Huston Electric - Task Hazard Analysis

• Project

• Location of Task
  Address

• Date

  Date

• Weather Condition

• General Foreman

• Foreman

• Prepared by

• Daily Scope of Work

EVALUATING YOUR WORK AREA

• Has the competent person performed required inspections?

  Yes

  No

  N/A

• Does this task require special training?

  Yes

  No

  N/A

• Is an MSDS review necessary for this task?

  Yes

  No

  N/A

• Is this area a confined space?

  Yes

  No

  N/A

• Are work permits required for this task?

  Yes

  No

  N/A

• Should the Safety Dept. be involved in this planning?

  Yes

  No

  N/A

• Has emergency equipment been located?

  Yes

  No

  N/A

• If the work area is congested, has the work plan been coordinated with other crafts?

  Yes

  No

  N/A

• Are you familiar with evacuation routes of site?

  Yes

  No

  N/A

• Do you have the required PPE needed for this task?

  Yes

  No

  N/A

• Are the required materials and tools provided?

  Yes

  No

  N/A

• Have all tools/equipment been inspected before use?

  Yes

  No

  N/A

• Is there a safety issue that has not been addressed?

  Yes

  No

  N/A

• Is a permit required/completed?

  Yes

  No

  N/A

• Are all energy sources de-energized?

  Yes

  No

  N/A

• Have all fall hazards been addressed?

  Yes

  No

  N/A

POTENTIAL HAZARD CHECKLIST

• Select all applicable answers

  Select Caught in/Between Particles in Eyes Elevated Work Poor Housekeeping Electrical Shock Chemical Burns Fire/Explosion Inadequate Access High Noise Levels Struck By Manual Lifting Chemical Spill Plant Operations Mobile Equipment Hazardous Chemicals Heat Exhaustions/Stress Sharp Objects or Tools Excavations Lockout/Tagout Ladders Rigging Falls from Elevations Confined Spaces Line Breaking Inhalation Hazard Critical Lift Compressed Gasses Overhead Power Lines Scaffolding Material Handling

  • Caught in/Between
  • Particles in Eyes
  • Elevated Work
  • Poor Housekeeping
  • Electrical Shock
  • Chemical Burns
  • Fire/Explosion
  • Inadequate Access
  • High Noise Levels
  • Struck By
  • Manual Lifting
  • Chemical Spill
  • Plant Operations
  • Mobile Equipment
  • Hazardous Chemicals
  • Heat Exhaustions/Stress
  • Sharp Objects or Tools
  • Excavations
  • Lockout/Tagout
  • Ladders
  • Rigging
  • Falls from Elevations
  • Confined Spaces
  • Line Breaking
  • Inhalation Hazard
  • Critical Lift
  • Compressed Gasses
  • Overhead Power Lines
  • Scaffolding
  • Material Handling

• PPE

  Select Safety Glasses Gloves Hard Hat Boots Dust Masks Vest Arc Flash Gear Face Shields Ear Plugs

  • Safety Glasses
  • Gloves
  • Hard Hat
  • Boots
  • Dust Masks
  • Vest
  • Arc Flash Gear
  • Face Shields
  • Ear Plugs

• Tools

  Select Cords GFCI Guards Inspected

  • Cords
  • GFCI
  • Guards
  • Inspected

• Environmental

  Select Water Dust

  • Water
  • Dust

• Ladders

  Select Extension, Straight or Step Ladders Inspected for defects

  • Extension, Straight or Step Ladders
  • Inspected for defects

• Hazard Communication

  Select Employee Trained MSDS

  • Employee Trained
  • MSDS

• Motorized Equipment

  Daily Visual Inspection

  Operator Trained

  Seat Belts Work at all Times

HAZARDS FOUND

• Add Hazard

Hazard

• Description of Steps to be Performed

• Hazards Associated with Each Step

• Required to Eliminate or Control the Hazard

COMPLETION

• Add Crew Approval Signature

Crew Approval Signature

• Name and Signature

  Sign

• Huston Electric Foreman Name and Signature

  Sign