ❑ Short Service Employees— _ <br /> visual identifier and mentor/ 5 to 9(Medium) Risk requires approval by Operations LeadiSupervisor& Safety Manager <br /> oversight assignment <br /> ❑ Simultaneous/Neighboring r to 25 approvalh) Risk the Operations <br /> Operations <br /> Sevefr4f—Petorltwl Cbnaequenese <br /> ❑ Slip/Trip/Fall Hazards People Property pamaga Envkonmerdal Impact Public <br /> ImagelReputetion <br /> ❑ Specialized PPE Needs Catastrophic Fatality,Mulliple Mapr -Sim USA Of}sile impact requrrtng C vernMent <br /> Incidents Structural collapse remediation rnse[Venton <br /> El Traffic Control Critical Permanent impa mirem, r$250K to$1M Onsite impact requiring Media inservention <br /> Longterm InluryAnness USD rernediation <br /> Major LostrRestrcted Work ,$1OK to$250K Release atlabove Owner inlervenbon <br /> ❑ Waste Management USD I reportable limit <br /> Decontamination Moderate Medical Treatment r St K to$1 aK USD Release below Community ar focal <br /> reportable 4nit attention <br /> El Weather Hazards/Heat Stress/ t"1'nor First Aid a=$1 K USID Small chemcal release individual complaint. <br /> contained ortsite <br /> Cold Stress <br /> Probebelgf <br /> ❑ Work Permit Requirements:n/a Frequent Expected to occur during lasklacbvily 9110 <br /> Probable Likely to occur during tasklaclivity 1110 <br /> ❑ Other: Occasional May occur dunng the lasklacbvi ty 11100 <br /> n/a Remote Unlikelyto0ccur during task/activity 111.000 <br /> Improbable Highlyunh"toaccur,but possible dun nglasklacovity 1130,000 <br /> Using the Matrix: <br /> 1. Identify basic steps of the task and associated hazards. <br /> 2. Calculate the initial risk rating. <br /> 3. Identify control measure to eliminate or reduce the hazard's risk and calculate the <br /> residual risk rating. <br /> 4. If the risk rating (after controls are implemented)cannot be reduced to 4 or lower, <br /> additional approvals are needed before the activity can begin. <br /> ©AECOM Restricted <br /> Universal Heath and Safety Plan Template(S4(DSC)AM-209-FM-C) B-2 <br /> Revision 12 September 9,2021 <br /> PRINTED COPIES ARE UNCONTROLLED.CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. <br />