3263_LAX T5.

5 Terminal Cores & Automated People Mover

Activity Hazard Analysis (AHA)
Activity/Work Task: Painting Overall Risk Assessment Code (RAC) (Use highest code) M
Project Location: 380, 550-700 World Way
Los Angeles CA 90045 Risk Assessment Code (RAC) Matrix
Contract & AHA Number: Probability
Severity
Date Prepared: June 20, 2019 Frequent Likely Occasional Seldom Unlikely
Prepared by (Name/Title): Catastrophic E E H H M
Shannon Williams/Asst - Project Management Critical E H H M L
Marginal H M M L L
Reviewed by (Name/Title):
Negligible M L L L L
Notes: (Field Notes, Review Comments, etc.) Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC (See above)
“Probability” is the likelihood to cause an incident, near miss, or accident and
identified as: Frequent, Likely, Occasional, Seldom or Unlikely. RAC Chart
“Severity” is the outcome/degree if an incident, near miss, or accident did E = Extremely High Risk
occur and identified as: Catastrophic, Critical, Marginal, or Negligible H = High Risk
Step 2: Identify the RAC (Probability/Severity) as E, H, M, or L for each M = Moderate Risk
“Hazard” on AHA. Annotate the overall highest RAC at the top of AHA. L = Low Risk
Job Steps Hazards Controls RAC
Put on personal protective equipment Injury to head, foot, eye, ear, or Al1 employees should wear proper PPE while working onsite L
(PPE) other body parts (Hard hat, steel toe boots, 100% eye protection, including
prescription glasses, Class II Vest).
Gloves must be worn when handling material or using tools
that have the potential to injure hands.
Train Workers/ Daily Safety Workers not trained in safe Use of this AHA and other formal and informal training to L
inspections execution of the task/faulty train workers
equipment & hand tools

Prep area; protect adjacent areas with Slip, trips, and falls. Maintain current SDS for chemicals being used onsite. L
plastic, drop cloths or a type of
containment for rolling Maintain good housekeeping/nothing hits the floor

Apply existing areas with material Risk of chemical exposure due to Choose the proper PPE as per the SDS
prime and paint areas using: inhalation, absorption, or ingestion
Brushes and rollers Adequate ventilation shall be maintained
Gas powered equipment Trips and falls Extension cords will be suspended across walkways and L
sidewalks at a height greater than 7-1/2’
Lifting and handling paint Risk of injury due to repetitive All employees to follow company ergonomic plans L
motion
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3263_LAX T5.5 Terminal Cores & Automated People Mover
Soft Tissue injuries, strain, trauma,
foot injury
Dropping heavy materials, back
strain
Use of ladders Ladder tipping, shifting, or sliding
causing the worker to fall
Falling from ladder
Ladder failure- Falling
Electric Shock
Equipment to be Used Training Requirements/Competent or
Qualified Personnel name(s)
Ladders Company provided training/Joe Wilcox
2
Choose the proper tool for the job.
Daily stretch and flex
Use proper lifting techniques, use legs to lift, use carts to move
paint.
Extension ladders are to be set up so that the horizontal M
distance from the top support to the ladder base is ¼ the
working length of the ladder. A second person must hold the
ladder until the ladder is tied-off. The top of the ladder is tied
off and the side rails extend 36” above the landing.
Step ladders are to be used for work that is 15 minutes or less
in duration. Fourth rung of step ladder must be tied to
substantial anchor or held by another worker.
Step ladders used only in fully open position.
Set up ladders on firm level footing.
Do not work from a step ladder leaned against a wall.
All step and extension ladders are equipped with ladder shoes.
Do not work from the top two steps of a step ladder.
6’ fall protection required.
Choose the correct size of ladder for the job.
Ladders must be inspected regularly and tagged “do not use”
if defective. Remove defective ladders from the jobsite.
Use only nonconductive ladders.
Inspection Requirements
Daily. Before use. Follow manufacturer’s specifications. L
3263_LAX T5.5 Terminal Cores & Automated People Mover

REVIEW BY TRADE/ SUB CONTRACTOR: REVIEW BY General Contractor Construction Safety:

Foreman: Date: DD/MM/YY Area Supervisor: Date: DD/MM/YY

Superintendent: Date: DD/MM/YY Safety Team: Date: DD/MM/YY

Trade/Sub HSE: Date: DD/MM/YY Safety Manager: Date: DD/MM/YY

Crew Reviewed with Signatures:

Date: DD/MM/YY Date: DD/MM/YY

Date: DD/MM/YY Date: DD/MM/YY

Date: DD/MM/YY Date: DD/MM/YY

Date: DD/MM/YY Date: DD/MM/YY

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Date: DD/MM/YY Date: DD/MM/YY

Date: DD/MM/YY Date: DD/MM/YY

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Date: DD/MM/YY Date: DD/MM/YY