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/�"�I��O� Delivered. <br /> Imagine it. <br /> Task Hazard Assessment <br /> Oversight of Utility Clearance <br /> Employees:All <br /> STOP WORK if uncertain about safety or if a hazard or For a more thorough identification of Hierarchy of Controls <br /> additional precaution is not recorded on the THA. hazards, ask"What else could go <br /> wrong?" using the Hazard Cate ories �t. _ ""°" <br /> Be alert, recognize and communicate any changes in K <br /> scope, personnel or conditions at the worksite to the SubstitutionRPd4B <br /> -�,h.h....d <br /> supervisor. <br /> Use 4-Sight,AECOM's last minute risk assessment 1;�m'=^eh=a" <br /> process continuously throughout the day by asking <br /> yourself and your co-workers to assess your task, Ip•epW..k <br /> hazards, and mitigations. Amend the THA when ■■ <br /> r` ® Protect thewnrker.vnh <br /> needed. ` i _ IPermnal Protectiae Equipment <br /> / What am/about to do? <br /> N.n, <br /> 1 What can go wrong? Most hazards need more than one control <br /> rJ <br /> 1 What can be done to make it safer? 7 D What should you do? Stack your controls <br /> 1 What have 1 done to communicate the hazards? PPE can NEVER be your only means of protection <br /> Worker Sign On Acknowledgement1 participated in the on-site review and fully understand the content of this Activity Hazard Assessment. Visitors review 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 /> 4 of 4 <br />