RISK ANALYSIS & TAKE 5
JOB DESCRIPTION
- Arc Flash PPE
- Safety Glasses
- Steel Toe Shoes
- Hearing Protection
- Harness / Fall Protection
- Face Shield
- Particle Respirator
- Cloth Gloves
- Chemical Gloves
- Tyvek Suit
- Goggles - Chemical
- Goggles - Welding
- Heat Resistant Clothing
- Hard Hat
- Others
OTHER PERSONAL PROTECTIVE EQUIPMENT REQUIRED (if any)
- Barricades / Signs Posted
- Ladders Secured
- First Aid / Emergency Contact
- Lockout Complete / Try Out Verified
- Permits Posted
- Eyewash / Shower
- Work area Defined
- Fire Extinguishers (Hot work)
- Others
Do I understand what I am supposed to do?
Are there standard procedures for this job?
Do I have all of the required work permits?
Do I have all of the required Personal Protection Equipment?
Are my tools and equipment in good working condition?
- Atmosphere / Confined Space
- Contact Burns / FIRE
- Compressed Gases
- Chemical exposure / Dust
- Engulfment / Ground Control
- Electrical /Mechanical
- Fall from Heights
- Slips / Trips on same level
- Mobile equipment / Forklift usage in area
- Pinch points
- Noise
- Others
Is there any additional hazard? (if any)
GREEN (LOW) - Continue with task, watch for exposure changes
YELLOW (MODERATE) - Continue with task; develop safe action plan
ORANGE (HIGH) - Stop, notify Supervisor: develop safe action plan together.
RED (CRITICAL) - Stop, notify Supervisor; complete risk assesment
Have the hazards been removed or controlled?
Have potential problems been discussed?
Can we continue the job safely?
PERMITS & REQUIREMENTS
- Confined Space Permit
- Lockout / Tag Out Required
- Haz Com Review
- Hot Work Permit
- High Voltage Permit
- Other
- None or Not applicable
LIST OTHER PERMIT OR REQUIREMENT (if any)
HOT WORK PERMIT
Do you require a Work Permit ?
- Edwin Horna
- Scotty Garret
- Patrick Parker
- Clayton Parrish
- Caleb Sawyer
- Shannon Brinson
- Brandon Carter
- Dustin Lord
- Brandon Hayes
- Blake Carter
- Will Oliver
- Chip Johnson
- Glen Ziegler
- Bill Brynteson
- Slayton Kitchens
- Brad Richards
- Chad Foskey
Additional Personnel doing Hot WORK
- Edwin Horna
- Scotty Garret
- Patrick Parker
- Clayton Parrish
- Caleb Sawyer
- Shannon Brinson
- Brandon Carter
- Dustin Lord
- Brandon Hayes
- Blake Carter
- Will Oliver
- Chip Johnson
- Glen Ziegler
- Bill Brynteson
- Slayton Kitchens
- Brad Richards
- Chad Foskey
Additional Fire Watches
Fire Watch SIGN OFF:
Work Area and all adjacent areas to which sparks and heat could spread must be inspected during the fire watch period.
Fire Watch personnel must monitor work area for at least 30 minutes following "Hot work"
By acknowledging this section, I understand the requirements.
Sprinklers and/or fire hoses in service / operable.
Hot work equipment in good condition (e.g power source, welding leads, torches, etc)
Multi-purpose fire extinguisher and/or water pump can.
Dust, lint, debris, flammable liquids and oily deposits removed.
Explosive hazard in area eliminated.
Combustible floor (e.g. wood, tile, carpeting) are wet down, covered with damp sand, or fire blankets.
Flammable and combustible material were removed where possible. Otherwise, protected with fire blankets, guards, or metal shields.
All walls and floor openings covered.
Walkways protected beneath hot work.
Protect/cover or shutdown ducts and conveyors that might carry sparks to distant combustibles.
Combustible moved away.
Confined space cleaned of all combustibles ( grease oil, flammable vapors)
Containers purged of flammable liquids / vapors.
Company confined space guidelines will be followed.
Fire Watch will be provided during and for 30 minutes after work, including any coffee or lunch breaks.
The Fire watch is supplied with an extinguisher, and/or water pump can. He is aware of other fire extinguishers located throughout the work area.
Fire Alarm or extinguisher : The fire watch is trained in use of this equipment and familiar with location of sounding alarm
The fire watch is required for opposite side of walls, above, and below floors and ceilings.
ADDITIONAL PERSONNEL (if any - at different time)
- Edwin Horna
- Scotty Garret
- Patrick Parker
- Clayton Parrish
- Caleb Sawyer
- Shannon Brinson
- Brandon Carter
- Dustin Lord
- Brandon Hayes
- Blake Carter
- Will Oliver
- Chip Johnson
- Glen Ziegler
- Bill Brynteson
- Slayton Kitchens
- Brad Richards
- Chad Foskey
- Edwin Horna
- Scotty Garret
- Patrick Parker
- Clayton Parrish
- Caleb Sawyer
- Shannon Brinson
- Brandon Carter
- Dustin Lord
- Brandon Hayes
- Blake Carter
- Will Oliver
- Chip Johnson
- Glen Ziegler
- Bill Brynteson
- Slayton Kitchens
- Brad Richards
- Chad Foskey
Additional contractors at a different time
