Workplace Safety Analysis Plan
Workplace Safety Analysis Plan
0-11
PRE-TASK PLAN (FORMAT) AST
Description of the task / activity: Installation of supports and ducting for cabling from axis 5 to axis 14 inside warehouse 1. 256
1.2 SECURITY ANALYSIS IN THE WORK OR STANDARDIZED WORK (ADD PAGES IF NECESSARY)
Instructions: Identify the critical steps with a triangle where controls should be emphasized to the worker. At a minimum, consider the following key information:
1. Main steps, hazards, and control/safety method for the work to be carried out Use this symbol to highlight steps
critical or higher risk involving
2. Emergency response plan. the safety of the worker
3. Steps to prepare the task and the workspace as well as the steps after the task such as cleaning
4. Consider the Special Safety Conditions, Safety Specifications, Engineering Diagrams, Calculations, or other supporting documents as necessary.
Before the Task Preventive activities prior to the task at the workplace (Cleaning, calisthenics, medical examination, permits, cordoning off, posting of
documents, Technique Take Two, etc.)
1
1
2. Safety talk and calisthenics for workers 2.1 Falls at Floor Level 2.1.1 Wear personal protective equipment.
before starting the activities 2.2 Sprains, Strikes 2.2.2 Wear safety shoes in good condition.
2.3 Personnel in an Inconvenient State / alcoholic state or state of 2.3.3 Alcohol testing is conducted on the personnel to
doping. discard alcoholic state.
2.4 Movement of Heavy Machinery The talk takes place in a safe area.
2 1
3.- Taking T/A from the staff. 3.1 Falls at floor level 3.1.1 All personnel involved should be made aware.
3.2 Sprains, Strains of the type of risks that exist or may arise in the
3.3 Personnel with high or low T/A activity.
3.2.1 Blood pressure measurement for all involved personnel
carry out activities within the project.
(blood pressure of suitable personnel for work "110/70-130/90") Yes
someone is hypertensive and takes medication like
treatment must be notified to the person in charge of
security for continuous monitoring.
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g
4.-Planeaion de actividades, revisión de pta, llenado de check 4.1- Movimiento de Maquinaria pesada y de vehículos, atropellamiento. 4.1.1- Respetar el límite de velocidad 10km/hr.
list and collection of signatures. 4.2- Personnel not trained to carry out the activity. 4.1.2.-Wear personal protective equipment. 4.1.3.-
4 1 . 4.3.- Irregular Land. Transit through designated areas, pedestrian or vehicle.
1.- Entry of personnel to the work area and Transportation of 1.1- Vehicles in motion. 1.1.1-respect the speed limit 10 km per hour
Tools and materials by mechanical means (to be used 1.2 - Manual handling of loads, ergonomic positions not 1.2.1- Material loading between workers (must not exceed
pickup truck. suitable. 25 kg per person
1 1 1.3 - Soil contamination due to spills 1.3.1. Review of fuel leak-free unit or
oil.
2.- Download and arrangement of materials and tools in form 2.1 Falls at the same level 2.1.1 Free and clear area of obstacles.
manual. 2.2 Wounds, cuts from sharp objects or sharp edges. 2.2.1 Complete and correct use of basic PPE (helmet,
*review of lifting platform and filling out checklist 2.3 Strikes against fixed or moving objects. ["beard protector","safety glasses","vest","gloves","shoes"]
of the same. 2.4 Transit of moving machinery on roadways, area of of the casing)
unmarked work, speeding 2.3.1 Zero distractions, correct use of basic PPE.
2.5 Poor posture for prolonged periods, excessive weight lifting due to 2.4.1 signaling of the risk area, review of the area of
person. 2.6 personal traffic roads in good condition, respect the
not suitable to carry out the activity. speed of no more than 10 km per hour.
2.5.1 Do not exceed loading more than 25 kg per person, no
2 1 maintain bad postures for prolonged periods.
2.6.1 personal
DC3 qualified for work at heights, use of equipment
elevation and electrical works.
3.- Material is lifted to the lifting equipment for installation. 3.1. Poor stacking and falling of material 3.1.1 Qualified personnel to perform the activity
3.2. failure in lifting equipment causing a collision between units. (DC3 work at heights) demilitarize the work area.
3.3 absence 3.2.1
coordination of activities in the same work area. team revision, and filling out checklists before
start activities, wear specific PPE (harness, helmet,
3 1 safety boots, gloves, glasses, vest with
anti-reflective
3.3.1 do not overlap activities with colleagues in the
same work area.
4.- Installation of support material is carried out and 4.1 Falls from different heights, injuries from falling objects. 4.1.1 Respect designated areas, trained personnel for
canalization, using a lifting platform . 4.2 Tools in poor condition, cuts, activity to be performed (DC3 work at heights)
bumps. 4.2.1 Full use of PPE
4.3 collision between units (harness, bandola, gloves, safety glasses, shoe with
4.4 Adverse weather conditions in the work area, heat cap, vest with reflective material, helmet, clothes in good condition
excessive and/or rain. status. 4.3.1 review of the work area, not
coordinating activities in the same work area.
4 3 4.4.1 Keep the staff hydrated and in case of
rain using raincoats and rubber boots.
5 1
AT THE END
1 1
2.2 RISK ANALYSIS / FMEA of Safety (Failure Modes and Effects Analysis)
Instructions: Complete the Risk Analysis/AMEF of Safety OF THE DANGERS LISTED IN PART 1 (AST) WITH THOSE IDENTIFIED AS CRITICAL - up to 6. Determine
the risk scoring based on the values associated in the descriptions found on the 'AMEF Safety Instructions' page for: Potential Severity, Probability of
Occurrence, Frequency of Exposure, and Number of People Exposed. Complete the Minimum Actions found in the Minimum Actions Summary section, according to the level.
of higher risk for this task.
CALCULATE THE AMEF OF THE HAZARDS LISTED IN PART 1 (AST) WITH THE CRITICAL IDENTIFIER - Up to 6
Risks Risk
(For example: electric shock, electrocution, fall, PS PO FE NP
slips, cuts, smoke inhalation, Score Score Score Punctuation Score
crushing, trapping, etc.
Crushing 2 2 4 2 32
Falls 1 2 2.5 2 10
Tiltings 4 8 4 2 256
Slips 1 8 2.5 2 40
Ergonomic 2 2 2.5 2 20
Mechanical failures 1 8 4 2 64
HIGHEST RISK SCORE 256
2.3 MINIMUM ACTION SUMMARY: BASED ON THE HIGHEST RISK SCORE ABOVE
161-500 HIGH 1. All low, medium risk requirements and a secondary signature in Part 2 - Signature page
The contractor must reduce the risk below 500 before starting the work by applying safety controls.
>500 UNACCEPTABLE 2. Conduct a second Risk Analysis/FMEA calculation, and carry out the minimum necessary action based on the new level of risk being low, medium, or high.
the activity will be suspended.
The following are considered high-risk tasks and the Risk Mitigation requirements apply. If the task includes 1-27 from the list to
continuation, complete the 'Part 2: Planning Questions'. (This is required regardless of the calculated FMEA score)
1. Use of Lifting Equipment 15. Exposures to industrial hygiene (for example: asbestos, lead, silica, etc.)
2. Perimeter Delimitation and Protection in Open Areas 16. Storage of material (structural steel, pipes, and other project materials)
3. Use of Explosives / Blasting 17. Use of mobile cranes
4. Chemical Control (use of chemical products) 18. Mold removal
5. Concrete and masonry works 19. Use of motorized industrial vehicles
6. Work in a confined space 20. Securing and Lifting
7. Demolition (of public services, walls, frames, floors, etc.) 21. Access to roof
8. Electric cable pulled 22. Repairs and replacement of roofs
9. Electrical Safety, Electrical Equipment Installation, Service. 23. Use of scaffolding
10. Employees in training / apprentices. 24. Steel erection
11. Excavation / excavation of trenches and ditches 25. Welding / Hot work
12. Fall risk control - Work at heights 26. Work in a falling object area
13. Control of hazardous energy 27. Work in tanks with drowning risk
14. Load of materials with helicopters
If "YES" add
Questions Responde (Si/No)
Comments
constant training of
Is there any way to eliminate, substitute, or use engineering controls to remove or restrict the personal, maintenance
exposure to dangers?
yes constant to devices d
elevation.
2. Do you have work instructions, Pre-task Plans used previously, or standardized work for this?
activity?
yes staff training
Electrical Safety
Equipment Installation
3. Are there applicable requirements from the Risk Mitigation section included in the Requirements of Electric, Service
Medium Risk or in the Special Security Conditions for this activity? (noted in Section yes
2.4) Risk control of
falls - Work at heights
Working in an area of
falling objects
4. Is there a need for engineering drawings, lifting or rigging calculations, anchor point calculations for heights,
evaluation of critical equipment, licenses/certifications, or other supporting documentation that will be attached to this NO
Work Safety Analysis?
5. For any critical equipment or personal protective equipment used, have you verified that it has been completed? Constant revision of
protective equipment
Is preventive maintenance required? If inspection is needed before or after operation, is it part of the YES personal, going to check
work instructions? list
6. Does this activity require a permit (for example, confined space, roof access, cutting work and Work at heights DC3
welding, etc.)?
YES trained personnel
7. For jobs involving hazardous energy, have you considered all sources of energy and the method keyed, block of
control and verification insurance?
YES dangerous energies
8. Is there a need for specialized training? And do the assigned workers receive such training? DC3 of Skills
training? IF Laboral.
11. Does the task involve the use of a motorized industrial vehicle? If so, have you validated that the
The vehicle has been inspected (maintenance records) in the last year for all equipment of
safety (brakes, lights, horn, siren, etc.)? Does the AST include the requirement for risk mitigation if
YES Constant maintenance.
Instructions: Based on the previous critical risk planning questions, list the additional documentation or actions needed to complete.
before the start of work.
# Action Responsible End Date
1 Constant revision of lifting equipment. Elizabeth Perez/Eusebio Prado I continue
2 training and feedback for the staff Elizabeht Perez/Eusebio Prado weekly
CRO-JIT- SIGNATURES
2.8 APPROVAL OF THE SUBCONTRACTOR AND CROCSA REVIEW Folio: ODO
Name Company
Subcontractor Resident: 1. ___________________ __________
Medium Risk Date:
(Score 51 - 160) 2. Foreman / Crew Leader 2. __________________ __________ Crocsa Resident
Subcontractor:
Name Signature
3. Security Supervisor of 3. ___________________ __________
Subcontractor: Date:
_____________
Note: The Low and Medium Risk Section must be completed.
SIGNATURE DATE: Project Manager Crocsa
4. Project Manager ODONNELL
4. ___________________ __________
High Risk Name:
(Score 161 - 500) Firma
Note: The low, medium, and high risk sections must be completed.
The Contractor must reduce the risk below 500, using the hierarchy of the
Unacceptable risk safety controls and then conduct a second Safety FMEA for With this level of risk, it is not
500 determine the new risk score. authorize any activity
CROCSA REVIEW: The authorized persons from Crocsa Corporate to review the Job Safety Analysis
includes: Project Manager, Corporate Project Security Coordinator, Site Security Personnel, or
any person trained and authorized by the site security coordinator to review this documentation.
DO NOT HANG UP UNTIL INDICATED! Be prepared to provide: YOUR NAME, LOCATION (building name,
column number, address, etc.) and TYPE OF EMERGENCY.
Supervisor: Score of
Also contact: MARVEL CASTRO 52 871 336 1320
Highest risk
of the AMEF of 256 1. Is a rescue plan necessary (for example, high-altitude rescue, confined space, spill of...
Elizabeht Holany Perez Flores Security:
chemical substances, etc.)? NOT APPLICABLE
Specific location of the task (e.g. Column / Building) 2. Is any specialized equipment required to carry out the rescue? Is it available and inspected?
NOT APPLICABLE
SHIP 1
3. Specify the necessary steps to carry out the rescue: NOT APPLICABLE
Task description:
Installation of support and conduit for wiring from axis 5 to axis 14
inside the ship 1.
3.2 VERIFICATION OF TEAM MEMBERS
1. Have all team members completed the Safety Induction and any other training or
S N access requirements?
2. Did all team members receive reading and understanding of the Pre-Task Plan to be carried out? (ATTACH)
S N WORKERS' SIGNATURE SHEET WHEN NECESSARY FOR THE SAME NUMBER
3. New trip or slip hazards? 11. Are Additional Barricades / Tape Needed
Security?
4. New pinch points or danger of 12. New Hazardous Materials / Products
laceration? Chemicals?
New danger of falls? 13. Additional vehicle production activity?
6. New fire/explosion hazard? 14. Work in remote or isolated places (working alone in a
remote location) or in the confined space?
8. New Danger of Mobile Equipment? 16. Has anything changed since the last shift / occasion when you
Did you complete this task?
For each 'YES' answer in section 3.3, information MUST be added in section 3.5 of this format.
3.4 CHANGE MANAGEMENT
If any risk is detected during the work or any changes to the plan or standardized work are required, STOP and:
1. Complete section 3.5 on the back of this form
2. Contacte a su supervisor si el cambio requiere desactivar algún dispositivo de seguridad (electrónico o físicamente)
3. Communicate with your supervisor if the change creates or exposes people, property, or processes to new hazards.
3.6 SECTION FOR WORKERS' SIGNATURE - All workers of the contractor must sign confirming that they have
Reviewed the Job Safety Analysis before starting the task and after having completed it.
3.7 TASK TERMINATION - The Contractor's workers, with the help of their Direct Supervisor, must answer the
following questions after the work has been completed
Questions RESPONSE Acción (es) / Comentarios
During the task, did you or the team have to deviate from the plan or did you
S N
Do I identify any new danger that requires the use of the MOC process?
Were there any accidents or incidents during the execution of this activity? S N
Review and signature at the END of the Task by the EHS supervisor of the subcontractor indicates that all team members have completed this document.
Note: If the activity discovers a potential exposure to lead or asbestos, immediately contact your safety coordinator, as it
additional safety precautions and procedures must be followed.
Injury Loss of two limbs / eyes, both hands, both feet, paralysis,
10 irreversible
criticism
(permanent loss of respiratory function, hearing loss, disease
degree > 9% of the body. Any injury that requires hospitalization.
Injury
6 irreversible
serious
Loss of a limb / eye, a hand, a foot. Second degree burn
injury that requires 2-7 days in the hospital.
2 Injury
reversible
Fracture of minor bones (fingers, hand, toes, foot) or disease
sprain or repetitive strain injury). Burns from 1% to 9% of the body.
1 Minor Injury
reversible
Laceration, abrasion or minor health issue or second-degree burn
only assistance.
(P) - PROBABILITY OF OCCURRENCE - [Implemented control measures]
PUNCTUATION CATEGORY DESCRIPTION (JUSTIFICATION OF POINT)
15 CERTERO
probability of injury occurring due to hazards. An injury
a person comes into contact with danger. A person is in the p zone
accident, such as in the case of a mezzanine without handrails, or an elevated cable
Typically, the risks in this category are mitigated with controls from
entrenamiento, trabajo estandarizado, planes de Pre-Task, Método Seguro
EPP. The injury will occur if a single person does not follow the instructions or pr
8 POSSIBLE an injury occurs due to the dangers. An injury can occur if
it is unlikely to happen without them. In the presence of danger, a factor
human negligence will cause the injury. The incident will occur if just one person
procedures.
Note: only the values listed above can be used for calculations
NTUACIÓN)
NTUACIÓN)
or Minimums. 80 to 100%
ion will occur immediately when a
danger, or it is very likely that it will happen a
exposed electrical in a work area.
PERSONAS