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Task Hazard Assessment A=COM <br /> Coronavirus Precautions — Field, Office, and Travel • Rev #2 (10/12/2022) <br /> STOP WORK if uncertain about safety or if a hazard or For a more thorough identification of M Hierarchy of Controls <br /> additional precaution is not recorded on the THA. hazards, ask"What else could go <br /> wrong?" usin the Hazard Categories Elimination �tPh herAydemec <br /> Be alert, recognize and communicate any changes in _ <br /> scope, personnel or conditions at the worksite to the ` '` a�ia <br /> -!,he hazard <br /> supervisor. <br /> Use 4-Sight,AECOM's last-minute risk assessment , nEngineeri �fr.i.,P.aad <br /> process continuously throughout the day by asking <br /> yourself and your co-workers to assess your task, l P�`wa°k <br /> hazards, and mitigations.Amend the THA when ■■ <br /> Proms[rhe worker-I <br /> needed. i 3 P.r $1 Pmrutivs Equip>,.nt <br /> 1 What am I about to do? <br /> 1 What can go wrong? + Most hazards need more than one control <br /> CJ <br /> 1 What can be done to make it safer? 7 D What should you do?Stack your controls <br /> 1 What have I done to communicate the hazards? PPE can NEVER be your only means of protection <br /> AcknowledgementWorker Sign On Visitor <br /> 1 participated in the on-site review and fully understand the content of this Task Hazard Assessment. Visitors review task hazards and acknowledge understanding <br /> Printed Name Signature <br /> 1. Supervisor: 1. <br /> 2. 2. <br /> 3. 3. <br /> 4. 4. <br /> 5. 5. <br /> 6. 6. <br /> 7. 7. <br /> 8. 8. <br /> 9. 9. <br /> 10. 10. <br /> Submit a new THA for addition to the DCSA THA Library or send THA improvement suggestions to DCSA.THA.LibraryCaD_AECOM.com <br /> Include a copy of the new THA or a photo of the THA modifications as appropriate. <br /> DCSA Task Hazard Assessment Form <br /> Version 2–July 28,2021 3 of 3 <br />