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Task Hazard Assessment — DCSA 'L=CoM °�Is�Qa. <br /> Phase I ESA Site Visit 01-01-10-07 <br /> Project Name: Client: Date: <br /> Permits Required? Work <br /> (list): Location: <br /> This THA must be fully reviewed with all staff members. All job steps, hazards, work practices, and PPE are clearly understood and <br /> have been implemented. All necessary revisions have been written on the THA. <br /> Required PPE: 0 Hard Hat 0 Safety Glasses 0 HiVis Vest 0 Safety Toe Boots 0 Gloves: Nitrile/leather ❑ Hearing Protection 0 Other:Weather related PPE <br /> Tools&Equipment: N/A <br /> job/taskREMINDER: Use 4-Sight at the start of, and continuously throughout the <br /> Job Steps Potential Hazards Risk Critical Actions To Mitigate Hazards Risk <br /> List all steps required How could you be hurt? (initial) List control measures required to eliminate, control or protect against the potential hazards associated with (final) <br /> to perform a task in What would the injury be? each job step to minimize the risk of <br /> the sequence they are injury or environmental impact. Identify any`Stop Work'triggers. <br /> performed <br /> 1. Drive to/from 1 a.Vehicular accident 10 1 a. Ensure drive is fit for duty(physically and mentally ready to drive) 4 <br /> site resulting in broken bones 0 Comply with"Authorized Driver Safety(S3NA-005-ATT1)and Shell Life Saving Rules that <br /> or death due to contact pertain to driving—no speeding and no cell phone use while driving. GPS units and GPS units <br /> with 3rd party vehicle or on smart phones may only be used if factory installed or secured to the vehicle with a bracket. <br /> object <br /> • Inspect vehicle and be sure it is road ready; 360-degree walk around (tires,treads, lights, turn <br /> signal...) <br /> • Use defensive driving techniques. Scan intersections,watch roadsides for disabled vehicles and <br /> people tending to vehicles; urban areas:jaywalkers, children,and elderly. Always stop for <br /> pedestrians in crosswalks. Let aggressive drivers pass, do not respond to hostile drivers/road <br /> rage, pass with caution,observe speed limits. <br /> • Complete a Journey management plan if travel is longer than 250 miles one way. <br /> • Wear seatbelt at all times no matter what speed or distance as prescribed in shell LSRs. <br /> 1 b.Vehicle accident resulting 8 1 b. Check weather forecast prior to travel. 3 <br /> in broken bones or death 0 Determine, based on weather report, if travel is necessary or job can be rescheduled. <br /> due to inclement weather 0 Use defensive driving techniques; maintain safe speed for conditions, slow down! Never drive <br /> (snow, rain, sleet...) through unknown depth of standing water(water over road,water pooled under bridge...), allow <br /> for extra spacing between vehicles in bad weather(rain, snow...). <br /> ©AECOM Restricted <br /> Task Hazard Assessment(S4[DCS]AM-209-FM6-A) <br /> Revision 9 January 15,2019 <br /> PRINTED COPIES ARE UNCONTROLLED.CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. 1 of 4 <br />