JOB SAFETY ANALYSIS Contractor Name:
Date:
Project Plant Location:
Sub-Tier Contractor Name: Prepared By: Project:
Project No.:
Contract/PO No.:
Location (e.g., building, area, etc.): Work Scope/Description: Excavate to a depth greater than five feet Specific Work Location(s): Name
Primary/Phone #
Secondary/Phone #
Contractor Contact Person(s): Alcoa SPA: Plant Emergency No.: Yes
Prejob Walkthrough Conducted:
No
KNOWN OR POTENTIAL HAZARDS
Yes 1. Hazardous Waste Operations
•
2. Confined Space
•
3. Hot Work
•
No
Reference
Yes
No
Reference
29 CFR 1910.120
17. Noise Exposure
ASP.653.3010
18. Temperature Extremes
ASP.653.2308
19. Hoisting & Rigging
ASP.653.3011
ASP.653.3002 ASP.653.3000 /.3003
ASP.653.2202
4. Roof Work
•
ASP.653.2321
20. Ergonomics: Repetitive Motion / Awkward Positions / Same Position (s)
5. Fall Hazards (> 6 ft) ft)
•
ASP.653.2001
21. Biological
ASP.653.2102
6. Excavation/Trenching
•
ASP.653.2311
22. Insects / Varmints / Vermin
ASP.653.2102
7. Scaffolds / Ladders
•
ASP.653.2302/2303
23. Signs and Barricades
ASP.653.2300
8. Aerial Lifts
•
ASP.653.2205
24. Location Specific Emergency Response Plan
ASP.653.1007
ASP.653.2200 Series
25. Air Effluent Discharges
•
ASP.653.4003
ASP.653.2315
26. Water/Liquid Effluent Discharges
•
ASP.653.4004
ASP.653.1005/.2300
27. Fatality Prevention
ASP.653.1400
28. Associated w/Significant Environmental Aspects?
ASP.653.4000 Series
9. Heavy Equipment 10. Lock and Tag
•
11. Site/Vehicle Traffic 12. Electrical Hazards
•
ASP.653.2309/.2310
13. Asbestos Work
•
ASP.653.3001
14. Lead Work
•
ASP.653.3005
= Requires formal/special formal/special training
15. Hazardous Materials/MSDS
ASP.653.2100/.3007
•
16. Respiratory Hazards
ASP.653.3008
=
= Requires a permit/form/report Requires certification certification or Competent/Qualified Competent/Qualified Person
SPECIFIC HAZARD ANALYSIS AND SAFE WORK REQUIREMENTS Known and/or potential hazards are further evaluated, evaluated, and specific measures are identified identified on subsequent pages. This discussion must include identification of the work activity, the specific hazards present, and the safe work requirements/controls (including (including a hazards assessment for PPE) to be used to alleviate/control the hazard(s). MINIMUM DRESS/PPE REQUIREMENTS: hard hats, safety glasses, electrical electrical hazard-rated metatarsal boots with hard toes, and long pants and shirt with sleeves made of 100% cotton or wool (or cotton/blend). REVIEW KNOWN AND/OR POTENTIAL HAZARDS ARE FURTHER EVALUATE D, AND SPECIFIC CONTROL MEASURES ARE IDENTIFIED ON SUBSEQUENT PAGES
Project Engineer
Date
Alcoa Single Point Accountable
Date
Contractor Supervision
Date
(Optional)
Date
S-AF-059 19 Aug 04
Project:
JOB SAFETY ANALYSIS (Continuation Page)
Work Activity
Contract/P.O./Release No.:
Hazards Present
Required Safety Measures/PPE
Excavations requires a competent person be appointed. This competent person is responsible for proper execution of the excavation process. (ASP.653.2311) Complete all site required forms and notifications. Obtain prints and notify utilities companies or owners of intended excavation. Use "Call Before You Dig" agency or provide for alternative methods of underground obstruction location. This process must be as positive as feasible. Area scanning or hand probing and hand digging until utilities are visibly located is required. All underground utilities and obstructions should be surface marked per standard marking codes listed in ASP.653.2311.
1. Locating underground utilities and obstructions prior to digging
Slips trips and falls walking in general area of intended excavation.
Review general terrain and identified surface conditions. Look for ruts, larges rocks and uneven terrain.
A. Scanning with electronic equipment.
Trips and falls, strain from lifting heavy instruments.
If focus on instrument distracts excessivly from attension to terrain, have an assistant help spot various hazards in area. If lifting or pushing scanning instruments of heavier weights, get help with movements to avoid strains.
B. Probing with metal tipped fiberglass rods.
Slips trips and falls walking in general area of intended excavation.
Review general terrain and identified surface conditions. Look for ruts, larges rocks and uneven terrain.
Back strains, hand injury from probing rod
Avoid excessive force attempting to penetrate deeper with rods. Wear leather gloves to avoid blisters and other hand injuries.
Struck by mobile equipment
All workers are to wear reflective traffic vests as appropriate. The competent person is responsible for determining need. Barricade work area and permit only excavation personnel in the area.
Struck by site vehicles.
Restrict outside vehicular traffic in the job site. Use flaggers and a specific traffic route if necessary.
2. Mobilizing digging equipment. (9) Heavy Equipment - competent person required
(11) Site Vehicle Traffic
Reminder: visually confirm proper clearances from electrical lines in the area.
S-AF-059 19 Aug 04
Project:
JOB SAFETY ANALYSIS (Continuation Page)
Work Activity 3. Dig trench. (6) Begin digging.
Excavate trench to proper depth.
Contract/P.O./Release No.:
Hazards Present
Required Safety Measures/PPE
Striking underground utilities or other significant obstructions.
Observe marked locations of underground utilities if marked. Excavate by hand when within five (5) feet in any direction of known underground obstructions. NOTE: Follow attached matrix to determine exact methods of safe excation according to extent of utility location.
1. Non-energized obstruction e.g. foundation, rock
1. Hand digging not required. May machine excavate.
2. Abandoned utilities / process lines. Verification required. [ Unless verified, must be treated as energized ]
2. Hand digging not required (upon verification) Machine digging per competent person evaluation and JSA/STA.
3. Active utilities e.g. storm water lines, sanitary lines
3.Hand digging required to visually establish location. Machine digging per competent person evaluation and JSA/STA.
4. Electrical duct bank
4. Hand digging required to visually establish location. Machine digging allowed after visual location based upon JSA/STA.
5. Active, energized utilities. e.g. air, gas, steam, process line, electrical (conduit and direct bury cable)
5. Hand digging required when within 5 ft. of utility. Machine digging allowed within two feet after visual identification and deenergized based upon competent person evaluation and JSA/STA.
Cave ins from unsupported sides of trench
After reaching a depth of five feet, a certified and inspected trench box shall be in place in the excavation prior to anyone working in the trench. The trench box must rest within two feet of the bottom of the trench. All work shall be performed within the confines of the protective shield (trench box). All access and egress to and from the trench shall also be accomplished within the confines of the trench box. Ladders used for access must be tied off. At no time will anyone be permitted to be in an unprotected area of the excavation. The competent person shall inspect the installation of the protective barrier and the conditions of the trench prior to enterg and daily before each shift thereafter or after a rain storm. Any water accumulation in the trench shall be kept at a minimum by portable pumps. Competent person shall monitor the water level and determine when safe limits have been exceeded. Barricade the swing radius of the excavator to prevent struck by or crushed between injuries at the rear of the equipment. Spoil pile shall be placed at least two feet from the edge of the trench. Operator shall place spoils as far back from the edge as possible and slope the pile away from the excavation. Site traffic shall be prohibited from entering the S-AF-059 19 Aug excavation area. If traffic can not be kept a 04 significant distance from the site, flaggers, Jersey barriers or stop logs shall be placed to prevent approach.
JOB SAFETY ANALYSIS (Continuation Page)
Work Activity
Project: Contract/P.O./Release No.:
Hazards Present Falling into eight foot depth trench
Required Safety Measures/PPE Anyone working within six feet of the edge of the trench if exposed to a fall >6 ft. Protection from falling into trench must be provided. At a minimum, barricades shall be erected six feet from the edge of the trench. Anyone within the six foot boundary must be protected. Methods of fall protection can be: OSHA approved railing or fall restraint by tethering workers so that they cannot approach the trench close enough to fall in. Attachment must only be withstand four times the anticipated load a person would exert walking to the trench or leaning to see in. The trench must be barricaded with substantial, highly visible methods when left unattended. Provide a walkway or bridge with standard guardrails if employees must cross over the excavation
5. Noise exposure
Site emergency response
6. Hazardous chemicals
Hearing loss from constant exposure to sound levels above 85 db.
Wear ear plugs whenever close to operating heavy equipment.
Need for trench rescue or EMS
Call plant emergency number for all emergency response needs. Plant protection is coverage for trench rescue, they must be contacted daily to advise of trenching activities.
Chemical burns, poisoning, dermatitus and other injuries from exposure.
All chemicals brought on site must have a MSDS readily accessable to all workers on the job. Workers must be trained on the hazards and how to protect against them.
7. General PPE requirements.
8. Fatality prevention
Hard hat, ANSI Z87.1 approved safety glasses, steel toed safety boots, long trousers and shirts with a minimum five inch sleeve.
Fatality Prevention: While performing all construction activities, personnel could be struck by falling objects, moving crane loads, vehicle and mobile equipment traffic, fall from heights, electrocution, drowning, loss of oxygen in confined space causing fatal injuries.
Workers are instructed to be aware of their surroundings. Report any and all concerns to their immediate supervisor. Workers are trained to recognize hazards and coordinate the use of administrative controls, engineering controls, PPE, or evaluate another way to perform the task which will lesson or eliminate the hazards and potential for fatality. All conmtractors have received Alcoa Fatality Prevention Orientation. Thoroughly review all JSA's, STA's and associated work plans with all crew members.
S-AF-059 19 Aug 04
JOB SAFETY ANALYSIS (Continuation Page)
Work Activity
Project: Contract/P.O./Release No.:
Hazards Present
Required Safety Measures/PPE
S-AF-059 19 Aug 04
PREJOB SAFETY PLANNING SIGNOFF I have read the attached Prejob plan, (and attachments) and understand the hazards and controls associated with this job. Job Safety Analysis JSA review
Task Specific JSA review
Employee Safety and Health Orientation
Energized Electrical Work Permit Hoisting & Rigging Prelift
Fall Protection Work Plan
Respiratory/Lead work plan
Confined Space Pre-Entry Meeting
Lead Compliance Plan
Lock/Tag/Verify Other (specify): Company Name: Project Number: Date
Project Location: ID No. (optional)
Name (Print)
Signature
Print Name
Title
Signature
Person Conducting Briefing
S-AF-073 21 Jun 07
