Information
MTI task specific hazard assessment
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Site/Equipment
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Conducted on
MTI personnel
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Signoff
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HAZARD CONTROL MEASURE
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Are you locking out?
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What duties will you be doing that do not require a lock out?
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MEASURES TAKEN TO CONTROL PRIME MOVER
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Main disconnect
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local disconnect
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Air Lock out
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All stored energy has been removed
WORKING AT HEIGHTS
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Will you be working at or above the site specified tie off height?
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If "Fall arrest" is used, a MILL SITE ELEVATED WORK PLAN must be completed, including rescue measures should a worker fall
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Fall protection system to be used:
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Fall restraint
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Fall arrest
list any specific hazards associated with this elevated work
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HOT WORK
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Is there HOT WORK involved?
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Fallow all mill site specific HOT WORK procedures including all applicable permits, house keeping requirements, having fire suppression equipment and wet down
MACHINERY HAZARD
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Pinch point
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Sharp edges
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Movable parts
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Rotating equipment
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Flying objects
CONTROL MEASURES
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All required PPE is used and available.
COVERS/GUARDS
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Guard in or cover existing pinch points.
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Barrier tape ( if applicable )
HEAVY LIFTING
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Is the load over 50lbs?
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Lifting procedure
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Crane, hoist or other lifting device.
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Someone is available to assist with the lift.
TOOLS
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Are the tools in good working order?
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Are there any other tools that would make the job easier or more efficient?
HOUSE KEEPING
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Has the area been cleared of scrap and extra materials?
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All tools have been removed from the work area?
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Cleanup is completed ?
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All guards have been re-installed ?
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All disconnects and valves are back on?
Other hazards not addressed by this Task Specific Hazard assesment
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