Title Page
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Date JHA Performed
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Evaluator Name
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Name?
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Site conducted
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Related SOP Title
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Related SOP Document #
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Department Representative Name (a dept. rep. should be involved in all JHA's, If a dept. rep. is not involved the JHA evaluator MUST explain why below.
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Explain why dept. rep. is not involved.
JHA Procedure Step 1
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Complete items for Procedure Step 1
Procedure Step 1
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Step 1 Description (how is the step described in the SOP?)
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What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
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What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
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What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
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What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
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Additional Notes/Comments for this Procedure Step
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Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 2
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Step 2 Description (how is the step described in the SOP?)
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What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
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What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
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Additional Notes/Comments for this Procedure Step
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Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 3
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Step 3 Description (how is the step described in the SOP?)
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What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
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What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
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Additional Notes/Comments for this Procedure Step
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Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 4
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Step 4 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 5
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Step 5 Description (how is the step described in the SOP?)
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What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 6
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Step 6 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 7
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Step 7 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 8
-
Step 8 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 9
-
Step 9 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 10
-
Step 10 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 11
-
Step 11 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 12
-
Step 12 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 13
-
Step 13 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 14
-
Step 14 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 15
-
Step 15 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Procedure Step 16
-
Step 16 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Process Step 17
-
Step 17 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Process Step 18
-
Step 18 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Process Step 19
-
Step 19 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
-
What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
-
Describe the "other" controls
-
Describe each Engineering control for this step (enter N/A if none)
-
Describe each Administrative control for this step (enter N/A if none)
-
List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
-
Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
-
Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
-
What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
-
What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
-
Additional Notes/Comments for this Procedure Step
-
Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)
Process Step 20
-
Step 20 Description (how is the step described in the SOP?)
-
What are the identified Hazard types?
- Noise/Vibration
- Mobile Equipment/Pedestrian Interface
- Respiratory (Dust/Harmful Vapors)
- Crane Interaction
- Burn/Radiation
- Slip/Trip/Fall
- Struck by/Against/Caught
- Guarded/Unguarded Machinery and Moving Parts
- Cutting/Stabbing
- Heat/Cold/Weather
- Confined Space
- Hazardous Energy (LTV)
- Electrical Hazard
- Pressurized System
- Toxic
- Flammable
- Corrosive
- Oxidizing
- Explosive
- Compressed Gas
- Biological Agent
- Repetitive Task
- Awkward Posture
- Manual Lifting
- Carrying
- Pushing/Pulling
- Poor Visibility
- Falling Objects
- Working at Heights
- Excavation/Collapse/Engulfment
- Other
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What are the existing controls?
- Engineering Controls (isolation, guarding, interlocks, barriers, ventilation, mechanical lifting devices, guardrails, etc.)
- Administrative Controls (safe work practices, rules, relief workers, breaks, worker rotation, etc.)
- PPE
- Other
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Describe the "other" controls
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Describe each Engineering control for this step (enter N/A if none)
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Describe each Administrative control for this step (enter N/A if none)
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List existing PPE for this step
- Hard Hat
- Safety Glasses
- Smelter Boots
- Other hard toe work boots
- Face shield
- High Visibility Clothing
- Hearing Protection
- Welding Helmet
- Gloves-Leather
- Gloves-Chem. Resistant
- Gloves-Other
- Goggles
- Helmet
- Respirator-Half
- Respirator-Full
- Nuisance Dust Mask
- Fall Protection Harness
- FR Clothing
- Spats
- Other
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Describe the "other" PPE
-
List the ADDITIONAL recommended hazard controls for this step
-
List the ADDITIONAL PPE recommended for this step
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Risk Evaluation for this Step: How LIKELY is an injury to occur during this step?
- 5 - Almost Certain (multiple times/year)
- 4 - Likely (1-2 times per year)
- 3 - Possible (happens once every 1 to 10 years)
- 2 - Unlikely (happens every 10-30 years)
- 1 - Rare (>50 year event)
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What would the CONSEQUENCE of an injury be?
- A - Severe (Fatality/Paralysis/Amputation)
- B - Major (Work Absence/Restricted Work)
- C - Moderate (Medical Treatment/No Work Restriction)
- D - Minor (First Aid)
- E - Insignificant (No Treatment)
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What is the RISK SCORE for this step? (Likeliness # and Consequence Letter, e.g. 4B)
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Additional Notes/Comments for this Procedure Step
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Are there any more procedure steps in this SOP? (If No then Stop, If Yes then proceed to next page)