F15.G7.

ABS 9/20/2017

Version 1 Page 1

Classification of Information:
SAFE WORK ANALYSIS FORMAT ATS Public

SAFE WORK ANALYSIS FORMAT ATS

Empresa: Vivitar construcciones SAS Ciudad: Cucuta

Área/Proceso: Mantenimiento Location where the work is carried out: administrative area

Date of completion of the Work: June 24, 2021 Workplace: main area (entrance)

Hora de Inicio (a.m./p.m.): inicio labores a las 7 : 05 am Hora de Finalización (a.m./p.m.): 5:30pm
Task description: paint the main wall of the company

FOR THIS WORK PERMISSION IS REQUIRED FROM:

WORK AT HEIGHT YES CONFINED SPACE: NO HOT: NO

DANGEROUS ENERGY NO OTHER, WHICH?

Cedula, Nombres y Apellidos de los trabajadores (Ejecutor) Company

Juan Dario Hernandez (painter) IVAN DARIO HERNANDEZ

Camilo Andres Moncada (security assistant) CAMILO ANDRES MONCADA

EQUIPMENT AND TOOLS TO BE USED

Indicate each of the tools to be used.

EQUIPMENT AND TOOLS
Manuals X TOOLS LIKE SANDPAPERS, SPATULAS, TROWELS, AIR GUN FOR PAINTING. EQUIPMENT LIKE CERTIFIED SCAFFOLDINGS
Electrical x LIFELINE WITH IMPACT ABSORBER, CERTIFIED HARNESS
Pneumatics
Hydraulics X
Mechanics X
Others

TASK ANALYSIS

How high is the workplace? 12 m

What is the access system to the workplace? DIRECT ACCESS TO THE SCAFFOLDING SOCKETS
Have the anchor points been established? SELF-RETRACTING LINE, ADDITIONAL A LIFELINE
Have the calculations for the drop distance been done?
YES

What are the required prevention and protection systems? TRAINING, COLLECTIVE PREVENTION MEASURES, ATS - PTW - HARNESS
CERTIFICATE, SLING WITH IMPACT ABSORBER,
What are the required protective elements?
["Helmet","Harness","Safety boots","Coveralls","Rubber gloves"]
How many workers are required? 2
What materials and resources will be used? PASTA FINA , PASTA GRUESA, PINTURA DE ACEITE , TINER
Are there holes or cracks beneath the work area? NO

Is there a risk of slipping or tripping around the work area?

THERE IS NO DANGER BECAUSE THE TASK OF ORDER AND CLEANING IS CARRIED OUT

What other hazards are there in the workplace? (sparks, electricity, chemicals, slippery surfaces, hot surfaces, sharp objects, heavy loads, etc.)

N/A
Detailed steps of the task Existing and potential dangers Consequences Required Controls

TOOL PREPARATION AND CLEANING ORDER AND SANITATION - SIGNAGE

check the necessary signage
before the start of the play. Coordinate the
application of the measures. Maintain the
falls from different levels, stumbles, work areas free of obstacles, review
slips, muscle injuries, blows the tools, cables and connections
Lack of order and cleanliness and signage against objects and tools electric
provide assembly training of
SCAFFOLDING ASSEMBLY scaffolding also requires training
muscle injuries, other injuries respective heights as indicated by the 1409
about efforts, bad procedure bruises, bumps, falls from 2012.

REMOVE OLD PAINT WITH SPATULA properly wear the PPE, train
the workers so that they know the
particle projection eye injuries, blows, dangerous malpractices and thus encourage them to take care of themselves.

Wipe and clean

particle projection - falls at different levels - movements muscle injuries - overexertion, pain, active breaks are essential or well
repetitive from behind, called workplace gymnastics,
PREPARE ALL TYPES OF PAINTING AND COATING - PLASTER. PUTTY WITH particle projection. Falls at different levels, movements bruises, cuts, muscle injuries
THICK AND THIN PASTA repetitive ocular injuries. adopt protective and preventive measures
APPLY PAINT WITH BRUSH, AIR GUN GIVING THICKNESS AND NUMBER
BY HANDS electrocution, particle projection particle detachments that can cause formation to workers

ORDER AND CLEANING, PICK UP TOOLS AND SIGNAGE {"lesiones a otros trabajadores":"injuries to other workers","caidas":"falls","golpes":"hits","autocuidado":"self-care","no realizar las tareas":"not performing tasks"}
falls at different or the same level, falling of objects slips, muscle injuries rapidly

RISK ASSESSMENT

Is it possible, probable, or almost certain that an incident will occur?

Yes, stop and do not proceed with the task. Discuss the step-by-step with the supervising manager, review controls, and answer the following question.

No, continue with the task with caution, implement the established controls.

Is it safe to proceed now with the task with the additional controls?
 Yes, proceed with the task.
No, consult the supervisor before making any decision.

Name and ID number of the workers (Executor) Company

Juan Dario Hernandez ID 1792389283 JUAN DARIO HERNANDEZ

Camilo Andres Moncada ID 190786327 CAMILO ANDRES MONCADA

Nombre y Cedula de la persona (Emisor) Company

ELSA RANGEL l cc 27602858 ELSA RANGEL

 INSTRUCTION MANUAL FOR FILLING OUT AST

Before completing the AST task safety analysis, read the instructions for its correct completion, respond in legible handwriting and without corrections, filling in the entirety of the
goalkeeper.

° Company: enter the name of the company where the work will be developed.

City: Enter the City or Municipality of the workplace where the work will be carried out.

Place of Work: When the company has different places of work, write down the name of the company's department where the work will be carried out.

Area/Process: Write down the name of the area or process of the company that requested the job, e.g.: Maintenance, Marketing, Risk, Production, Real Estate area, etc.

°Ubicación donde se realiza el trabajo:Anote claramente el área o sitio específico de la Dependencia donde se realizará el trabajo ej.: (Techo, fachada, poste de alumbrado público,
well, electrical substation, etc.)

Date of Work Execution (dd,mm,yyyy): Refers to the date on which the high-risk work will be carried out, please enter in the order of day, month, and year.

°Hora de Inicio (am, pm):Anote la hora en que se da inicio a la labor utilizando hora y minutos en am o pm (ej.: 8:45 am, 10:20 pm)

End Time (am, pm): Note the time when the work was finished using hours and minutes.

°Descripción de la tarea:Describa de manera clara el tipo de trabajo que realizará.

Task analysis: I assessed whether the items to be evaluated meet the description or not.

°Additional permissions: Select which of the following TAR will be executed simultaneously with heights.

ID, First Name and Last Name: Enter the full names of the workers who will carry out the task.

Company: In this space, each worker must sign.

Executor: It is the person who meets training, education, and suitability requirements as defined in the procedure of each TAR.

°Tools and Equipment to Use: Select the type of tools and/or equipment and write the name of each of the tools and/or equipment that you will use in the task to be performed.

Task analysis:
° Respond clearly to each of the questions posed.
Describe in detail each of the steps of the task to be performed.
Identify each of the potential and existing hazards involved in the task to be performed.
Describe the consequences that can arise.
Describe the required controls.
Risk assessment: Answer the questions posed and follow the recommendations provided.

°Cedula, Nombre y Apellido:Coloque los nombres completos de los trabajadores que ejecutaran la tarea.

Company: In this space each worker must sign.

Executor: It is the person who meets the training, qualification, and suitability requirements as defined in the procedure of each TAR.

Name and ID of the person who authorizes: Enter the ID and full name of the worker who issues the work permit for heights.

Signature of the person authorizing: In this space, the worker authorizing the work at heights must sign.

Sender: It is the person who has been trained, evaluated, and therefore is qualified to observe compliance with safety standards for work at heights.
and also has the sufficient authority to authorize or deauthorize the performance of work of this nature.