Activity Hazard Analysis (AHA)

Activity/Work Task: Scaffolding Erection Overall Risk Assessment Code (RAC) (Use highest code) M
Project Location: 1010 W. Snow Blind Street, Ft. Nowhere, Alaska Risk Assessment Code (RAC) Matrix
Contract Number: W921CM-09-M0001 Probability
Severity
Date Prepared: Frequent Likely Occasional Seldom Unlikely
Catastrophic E E H H M
Prepared by (Name/Title): Someone Else, SO Specialist Critical E H H M L
Marginal H M M L L
Reviewed by (Name/Title): Super Safetyman/SOH Manager Negligible M L L L L
Notes: (Field Notes, Review Comments, etc.) Crane Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC (See above)

set-up and use are on a separate AHA. “Probability” is the likelihood to cause an incident, near miss, or accident and
identified as: Frequent, Likely, Occasional, Seldom or Unlikely. RAC Chart
“Severity” is the outcome/degree if an incident, near miss, or accident did occur E = Extremely High Risk
and identified as: Catastrophic, Critical, Marginal, or Negligible H = High Risk
Step 2: Identify the RAC (Probability/Severity) as E, H, M, or L for each M = Moderate Risk
“Hazard” on AHA. Annotate the overall highest RAC at the top of AHA. L = Low Risk
Job Steps Hazards Controls RAC
General Safety Requirements all Steps Exposure to Cold or Hot Weather Minimum Personal Protective Equipment Dress: L
 Long Pants
Dehydration  Shirts with Sleeves
 Hardhat
**Add additional potential hazards  Safety Shoes (Steel/Composite Toe Preferred)
for general on site safety  Safety Glasses (Potential Eye Hazard Areas)
requirements. **
Weather:
The above hazards are not all
inclusive and the Site Safety and  Wear appropriate clothing for hot or cold weather.
Health Officer including the Quality (List specific clothing or refer to Company quick sheet, SOPs,
Assurance Representative (QAR) plan, etc. for specific details)
shall review the AHAs  Sun block
 Lip balm

Dehydration:

 Drink at least ½ liter of water an hour.

 Refer to Company quick sheet, SOPs, plan, etc. for specific
details on heat stress signs and symptoms.
 Job Steps Hazards Controls RAC
1.. Set-Up 1. Back Strain from uploading or 1a. Utilize proper lifting techniques.
moving scaffold components. 1b. Size up load before lifting.
1c. Ask for help when lifting heavy items more than 50 lbs. L
2. Lacerations on hands 2. Wear leather gloves.

3. Scaffold failure due to damaged 3a. INSPECT all scaffolding components defects or damage such as cracks, L
scaffolding components. excessive rust, metal fatigue, unauthorized repairs, bent tubing or frame, etc.
 Frames L
 Tubing
 Base Plates
 Locking Pins
 Access Ladder
 Planking (Wood or Metal)
 Cross Braces
3b. REMOVE damaged or defective scaffold components immediately. 3c.
Attach tag or label “DO NOT USE” on scaffold component.

4a. ALWAYS maintain eye contact with operator of equipment. 4b.

4. Struck by mechanized equipment. NEVER stand behind (Blind Spots) equipment.
4c. NEVER stand near unloading or moving of scaffold components. 4d.
**See above “Notes box”** M
ONLY qualified operators shall operate equipment.

5a. Secure loads from displacement with ropes, cables, chains, etc. before
movement.
5. Loss of load.
5b. Ensure load to be lifted is secured, balanced, etc.
5c. Keep hands, fingers, or other body parts away from pinch points.
M
6a. NEVER stand underneath suspended loads. 6b.
6. Stuck by suspended loads or
Use taglines to control loads when elevated.
material.
7a. Check above for overhead power lines.
7b. NEVER erect scaffolding within 10 ft (3 m) of overhead power lines. L
7. Electrical Shock
Refer to EM 385-1-1, Table 11-1 for Minimum Clearance from Energized
Overhead Electrical Lines
7c. NEVER string or hang temporary power cords, wires, etc. on metal M
scaffolding. Consult with Safety Officer.

8a. Inspect ground conditions (level and firm).

8b. Stable base is necessary for proper scaffold assembly.
8c. Scaffold shall be tied into structure when the scaffold height exceeds four
8. Scaffold failure due to improper
times the minimum scaffold base dimension. M
set-up
 Job Steps Hazards Controls RAC
2. Assembly of Scaffolding 1 Fall from Elevated Heights
1a. 100 percent fall protection required during assembly. M
1b. Personnel shall not be exposed to unprotected sides or falls greater than 6 ft
(1.8 m).
1c. Scaffolding shall not exceed 14 inches (35.5 cm) from the planking to the
face of the building or structure.
1d. Scaffolding more than 14 inches (35.5 cm) from the planking to the face of
the building or structure shall be guardrails and/or the use of personal fall
protection.
1e. Personnel shall be tied off to a vertical lifeline with a rope grab during
assembly of scaffolding.
1f. Vertical lifeline shall be secured to an anchor point of at least 5,000 lbs
(2,267.9 kg) per individual.

Develop a site specific Fall Protection Plan IAW EM 385-1-1, para

21.C.01 and refer to EM 385-1-1, Section 21.

2. Scaffold Failure
2a. See diagram below and refer EM 385-1-1, Section 22 for specific M
requirements (i.e., toe boards, guard rails, safe access, etc.)
2b. Scaffolding shall be assembled on mud sills and base plates. 2c. Mud
sills shall be at least 2 times the size of the base plates to disperse total
weight of scaffolding.
2d. Scaffolding shall be plumb and level.
2e. Working levels shall be fully decked and/or planked.
2f. Planking shall extend over the end supports not less than 6 in (30.4 cm),
2g. Planking shall be secured, supported, or braced to prevent excessive
spring or deflection and secured to prevent loosening, tipping, or
displacement. Use of tie wire, cleats, etc. are options.
2h. Planking shall overlapped at least 12 inches (30.4 cm) or secured from
movement.
2i. Scaffold shall be capable of supporting without failure at least 4 times the
maximum anticipated loads.
2j. Scaffolding shall be all required cross, horizontal, or diagonal braces to
secure vertical members laterally.
2k. Scaffolding shall be rigid.

3. Back Strain 3a. Utilize proper lifting techniques.

3b. Size up load before lifting. L
3c. Ask for help when lifting heavy items more than 50 lbs.

4. Wear leather gloves.

4. Lacerations on hands L
 Job Steps Hazards Controls RAC
2. Assembly of Scaffolding M
(Diagram)

3. Use of Scaffolding 1. Scaffold Failure 1a. DO NOT overload more than 4 times the maximum load rating. 1b. DO
NOT attached hoists or other material lifting devices without Safety Officer M
approval.
1c. Scaffolding shall be tied into building whenever height of the scaffold
exceeds 4 times the minimal base. Refer to EM 385-1-1, para 22.B.09 for
additional guidance.
1d. Scaffold usage shall cease during high winds or severe inclement weather
conditions.

2. Falls from Heights 2a. Guardrails shall be used as primary fall protection. Guard rails shall M
installed IAW EM 385-1-1, para 21.B.02.
2b. Securing of personal fall protection devices to scaffolding is prohibited.
2c. Personnel shall have fall protection whenever above 6 ft (1.8 m). 2d.
Climbing of braces or cross bracing is prohibited.
2e. Safe access (ladder) shall be provided. 2f.
Personnel shall not stand on mid rails.
2g. Ladders shall extend at least 3 ft (0.9 m) past the work area.

3. Walking surfaces on and around scaffolding shall be clear of debris.

L
3. Slips, Trips, or Fall
 Job Steps Hazards Controls RAC
3. Use of Scaffolding M

The scaffold checklist is not all inclusive of the safety requirements for the assembly,
use, and disassembly of scaffolding. Competent Person onsite for work platform
safety shall review EM 385-1-1 Safety and Health Requirements Manual, Host Nation
safety laws, contract specifications, manufacture specifications, etc. as additional
guidance or information for work platform safety.

1a. 100 percent fall protection required during disassembly.

4. Disassembling of Scaffolding 1 Fall from Elevated Heights 1b. Personnel shall not be exposed to unprotected sides or falls greater than 6 ft M
(1.8 m).
1c. Personnel shall be tied off to a vertical lifeline with a rope grab during
assembly of scaffolding.
1d. Vertical lifeline shall be secured to an anchor point of at least 5,000 lbs
(2,267.9 kg) per individual.

Develop a site specific Fall Protection Plan IAW EM 385-1-1, para

21.C.01 and refer to EM 385-1-1, Section 21.

Job Steps Hazards Controls RAC

4. Disassembling of Scaffolding 2. Back Strain 2a. Utilize proper lifting techniques. L
2b. Size up load before lifting.
2c. Ask for help when lifting heavy items more than 50 lbs.

3. Lacerations on hands 3. Wear leather gloves. L

Training Requirements/Competent or
Equipment to be Used Inspection Requirements
Qualified Personnel name(s)
Scaffold components Competent/Qualified Personnel: Inspect scaffold components prior to use
Hammers
Mud sills Mr. Someone Else – CP/Scaffolding Inspect scaffold daily (Use Checklist)
Full body harness Mr. Supersafety Man – QP/First Aid and CPR
Lanyard Mr. Work Man – QP/First Aid and CPR Inspect level and plumb of scaffoldings during erection and daily
Lifeline Mr. Fall Safety – CP/Fall Protection when in use.
Fall protection anchor points Mr. Shocker Cord – QP/Electrical Mr.
Float Lift Boom – QP/Crane Operator Daily Housekeeping of work areas and scaffolding
Crane
Electric Hand Tools (Battery type) Training Requirements: Inspect PPE to include fall protection harnesses and
Portable Generator lanyards prior to use.
5 Ma GFCIs Scaffold Assembly
Power Cords Fall Protection Inspect fall protection anchor points.
Ladders First Inspection of Work Platforms
Aid Kit Heat or Cold Hazards Inspect crane IAW manufacture instructions.
Daily/Monthly safety toolbox meetings
Inspect power cord sets prior to use.

Inspect temporary power panel box, circuit breakers,

grounding, etc. at least monthly.

Inspect first aid kit at least monthly.

Daily site safety inspections by SSHO and CQC.