SSEG Nevada Las Vegas Hazard Identification and Risk Assessment

• Division

• Community

• Address

• Installation Contractor

• Conducted on

  Date

• Prepared by

1. Work Environment

• 1.1. Lack of/or inadequate amenities? (Toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• 1.2. Insufficient lighting?

  Safe

  At Risk

  N/A

2. Ladders

• 2.1. Employees have been trained in proper ladder safety ?

  Yes

  No

  N/A

• 2.2. Has a ladder safety program been submitted ?

  Safe

  At Risk

  N/A

• 2.3. Ladder extends 3' above landing?

  Safe

  At Risk

  N/A

• 2.4. Ladder not properly secured, or is unsafely positioned ?

  Safe

  At Risk

  N/A

• 2.5. Employees inspect ladder prior to use daily?

  Safe

  At Risk

  N/A

3. Electrical Hazards

• 3.1. Unsafe electrical cords? (Damaged, out of test date or untested)

  Safe

  At Risk

  N/A

• 3.2. Contact with overhead electrical lines?

  Safe

  At Risk

  N/A

• 3.3. All electrical work being performed is being done with the system de-energized ? If not then a specific safety plan has been developed for working on live electrical systems?

  Safe

  At Risk

  N/A

• 3.4. Electrical equipment near water?

  Safe

  At Risk

  N/A

• 3.5. Electrical leads that may be damaged from contact with moving machinery parts?

  Safe

  At Risk

  N/A

• 3.6. Is proper lock-out/tag-out (LOTO) in use when necessary on project ?

  Safe

  At Risk

  N/A

4. Personal Protective Equipment (PPE)

• 4.1. Lack of hard hats?

  Safe

  At Risk

  N/A

• 4.2. Lack of eye protection?

  Safe

  At Risk

  N/A

• 4.3. Lack of hard sole shoes?

  Safe

  At Risk

  N/A

• 4.4.Does worker have bottle of Sun protection?

  Safe

  At Risk

  N/A

5. Fall Protection

• 5.1. Has the competent person for this specific project been identified ? Name and contact information provided ?

  Safe

  At Risk

  N/A

• 5.2. Is the equipment inspected prior to use daily ?

  Safe

  At Risk

  N/A

• 5.3. Has a fall protection plan been submitted? is it relevant to the wok being performed on this specific project ?

  Safe

  At Risk

  N/A

• 5.4. Have the employees performing work been trained on fall protection

  Safe

  At Risk

  N/A

6. Emergency Response

• 6.1. Lack of training and rehearsal of emergency plans?

  Safe

  At Risk

  N/A

• 6.2. Insufficient access to formally trained First Aiders for all shifts?

  Safe

  At Risk

  N/A

7. Equipment

• 7.1. Properly trained to operate equipment?<br>

  Safe

  At Risk

  N/A

• 7.2. Proper loading and unloading procedures being followed?

  Safe

  At Risk

  N/A

• 7.3. Operator in cab while load is suspended?

  Safe

  At Risk

  N/A

8. Housekeeping

• 8.1. Clean site on and around work space area?

  Safe

  At Risk

  N/A

• 8.2. Trash properly placed and removed from work area?

  Safe

  At Risk

  N/A

9. Tools

• 9.1. Guard in place on tools?

  Safe

  At Risk

  N/A

• 9.2. Tools in proper working condition?

  Safe

  At Risk

  N/A

• 9.3. No tools damaged in use?

  Safe

  At Risk

  N/A

10. Scaffolds

• 10.1. Fully planked?

  Safe

  At Risk

  N/A

• 10.2. Scaffold grade lumber?

  Safe

  At Risk

  N/A

• 10.3. Guard rails 7 1/2" CA?

  Safe

  At Risk

  N/A

• 10.4. Base plate/mud Sills?

  Safe

  At Risk

  N/A

• Is the scaffolding inspected daily prior to use

  Yes

  No

  N/A

• 10.5. Cross bracing?

  Safe

  At Risk

  N/A

• Has the competent person for this specific project been identified ? Name and contact information provided

  Yes

  No

  N/A

• 10.6. Scaffold level with screw jacks?

  Safe

  At Risk

  N/A

• 10.7. Damaged parts?

  Safe

  At Risk

  N/A

• 10.8. Access ladder?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign