ࡱ> ehd_ J=bjbjkk 0@;\;\ & RRRRRfff8,|f'*FzeD$''''''')e,'9R'RR?'jRR''V:$@$@9{7Rz$ &U'0'$T,,$$&,R%''O', > :  COMPANY/ PROJECT NAME or ID/ LOCATION ( City, State) DATE August 18, 2015 FORMCHECKBOX  NEW  FORMCHECKBOX  REVISED PAGE 1 of 2 WORK ACTIVITY (DescriptioN SCAFFOLDINGDEVELOPMENT TEAMPOSITION / TITLEREVIEWED BY:POSITION / TITLEDave RuzichSafety CoordinatorMINIMUM REQUIRED PERSONAL PROTECTIVE EQUIPMENT ( SEE CRITICAL ACTIONS FOR TASK-SPECIFIC REQUIREMENTS) FORMCHECKBOX  REFLECTIVE VEST  FORMCHECKBOX  HARD HAT  FORMCHECKBOX  LIFELINE / HARNESS  FORMCHECKBOX  SAFETY GLASSES FORMCHECKBOX  GOGGLES  FORMCHECKBOX  FACE SHIELD  FORMCHECKBOX  HEARING PROTECTION  FORMCHECKBOX  SAFETY SHOES  FORMCHECKBOX  AIR PURIFYING RESPIRATOR  FORMCHECKBOX  SUPPLIED RESPIRATOR  FORMCHECKBOX  PPE CLOTHING  FORMCHECKBOX  GLOVES Cut-resistant  FORMCHECKBOX  OTHER  FORMTEXT    Chaps   JOB STEPSPOTENTIAL HAZARDSCRITICAL ACTIONS TO MITIGATE HAZARDSScaffoldsFalls Damaged/Broken Equipment Improper Assembly Improper UseAll scaffolds must be erected and used in accordance with 29CFR1926 SubpartL  Scaffolds. Scaffolds must be designed by a qualified person. Qualified means one who, by possession of a recognized degree, certificate, or professional standing, or who by extensive knowledge, training, and experience, has successfully demonstrated his/her ability to solve or resolve problems related to the subject matter, the work, or the project. Scaffolds must be used and inspected in accordance with the manufacturers instruction for each specific model and type of scaffold being used. All wheels equipped with locking devices must be locked prior to climbing, all bolts and nuts must be tight, and all cotter pins must be in place and secured before use. All Brieser erected scaffolds must be erected under the supervision of a scaffold competent person. When working off scaffolds that are four ft. or more above a walking/working surface, fall protection or OSHA compliant handrails are required. The scaffold competent person and the qualified person may be the same individual. Newly erected or modified scaffolds must be inspected by the Briesers scaffold competent person and by an Qualified person prior to use. Daily pre-use inspections must be conducted by Briesers competent person and the scaffold tag must be signed by the scaffold competent person.  Each Job or Operation consists of a set of steps. Be sure to list all the steps in the sequence that they are performed. Specify the equipment or other details to set the basis for the associated hazards in Column 2 A hazard is a potential danger. What can go wrong? How can someone get hurt? Consider, but do not limit, the analysis to: Contact - victim is struck by or strikes an object; Caught - victim is caught on, caught in or caught between objects; Fall - victim falls to ground or lower level (includes slips and trips); Exertion - excessive strain or stress / ergonomics / lifting techniques; Exposure - inhalation/skin hazards. Specify the hazards and do not limit the description to a single word such as "Caught" 67<KLM[\]ghvwx  ʺʪ|qe^ThB&CJOJQJ hU5CJh h 5CJ$aJ$h h CJ$aJ$ h\;CJ h CJ hUCJhU5>*CJ hU>*CJ hpnCJ h,wCJjthD}hCJUjhD}hCJU hD}CJjhD}CJUh:>h:>CJ hACJhD}hUCJOJQJ hUCJhU67<Lg pd$If]gdpn pd$If]gd pd$If] d$If]gd ) d$If] yyy $If]gdg[xkd$$Ifl4\"*,        ~   8-4 la^f4ytC $$If]a$Okd$$Ifl4"*,8-     8-4 la^f4p ytC   " # $ XNNAN $If]gdW?\ $If]kd[$$Ifl4\j *,x  @      (8-4 la^f4p(ytC  ! $ % ) * . /      ) * 8 9 : F ̿ҹ|ҹrl\rjuh- thpCJU h- tCJjh- tCJUj hgqCJUjhACJUj1hACJU hACJjhACJU h`qCJ hUCJjhgqCJU hgqCJjhgqCJU hU5CJ hUCJhB&CJOJQJhhUCJOJQJ$$ % & ' ( ) ~~~~ $If]vkd$$Ifl4\j *,x  @    8-4 la^f4ytC) * + , - . |||| $If]xkdx$$Ifl4\j *,x  @    8-4 la^f4ytC. / y,Mkd<$$Ifl4*,8-     8-4 la^f4p ytC $$If]a$xkdZ$$Ifl4\j *,x  @    8-4 la^f4ytC  ) F g  , \   V$If]^V` $If]gdM $If]F G U V W g h v w x     , - ; < = N [ \ ] ſܨܛܨ܎ſſtndjhg[CJU hM CJj hACJUj hACJUj hUCJUj- hUCJUjhUCJUj hACJU hACJjhACJUj] hCJU hUCJjhCJU hCJjhCJU&] k l m y z       6 )2JKN=JӶӢݛxtttthAh^h ]h h^h h aJhAh 5aJ hU5CJhU5>*CJh )CJmHnHujhUCJUmHnHuj] hUCJUjhUCJU hUCJjhg[CJUj hg[CJU hg[CJ)  2 X yyy $$If]a$xkd $$Ifl4\j *,x   @  2   N   8-4 la^f4ytC  6 vcSSSSS & Fd$IfgdA$$ & Fd$IfgdAkd $$Ifl4Fj *,x  @     8-    4 la^f4pytC MN`a & Fd$IfgdAd$If^gdAU]^f<#=$=&='=)=*=,=-=/=0=1=D=F=H=I=J=пhB: hB:5 hB:5CJhB:CJOJQJ!jhB&hB&CJOJQJUh[jh[UU hU5CJ hUCJ h<CJh h)^h h CJH hbh h^h B* phI}+xkZ '$If]gd $If]gd  & F$If]gd vkd$$Ifl4kFj *,`x  @  8-    4 la^f4pytCxkZ '$If]gd $If]gd  & F$If]gd vkd$$Ifl4%Fj *, x @  8-    4 la^f4pytC!="=#=%=&=qqqqqggee ] ZV]V^ ZV]Vvkd$$Ifl4BFj *, x @  8-    4 la^f4pytC Aligning with the first two columns, describe what actions or procedures are necessary to eliminate or minimize the hazards. Be clear, concise and specific. Use objective, observable and quantified terms. Avoid subjective general statements such as, "be careful" or "use as appropriate".      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