ACCIDENT PREVENTION PROGRAM

JOB HAZARD ANALYSIS

1. Contract No.: N/A 2. Project: Volunteer Cleaning 3. Facility:
4. Date: 5. Location: 6. Estimated Start Date:
7. Item 8. Phase of Work 9. Safety Hazard 10. Precautionary Action Taken
1. Cleaning of restrooms
Slipping/falling, skin irritation, exposure to human waste - Soap must be thoroughly rinsed from the floors.
inhalation of toxic fumes, eye injury, back injury, wasp and
- Standing water must be removed from the floors.
bee sting, spider bite
- Plastic gloves must be worn while cleaning.
- The cleaner will not mix any chemicals together. This
includes placing two different chemicals on the same
surface. If the cleaner decides that the cleaning chemical
provided does not do the job, he/she will notify the Corps.
The cleaner will not attempt to mix or add anything to the
cleaning compound in order to make it work better.
- The cleaner will prop the door open while using the wall
cleaner (Scrub Free) and the toilet bowl cleaner (Zep
Bowl Shine).
- The cleaner will wear safety glasses while using the
toilet bowl cleaner. The cleaner will try to prevent
splashing when using all other cleaning chemicals.
- The cleaner will use the provided mop buckets with
wheels.
- The cleaner will lift any heavy objects safely (keeping
back straight and bending the knees).
- The cleaner will look for wasp and bee nests at the
entrance of all buildings and spray nests with the
provided wasp spray.
- The cleaner will remove all spider nests during each
cleaning to prevent spiders.

11. Contractor / Volunteer (Signature and Date)

13. Contracting officer (Signature and Date)

12. Report discussed with contractor / superintendent on _______________ or
Contracting Officer Representative

____________________________________________________
Area/Resident Engineer (signature)
MVS FORM 354-R PREVIOUS EDITIONS OBSOLETE
MAR 83
 ACCIDENT PREVENTION PROGRAM
JOB HAZARD ANALYSIS
1. Contract No.: N/A 2. Project: Volunteer Cleaning 3. Facility:
4. Date: 5. Location: 6. Estimated Start Date:
7. Item 8. Phase of Work 9. Safety Hazard 10. Precautionary Action Taken

- Do not use hands to compact trash.

Blood-borne pathogen
- Do not attempt to clean blood or blood-contaminated
wastes without proper protective clothing (report
these types of wastes before cleaning is attempted)

- The cleaner will watch his/her footing while picking up

2. Litter Pickup Tripping/falling, cuts and abrasions, and vehicle traffic litter.
- The cleaner will wear the provided gloves while picking
up all litter.
- The cleaner will use care when handling broken glass
and metal debris.
- When picking up litter along roadways the cleaner must
be aware of passing vehicles and wear a reflective vest.

11. Contractor / Volunteer (Signature and Date)

13. Contracting officer (Signature and Date)

12. Report discussed with contractor / superintendent on _______________ or
Contracting Officer Representative

____________________________________________________
Area/Resident Engineer (signature)
MVS FORM 354-R PREVIOUS EDITIONS OBSOLETE
MAR 83