A TC 5 audit

• What kind of Assessment is this?

  Pre-Job Start Assessment

  Re-Assessment

• Site Name and or Job#

• Conducted on

  Date

• Prepared by

• Location
  Address

DEFINITIONS/ Factors and Considerations Explained: Scope of Operational Risks

• The purpose of this section is to identify the various hazards that apply to this site. Then to classify the hazards individually, estimate their frequency and designate a hazard strategy to mitigate the individual hazards.

• The hazards are classified by Class Levels of Class A, B or C

• "Class A" - A condition or practice likely to cause permanent disability or loss of life or body part and/or extensive loss of structure, equipment or material.

• "Class B"- A condition or practice likely to cause serious injury or illness (resulting in temporary disability) or property damage at is disruptive, but less than Class A.

• "Class C" - A condition or practice likely to cause minor (non disabling) injury or illness or non-disruptive property damage.

Trenches and Excavations

• Is this category applicable?

  Yes

  No

  N/A

• Use TACC's Procedure 100 (on Trenching ).

  Yes

  No

  N/A

• What is the Hazard Classification?

  Select Class A Class B Class C

  • Class A
  • Class B
  • Class C

• What is the anticipated frequency?

  Often encountered

  Occasional occurance

  Rare occurrence

Public Safety

• Use TACC's Procedure 100 (on Trenching ).

  Yes

  No

  N/A

• Is this category applicable?<br>

  Yes

  No

  N/A

• Prioritize the level of risk "Risk" this category poses to this job.
  

• What is the level of "Risk"?

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

Traffic Control

• Is this category applicable?<br>

  Yes

  No

  N/A

• Prioritize the level of "Risk" that this category poses to this job.
  
  

• What is the level of "Risk"?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

Confined Space

• Is this category applicable?<br>

  Yes

  No

  N/A

• Prioritize the level of "Risk" that this category poses to this job.
  
  

• What is the level of "Risk"?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

Reversing Vehicles

• Is this category applicable?<br>

  Yes

  No

  N/A

• Prioritize the level of "Risk" that this category poses to this job.
  
  

• What is the level of "Risk"?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

Utilities

• Is this category applicable?

  Yes

  No

  N/A

• Prioritize the level of "Risk" that this category poses to this job.
  
  

• What is the level of "Risk"?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

Personnel and Location

• Estimated Start Date? Month, Day, Year / If date is not known please insert " Unknown at time of report" from the select menu.

  Date

• Is D'Orazio Infrastructure Group the "Constructor"?

  Yes

  No

  N/A

• Who is the "Constructor"? Please state the name of city, municipality or region if we are working for them.

  Yes

  No

  N/A

• Who is the project Superintendent?

  Select Rob. D Baron. S Unknown at this time of the report.

  • Rob. D
  • Baron. S
  • Unknown at this time of the report.

• Who has been chosen to Supervise this project?

  Select Yes No N/A

  • Yes
  • No
  • N/A

Scope of Work

• What work is being performed?

  Select Curb/ Sidewalk Grade Work Sewer/ Watermain/ Storm Service/ Repair Other

  • Curb/ Sidewalk
  • Grade Work
  • Sewer/ Watermain/ Storm
  • Service/ Repair
  • Other

• What work is being performed?

  Yes

  No

  N/A

• What is the expected duration of the project?

  Select A Day A Few Days 1 Week 2 Weeks 3 Weeks 1-3 Months 1-6 Months 1-9 months 1 Year 1 Year or More Has not been determined at time of report

  • A Day
  • A Few Days
  • 1 Week
  • 2 Weeks
  • 3 Weeks
  • 1-3 Months
  • 1-6 Months
  • 1-9 months
  • 1 Year
  • 1 Year or More
  • Has not been determined at time of report

DEFINITIONS/ Factors and Considerations Explained: Scope of Operation, Immediate and Potential, Severity, Likelihood and their degrees or factors for each.

• "Major Scope of Operation" means: ( A "Risk" we may or may not be known and or seldom to come across)
  The level of risk is based on Extreme likelihood and severity for the operation as a whole/ Hazards still exists and preventative measure still need to be taken with extreme care! This section may include hazards that are uncommon, unfamiliar and or of very dangerous circumstances/ EXTREME CAUTION IS REQUIRED !!

• "Normal Scope of Operations" means: (A "Risk" that is commonly known/ normal in our line of work.)
  The level of risk is based on moderate likelihood and severity for the operation as a whole / Hazard still exists and preventative measure still need to be taken with greater awareness. CAUTION IS REQUIRED!

• "Minor Scope of Operations" means:( A "Risk" that is known but limited in probability and severity/ May not be a direct operational hazard, but a hazard in proximity or association)
  The level of risk is limited by likelihood and severity for the operation as a whole / Hazards still exists and preventative measure still need to be taken.
  SITUATION AWARENESS REQUIRED.

• Immediate Hazard: A hazard(s) that will be immediately confronted in the project or associated with the project.
  
  

• Potential Hazard: A hazard(s) that is known, but will or maybe be confronted with later in the project or associated with the project.
  

• Severity/ Catastrophic: The hazard will endanger the public, hazard may exceed our work area, uncontrollable or very limited control, IDHL (Immediate Danger to Health and Life) is a level that survival will not occur.

• Severity/ High: Hazard may or may not endanger the public, is at limits of exceeding our work area, limited control, IDHL (Immediate Danger to Health and Life) is a level that survival may or may not occur.
  

• Severity/ Medium: Hazard will not endanger the public, is within the limits of our work area, controllable, IDHL (Immediate Danger to Health and Life) is a level that survival may occur.
  

• Severity/ Low: Hazard will not endanger the public, is well with the limits of the work area, easily controllable, IDHL (Immediate Danger to Health and Life) is a level that survival will occur.
  

• Severity/ Little to No Likelihood: Hazard will not endanger the public, is very localized, easily controllable, IDHL (Immediate Danger to Health and Life) possibility to produce serious harm is not likely, first aid may or may not be necessary.
  
  

• Likelihood/ Extremely Likely: Easily Foreseeable, easily predictable; Probability 90- 100%

• Likelihood/ Very Likely: Reasonably Foreseeable, Reasonable predictable; Probability 60- 90%

• Likelihood/ Minimal Likelihood: Not necessarily Foreseeable, not necessarily predictable: Probability 30-60%

• Likelihood/ Little to No Likelihood: Not Foreseeable, not predictable, very rare odds: Probability 0-30%

UNDERGROUND UTILITIES: Hazard for Analysis

• Underground Utilities

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

OVERHEAD UTILITIES: Hazard for Analysis

• Overhead Utilities

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

ROAD TRAFFIC: Hazard for Analysis

• Road Traffic

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

REVERSING VEHICLES: Hazard for Analysis

• Reversing Vehicles

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

TRENCHES/ EXCAVATIONS/ SHAFTS

• What is applicable?

  Select Trench Work Excavation Work Shaft Construction N/A

  • Trench Work
  • Excavation Work
  • Shaft Construction
  • N/A

• Is it an Immediate Hazard or Potential Hazard?<br>

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

CONFINED SPACE: Hazard for Analysis

• Confined Space

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

THE GENERAL PUBLIC: Hazard for Analysis

• The General Public

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

PROXIMITY TO OTHER CONTRACTORS: Hazard for Analysis

• Proximity to other Contractors

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

CONTAMINATED SOIL: Hazard for Analysis

• Contaminated Soil

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?<br>

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

ASBESTOS PIPE (Type 1): Hazard for Analysis

• Asbestos Pipe

  Immediate

  Potential

  N/A

• What is the "Operational" risk level?

  Normal Scope of Operations

  Minor Scope of Operations

  Major Scope of Operations

  Not in Scope of Operations

• Likelihood to Occur?

  Extremely Likely

  Very Likely

  Minimal Likelihood

  Little to No Likelihood

• What is the level of "Severity" ?

  Catastrophic- Public & Localized IDHL

  High- Localized IDHL

  Medium- Localized IDHL

  Low- Localized IDHL

  Little to No likelihood to IDHL

• Preventative Measures based on likelihood

  Select ORCGA/ Best Practices TSSA & ESA/ Guidelines for excavating in the vicinity of utility line Overhead Power-lines Procedure/ DIG-10-700 Signal Person Procedure/ DIG-10-800 Trenching Procedure/ DIG-10-1000 Confined Space Procedure/ DIG-09-300 A/B/C Traffic Control Procedure/ DIG-10-TRCTL Trench Rescue Procedure/ DIG-10-911TR Emergency Procedures/ DIG-10-911A Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!! May or Will Require Utility Representation/ Supervision Contact the Health and Safety Coordinator if you are unsure or have any questions

  • ORCGA/ Best Practices
  • TSSA & ESA/ Guidelines for excavating in the vicinity of utility line
  • Overhead Power-lines Procedure/ DIG-10-700
  • Signal Person Procedure/ DIG-10-800
  • Trenching Procedure/ DIG-10-1000
  • Confined Space Procedure/ DIG-09-300 A/B/C
  • Traffic Control Procedure/ DIG-10-TRCTL
  • Trench Rescue Procedure/ DIG-10-911TR
  • Emergency Procedures/ DIG-10-911A
  • Contaminated Soil Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • Asbestos Pipe Require Special Instruction/ Procedure(s) No Work to Commence until a plan is developed !!!
  • May or Will Require Utility Representation/ Supervision
  • Contact the Health and Safety Coordinator if you are unsure or have any questions

OAKVILLE

• SEWER AND WATERMAIN: Region of Halton/ 905-825-6000 ext# 7670 during the day (8:30am-4:30pm) AFTER HOURS: Just call 905-825-6000

• OAKVILLE HYDRO: Control Room/ 905-825-9400 ext# 2238 during the day (8:30am- 4:30pm) AFTER HOURS: Just call 905-825-9400

• Union Gas/ 1-877-969-0999

• Region of Halton Traffic Lights and Signals: 905- 825-6000 ext# 7170/ Contact Name: Robert Merritt

• Oakville Traffic Lights and Signals: 905-845-6601 ext# 3304/ Contact Name: Simon Tam

• Cable Systems/ Rogers & Cogeco: Contact (CCS) Rick Bennett cell# 416-676-2953

• Rogers Cable/ DIG LINE/ 1-800-265-9501

• BELL Canada: # 611

• Ontario One Call at 1-800-400-2255.

BURLINGTON

• SEWER AND WATERMAIN: Region of Halton/ 905-825-6000 ext# 7670 during the day (8:30am-4:30pm) AFTER HOURS: Just call 905-825-6000

• Burlington Hydro: Control Room/ 905-336-2004 open 24/7

• Union Gas/ 1-877-969-0999

• Region of Halton Traffic Lights and Signals: 905- 825-6000 ext# 7170/ Contact Name: Robert Merritt

• City of Burlington Traffic Lights and Signals/ 905-333-6166

• Cable Systems/ Rogers & Cogeco: Contact (CCS) Rick Bennett cell# 416-676-2953

• Rogers Cable/ DIG LINE/ 1-800-265-9501

• BELL Canada: # 611

• Ontario One Call at 1-800-400-2255.

MILTON

• SEWER AND WATERMAIN: Region of Halton/ 905-825-6000 ext# 7670 during the day (8:30am-4:30pm) AFTER HOURS: Just call 905-825-6000

• Milton Hydro: Power Outages/ 905-876-4611 then press 0, open 24/7

• Union Gas/ 1-877-969-0999

• Region of Halton Traffic Lights and Signals: 905- 825-6000 ext# 7170/ Contact Name: Robert Merritt

• Town of Milton Traffic Lights and Signals: 905-878-7252 Ext# 2500 during the day, AFTER HOURS: Milton Fire Dept Dispatch/ 905-878-7141

• Cable Systems/ Rogers & Cogeco: Contact (CCS) Rick Bennett cell# 416-676-2953

• Rogers Cable/ DIG LINE/ 1-800-265-9501

• BELL Canada: # 611

• Ontario One Call at 1-800-400-2255.

HALTON HILLS

• SEWER AND WATERMAIN: Region of Halton/ 905-825-6000 ext# 7670 during the day (8:30am-4:30pm) AFTER HOURS: Just call 905-825-6000

• Halton Hills Hydro: 519-853-3700 Ext# 211, AFTER HOURS: 519-853-3700.

• Region of Halton Traffic Lights and Signals: 905- 825-6000 ext# 7170/ Contact Name: Robert Merritt

• Town of Halton HIlls Traffic Lights and Signals: 905-873-2601 Ext# 2215

• Union Gas/ 1-877-969-0999

• Cable Systems/ Rogers & Cogeco: Contact (CCS) Rick Bennett cell# 416-676-2953

• Rogers Cable/ DIG LINE/ 1-800-265-9501

• BELL Canada: # 611

• Ontario One Call at 1-800-400-2255.

CALEDON

• SEWER AND WATERMAIN: Region of Peel/ 905-971-7800 Ext# 3499

• Hydro One ( For all Hydro One Areas) / Emergency Call Centre/ 1-800-434-1235

• Enbridge Gas/ 1-866-763-5427 emergency service is available 24/7

• Traffic Lights and Signals: Guild/ 416-288-8222/ Contact: Lisa Doherty

• Street Lights/ Hoggs & Nevells/ 905-843-2358

• Cable Systems/ Rogers & Cogeco: Contact (CCS) Rick Bennett cell# 416-676-2953

• Rogers Cable/ DIG LINE/ 1-800-265-9501

• BELL Canada: # 611

• Ontario One Call at 1-800-400-2255.

MISSISSAUGA

• SEWER AND WATERMAIN: Region of Peel/ 905-971-7800 Ext# 3499

• Traffic Lights and Signals: Guild/ 416-288-8222/ Contact: Lisa Doherty

• Traffic Services Dept: 905-625-3200 ext# 3210/ Contact: Glen Wright

• Enersourse Hydro: Emergency Control Room/ 905-283-4300

• Street Lights: Enersource Hydro: 905-566-2718

• Enbridge Gas/ 1-866-763-5427 emergency service is available 24/7

• Cable Systems/ Rogers & Cogeco: Contact (CCS) Rick Bennett cell# 416-676-2953

• Rogers Cable/ DIG LINE/ 1-800-265-9501

• BELL Canada: # 611

• Ontario One Call at 1-800-400-2255.

BRAMPTON

• SEWER AND WATERMAIN: Region of Peel/ 905-791-7800 Ext. 3211

• Hydro One ( For all Hydro One Areas) / Emergency Call Centre/ 1-800-434-1235

• Traffic Lights and Signals: Guild/ 416-288-8222/ Contact: Lisa Doherty

• City of Brampton Street Lighting: 905-874-2500

• Region of Peel Traffic Lighting and Signals: 905-791-7800 ext. 4409

• Enbridge Gas/ 1-866-763-5427 emergency service is available 24/7

• Cable Systems/ Rogers & Cogeco: Contact (CCS) Rick Bennett cell# 416-676-2953

• Rogers Cable/ DIG LINE/ 1-800-265-9501

• BELL Canada: # 611

• Ontario One Call at 1-800-400-2255.

HAMILTON

• Sewer & Watermain: City of Hamilton/ 905-546-2424 ext# 4426

• Traffic Signals: First call Ontario One Call at 1-800-400-2255. For traffic signal locates (With ticket number) contact the Traffic Operations Centre (905) 546-2424 ext# 4600

• Hydro/ Horizon Utilities/ Hamilton: 905-522-6611- ext# 4802------- St. Catherine's: 905-522-6611- ext# 4812

• Street Lights/ Horizon Utilities: Hamilton: 905-546-2098 ------- St. Catherine's: 905-684-9764

• Union Gas: 1-877-969-0999

• Cable Systems/ Rogers & Cogeco: For both systems contact CCS/ Rick Bennett at cell# 416-676-2953

• Rogers Cable Dig Line: 1-800-265-9501

• Bell Canada/ #611

• Ontario One Call at 1-800-400-2255.
  

RICHMOND HILL

• Sewer & Watermain/ 905-884-8013 then press 0 to the Operations Centre

• Hydro/ Powerstream Hydro/ Regular Hours/ Control Room- 905-417-9605 (Direct Line) or 905-417-6900 ext# 21044 ------- After Hours- 1-877-777-3810

• Powerstream Locates Dept: 905-417-6900 then press 0

• Enbridge Gas/ 1-866-763-5427 emergency service is available 24/7

• Traffic Lights & Signals/ York Region Transport Department/ 905-895-1200 ext# 5200 24/7 availability.

• Cable Systems/ Rogers & Cogeco: For both systems contact CCS/ Rick Bennett at cell# 416-676-2953
  

• Rogers Cable Dig Line: 1-800-265-9501
  

• Bell Canada/ #611
  

• Ontario One Call at 1-800-400-2255.
  

D'ORAZIO PERSONNEL

• Superintendent: Baron Storfer/ 416-684-0349

• Principal: Rob D'Orazio/ 416-936-7832

• Health and Safety Coordinator: 416-819-4744

• OFFICE: 905-829-8777

• SHOP Mechanics: Myke Mowat: 416-936-7836 ______________Joe Nunes: 416-936-7835

Ministry of Labour

• Mississauga Branch:1290 Central Parkway West, 4th Floor
  Mississauga ON L5C 4R3
  Tel: 905-273-7800 or 1-800-268-2988
  Fax: 905-615-7098 or 905-615-7078
  

• Hamilton/Halton/Brant: Ellen Fairclough Building, 119 King Street West, Hamilton ON L8P 4Y7, Tel: 905-577-6221 or 1-800-263-6906, Fax: 905-577-1200

• (Newmarket) Central Region West: 17345 Leslie Street,Units 101 and 102, Newmarket, ON L3Y 0A4,Tel: 905-715-7061 or 1-888-299-3138, Fax: 905-715-7140
  

• (Toronto) Central Region East: 5001 Yonge Street, Suite 1600, North York, ON M7A 0A3,Tel: 647-777-5005,Fax: 647-777-501
  

Completed By: Health and Safety Dept.

• Hazard Analysis Performed By:

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Management Participantion and Acknowledgements

• The following people have participated in the development of the Pre-Start Hazard Analysis and are informed and or aware of its complete contents.

• Job Superintendent:

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On-Site Personnel Acknowledgements

• The following people have reviewed the Pre-Start Hazard Analysis and are informed and or aware of its complete contents.

• Site Supervisor

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• Worker Representative

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Senior Managements Review

• Senior Management

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