FOR-SEG-7.

0-11

PRE-TASK PLAN (FORMAT) AST

PART 1 - WORKPLACE SECURITY ANALYSIS

1.1 DESCRIPCIÓN DEL TAREA / ACTIVIDAD
Nombre de la Compañía: AICSA INDUSTRIAL FINISHES Folio: CRO-AICS-001
Prepared by: LUIS FERNANDO GASTELUM Date: 7/14/2022
Supervisor: LUIS FERNANDO GASTELUM Contact: 4423198404
Start date: 7/14/2022 End Date: 17-Jul-22
Name(s) of the assistant engineer or qualified person (if necessary) LUIS FERNANDO GASTELUM GALVAN

Task description /
actividad:
SANDING, WASHING, APPLICATION OF PRIMER AND VINYL FINISH 128
1.2 SAFETY 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 information.
key:

1. Main steps, hazards, and control/security methods for the work to be done Use this symbol to highlight steps
critical or higher risk that involve
2. Emergency response plan. worker safety

3. Steps to prepare the task and the workspace as well as the steps after the task such as cleaning
4. Consider the Special Security Conditions, Security Specifications, Engineering Diagrams, Calculations, or other supporting documents as applicable.
necessary.
Before the Preventive activities prior to the task at the workplace (Cleaning, calisthenics, medical exam, permits, cordoning, posting of
Task documents, Technique Take Two, etc.)

LOW PREVENTIVE ACTIVITIES RISKS TO ELIMINATE MEDIA TO BE USED

1.- Entry protocol for the project (FOXCONN) as a measure 1.1.1.- A protocol required by the client must be established.
COVID-19 prevention required by CROCSA. CROCSA to identify certain symptoms, such as questions.
frequent and temperature taking.
1.2.2. Inspect that all personnel
1 1 1.1.- Personnel with initial symptoms of COVID-19. since before entering the project for it to comply with the
proper use of face masks y under suitable conditions
to prevent the spread of COVID-19.

2.-Entry of personnel to the FOXCONN project 2.1.1 Identify and delimit all excavation within the
2.1- Excavations in the project. project.
2 1
2.2.- 2.2.1-Personal attentive to objects that
Stumbles and falls. they may obstruct the access points of the project.
3.- Startup protocol for the activities to be carried out. 3.1.1 All personnel involved should be made aware.
Blood pressure measurement by the person in charge of security. of the type of risks that exist. 3.2.1 Taking of
Awareness for all staff through the 5 talk. blood pressure (pressure of the personnel fit for work
minutes of the existing risks o provoked in the 110/70-130/90
activities to be carried out.
3.1- Personnel not trained for the activity to be performed. If someone is hypertensive and takes medication like
3.2.- Personnel with some health problems (blood pressure.) treatment will have to be notified to the person in charge of
3 1 3.3.- Personnel detected with basic PPE (helmet, chin strap, glasses, security for continuous monitoring.
mouth covers, vest, gloves, safety boots) in bad 3.3.1.- A mirror review will be conducted before starting.
conditions. any activity and change of PPE if it is not found in
good conditions.

4.-Review of tools, equipment, and machinery. 4.1.1.- Capture in the checklist the conditions of the
tool, equipment and machinery.
4.1.2.- Remove from service damaged tool, equipment and
machinery in poor condition.

4.1.3.- trained personnel with certification

DC3 proof in safety handling of
hand tools and power tools.

4.2.1.
4.1.- Tools, equipment, and machinery in poor condition. It will be mandatory to have a spill kit.
that contains nitrile gloves, anti-snag of
4 1 4.2. policarbonato, cubre calzado, vermiculita, pala, escobilla,
Possible spills of hazardous chemicals, gasoline, oils absorbent cloth, specify the steps to make it
lubricants, etc. rescue, identify the spilled product and consult its
MSDS, use all personal protective equipment
available in the spill control kit before touching the
spilled container, stop the source of the spill, spread
absorbent material on the spill and wait a few
minutes, clean the surface with the absorbent cloth.

During theSpecific activities that lead from the start to the finish of the work (How I am going to carry it out, methods to use, tools to use, safe practices to carry out, etc.)
Task Establish the most appropriate control of the risks considering the hierarchy of safety controls (1. Elimination o Substitution, 2. Controls of
Engineering, 3. Visual Prevention/Control, 4. Training/Procedures, 5. Personal Protective Equipment, 6. Technique Take Two

RISK MITIGATION MEASURES

HIGH STEP BY STEP OF THE ACTIVITY TO BE CARRIED OUT IDENTIFIED RISKS
IDENTIFIED
positioning of lifting and hauling equipment 5.1.1. Walk in obstacle-free areas.
materials to work area. 5.1.2. Industrial safety will conduct an inspection tour
to detect unsafe conditions and/or remove obstacles in
the trajectories.
Access to the work area described with equipment 5.1.3. Identify and eliminate the detected stumbling blocks.
elevation. 5.1.4. Do not run, keep the industrial boots properly tied.
Determination of the area to work 5.1.5. Use authorized corridors for pedestrian traffic.
Transport of sandpapers and extensions. 5.2.1. Have a safety data sheet for oil and diesel.
5.2.2. Use personal protective equipment according to the
Safety data sheet.
5.2.3. Use of safety glasses

5.2.4. Place the nearby hydration points

to the workspace.

5.3.1. Placement of signage (cones or traffic barrels) where

will position the total station.
5.3.2 Support from flaggers when working nearby is required
of roadways.
5.1. Falls on the same level 5.3.3 Use of high visibility clothing
5.2. Heat stroke. 5.3.4 Coordination with contractors for execution of the
5 1 5.3.-Run over by moving equipment activity.
5.4.1 Stay away from vehicle traffic areas
5.4.- Oil and/or diesel spill.
light
5.4.2 Use of masks against fine dust.
5.4.3 The oil container will be considered as waste
dangerous for which it will be confined in the waste warehouse
dangers.
5.4.4 Avoid walking under the material drop zone.
5.4.5 Do not pierce, destroy, or throw the container into the fire.
finish diesel and/or oil containers.
5.4.6 Do not ingest, in case of ingestion do not induce vomiting.
Request medical attention immediately.
5.4.7 Avoid contact with skin, in case of contact, wash
immediately with water and soap.
5.4.8 load fuels in ventilated areas and presence of
spill kit.

6.1.1 Assignment of a flagger.

6.1.2 Flagman 5 m away from the mobile unit.
6.1.3 Speed limit 10 Km/h.
6.1.4 Use turret.
6.1.5 Reverse alarm or flagger assignment.
6.1.6 Use of basic PPE.
5.1.7 Maintenance log review of the unit.
6.1.8 Prohibit access to the facilities in case of a leak and
spills.
6.2.1 Use of full body harness with lifeline and
shock absorber.
6.2.2 Use of specific PPE, lifelines, goggles,
6.1. Runover gloves and respirator.
6.2.3 Staff must not leave the basket.
6 2 Ascend, descend, extend telescopic platform and sanding 6.2. Falls from different levels
while the arm is extended.
of walls. 6.3. Stumbles
6.3.1 Use of basic PPE
6.4. Falling Objects
6.4 It must be provided with
tool containers that limit movement
about the platform of tools and/or materials.
6.4.1 Inspection of ABC type extinguisher in good condition
of use.

Lavado y aplicación de primario 7.1 Fall of personnel from a height. 7.1.1 Trained personnel with certification for work in
7.2 Strikes heights.
A pressure washer will be used for the cleaning of walls, for 7.3 Run-overs. 7.1.2 Placement of lookout to control movements
The subsequent application of primary will use machine 7.4 Material drop. from the platform.
GRACO brand pulverizer model GH230 y a model 7.5 Intoxication from ingestion. 7.1.3 Avoid uneven surfaces
Max II 3900. 7.2.1 Personnel transit below the area is avoided
work.
7.3.1. Elevation platform traffic is avoided through steps
pedestrian or high-traffic areas
7.3.2 Delimitation of work area.
7.3.3 Review and checklist of the equipment.
7.3.4 Elevator platform maneuver with guide of
banderero.
7.3.5. Slow and precise maneuver.
7.3.6 Visualization of present spaces.
7.4.1 Use of tool containers on platform a
to avoid a fall.
7.4.2 As far as possible, keep it secured.
7 2 tool with strings.
7.5.1. Hand washing at the end of the workday and/or
meal time
7.5.2. Avoid direct contact with the skin
7.5.3. Correct waste segregation 7.5.4
Use of specific PPE according to the HDS of
provider.

Vinyl finish application. 8.1 Fall from a height. 8.1.1 Qualified personnel with certification for work in
8.2 Hits heights.
8.3 Runovers. 8.1.2 Placement of lookout to control movements
8.4 Fall of materials. from the platform.
8.5 Intoxication by ingestion. 8.1.3 Avoid uneven surfaces
After the wash 8.2.1 The transit of personnel is avoided below the area of
and primary application, a water-based vinyl finish is applied. work.
8.3.1. Elevator platform traffic is avoided by steps
pedestrian or high traffic areas
8.3.2 Delimitation of work area.
8.3.3 Review and checklist of the equipment.
8.3.4 Elevating platform maneuver with guide
flag bearer.
8.3.5. Slow and precise maneuver.
8.3.6 Visualization of present spaces.
8.4.1 Use of tool containers on platform a
in order to prevent a fall.
8.4.2 To the extent possible, keep it secured
tool with strings.
 FOR-SEG-7.0-11

PRE-TASK PLAN (FORMAT)

AMEF
PART 2 - Risk Analysis/SAFETY FMEA
2.1 DESCRIPTION OF THE TASK / ACTIVITY
Nombre de la Compañía: AICSA INDUSTRIAL FINISHES Folio: CRO-AICS-001
Prepared by: LUIS FERNANDO GASTELUM Date: 7/14/2022
Supervisor: LUIS FERNANDO GASTELUM Contact: 4423198404
Fecha de inicio: 7/14/2022 End Date: July 17, 2022
Name(s) of the assistant engineer or qualified person (if necessary) Luis Fernando Gastelum Galvan
Description of the task / activity:
SANDING, WASHING, APPLICATION OF PRIMER AND VINYL FINISH

2.2 RISK ANALYSIS / FMEA of Safety (Failure Modes and Effects Analysis)
Instructions: Complete the Risk Analysis/FMEA of Safety OF THE HAZARDS LISTED IN PART 1 (AST) WITH THOSE IDENTIFIED AS CRITICAL - up to 6. Determine
the risk score based on the values associated with the descriptions found on the 'Safety FMEA Instructions' page for: Severity Potential, Probability of
Occurrence, Frequency of Exposure and Number of People Exposed. Complete the Minimum Actions that are found in the section of Minimum Actions Summary, 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

Risk Analysis / Safety FMEA Calculation

RIESGO = PS(Puntuación del Potencial de Severidad) X P (Puntuación de Probabilidad) X F (Puntuación de Frecuencia de Exposición) X NP (#
Exposed Persons

Risks Risk
(For example: electric shock, electrocution, fall, PS PO FE NP
slips, cuts, smoke inhalation, Score Score Score Score Score
crushing, trapping, etc.

Ergonomic 2 8 4 1 64
Falls 2 2 2.5 1 10
Slips 1 2 2.5 1 5
Shock 2 8 4 2 128

HIGHEST RISK SCORE 128

2.3 RESUMEN DE ACCIÓN MÍNIMA: BASADO EN LA PUNTUACIÓN DE RIESGO MÁS ALTA DE ARRIBA
Punctuation RISK MINIMUM NECESSARY ACTION
1. When available, follow the Work Instructions / Standardized Work.
0- 50 LOW 2. Confirm that the workers received orientation training and reading of this document
3. Execute Change Management if changes occur.

1. Conduct Safety Analysis at Work / Work Instructions / Standardized Work

2. Shift Start Meeting
3. Emergency Response Plan and Rescue Plan.
4. Special Security Conditions Applicable: Risk Mitigation Requirements
5. Establish Planned Inspections based on risk priority
(for example: Security Tours or Inspections of critical Safety Equipment)
6. Ensure that the workers in this task carry out the Worker Safety Engagement Process (Part 3 of the Pre-Task Plan) in each shift.
51 - 160 MEDIUM 7. Planning questions may be applicable (See section 2.4)
8. The first section of signatures must be from: EHS Supervisor of the Subcontractor, Resident of the Subcontractor, EHS Supervisor of Crocsa, and Resident of Crocsa; this will indicate
what was reviewed

161-500 HIGH 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. Carry out a second Risk Analysis/AMEF calculation, and take the minimum necessary action based on the new level of risk being low, medium, or high.
the activity will stop.

2.4 RISK MITIGATION

The following are considered high-risk tasks and risk mitigation requirements apply. If the task includes 1-27 from the list to
Next, complete "Part 2: Planning Questions". (This is required regardless of the calculated FMEA score)

Use of Lifting Equipment 15. Industrial hygiene exposures (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. Attachment and Hoisting

7. Demolition (of public utilities, walls, frames, floors, etc.) 21. Access to roof
8. Pulled the electrical cable 22. Roof repairs and replacement
9. Electrical Safety, Electrical Equipment Installation, Service. 23. Use of scaffolding
10. Employees in training / apprentices. 24. Steel erection
11. Excavation / trench and ditch excavation 25. Welding / Hot Work
12. Fall risk control - Work at heights 26. Work in a falling object zone
 FOR-SEG-7.0-11

13. Control of hazardous energy 27. Work in tanks with drowning risk
14. Loading of materials with helicopters

PRE-TASK PLAN (FORMAT) AMEF

PART 2 - Planning Questions

2.5 DESCRIPTION OF THE TASK / ACTIVITY

THE HIGHEST RISK SCORE (FROM PART 2 FMEA-S) 128

2.6 QUESTIONS FOR PLANNING MEDIUM / HIGH RISK TASK

If "YES" add
Questions Responde (Si/No)
Comments

Is there any way to eliminate, substitute, or use engineering controls to remove or restrict the
exposure to dangers? yes

2. Do you have work instructions, Pre-task Plans used previously, or standardized work for this?
activity?
NO

3. Are there applicable requirements from the Risk Mitigation section included in the Requirements of
Medium Risk or in the Special Security Conditions for this activity? (noted in Section NO
2.4)

4. Is there a need for engineering drawings, lifting calculations or rigging, height anchor point calculations,
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?
Is preventive maintenance required? If inspection is required before or after operation, is it part of the YES
work instructions?

6. Does this activity require a permit (for example, confined space, roof access, cutting work and
welding, etc.)?
YES Work at heights

7. For work involving hazardous energy, have you considered all sources of energy and the method
control and verification insurance?
YES

Work at heights and

8. Is there a need for specialized training? And do the assigned workers receive such training?
training?
YES insurance management of
platforms

11. Does the task involve the use of a powered industrial vehicle? If so, have you validated that the
the vehicle has been inspected (maintenance records) in the last year for all the equipment of
safety (brakes, lights, horn, siren, etc.)? Does the AST include the requirement for risk mitigation if YES
Is it working or parked on a slope?

2.7 ACTIONS RELATED TO PLANNING QUESTIONS

Instrucciones:Basado en las preguntas de planeación de riesgos críticos anteriores, enliste la documentación adicional o las acciones necesarias para completar
before the start of work.
# Action Responsible End Date
Use basic and specific protective equipment during the task and of the
1 Luis Fernando Gastélum Galvan PERSISTENT
correct way
2 DC3 training for safe work at heights Luis Fernando Gastélum Galvan PERSISTENT

3
 FOR-SEG-7.0-11

CRO-AICS- SIGNATURES
2.8 APPROVAL OF THE SUBCONTRACTOR AND CROCSA REVIEW Folio: 001

128 SANDING, WASHING, APPLICATION OF PRIMER AND VINYL FINISH

APPROVAL OF THE CONTRACTOR

LEVEL OF RISK CROCSA REVIEW
POSITION SIGNATURE
I declare that I have knowledge of the activities to be carried out here declared, that I have
Low Risk knowledge of this risk analysis, advising on the necessary controls and
Same as Medium Risk
(Score≤50) sharing safe work practices in coordination with the person responsible for the execution of
work.
COMPANY: DATE: EHS Crocsa Coordinator

Name Signature
1. Subcontractor Resident: 1. ___________________ __________
Medium Risk Fecha:
(Score 51 - 160) 2. Foreman / Crew Leader 2. __________________ __________ Crocsa Resident
Subcontratista:
Nombre Firma
3. Security Supervisor of 3. ___________________ __________
Subcontractor: Date:
_____________
Note: The Low and Medium Risk Section must be completed.
SIGNATURE DATE: Project Manager Crocsa
4. ODONNELL Project Manager
4. ___________________ __________
High Risk Name:
(Score 161 - 500) Company
5. Construction Manager BRICK
5. ___________________ __________ Date:
WALLING
Note: The sections for low, medium, and high risk must be completed.
The Contractor must reduce the risk below 500, using the hierarchy of the
Unacceptable risk security controls and then conduct a second Safety FMEA for With this level of risk, it is not
500 determine the new risk score. authorizes no activity

CROCSA REVIEW: The individuals from Crocsa Corporation authorized to review the Work 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.

2.9 TRAINING AND COMMUNICATION TO WORKERS

Instructions: The direct EHS supervisor of the Contractor must review the Job Safety Analysis, as
minimum, in the following moments:
1. During the meeting at the beginning of activities
2. When there are changes in the Job Safety Analysis
3. When new workers are assigned to the work or task
At least once a week it should be read to the workers to review possible changes and verify
that everything planned in the Pre Task Analysis is being fulfilled.

Review: 0 - Dec. 2019

 FOR-SEG-7.0-11

PRE-TASK PLAN (FORMAT) INVOLVEMENT

PART 3 - WORKER SECURITY INVOLVEMENT PROCESS

3.1 DESCRIPTION OF THE TASK / ACTIVITY AND EMERGENCY RESPONSE PLAN
Company: Date: 14-Jul-22 EMERGENCY ACTION PLAN
AICSA INDUSTRIAL FINISHES Núm. de contacto de emergencia: Gerardo Perez Vidal
(On-site and/or exterior phone) 464-106-3685
Folio: CRO-AICS-001

DO NOT HANG UP UNTIL ADVISED! Be prepared to provide: YOUR NAME, LOCATION (name of
Supervisor: building, column number, address, etc.) and TYPE OF EMERGENCY.
Score of
128
Highest risk Please also contact: Nayeli De la Cruz Cruz. 722-606-5599
Gerardo Perez Vidal of the AMEF of
Security: 1. ¿Es necesario un plan de rescate (por ejemplo, rescate de alturas, espacio confinado,
spillage of 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?
inspected? NOT APPLICABLE
ship 1.
3. Specify the necessary steps to carry out the rescue: NOT APPLICABLE

Task description:

INSTALLATION OF PIPE FOR MEDIUM VOLTAGE GENERAL LINE

3.2 VERIFICATION OF TEAM MEMBERS

Have all team members completed the Safety Induction and any other
S N training or access requirements?
2. Did all team members read and understand the Pre-Task Plan to be executed?
S N (ATTACH SIGNATURE PAGE OF WORKERS WHEN NECESSARY BY THE SAME NUMBER)

S N 3. Does the reviewed documentation correspond to the assigned task?

4. ¿Se cuenta con todas las inspecciones previas necesarias del equipo a utilizar (por ejemplo, equipo móvil,
S N tools, critical equipment)?

3.3 IDENTIFICATION OF DAILY HAZARDS IN THE WORKPLACE / TASK

ZTS
Before the start of each work shift, all workers must go to the location of the activity. y conduct evaluations
individuals from the Safe Working Area.
Use the following questions and the diagram on the right as a guide to ensure that all areas in proximity to the
tasks to be evaluated to determine if there are additional hazards or energy sources that could potentially be fed,
provide feedback, run above, run below, or be within the Safe Working Zone before starting the task.

TAKE "2" FOR SAFETY

YES NO YES NO
1. Dangers from unexpected movements? Is additional PPE needed and available?
(For example, face shield, respirators, earplugs,
seat belts, etc.)
2. Is additional locking required? 10. Are there additional lifting hazards?

3. New tripping or slipping hazards? 11. Are Additional Barricades / Tape Needed
Security?
4. New pinch points or danger of 12. New Hazardous Materials / Products
laceration? Chemicals?
New fall danger? 13. Additional activity of production vehicles?

6. New fire/explosion hazard? 14. Work in remote or isolated places (working alone
in a remote location) or in confined space?

7. Additional workers within the 15. Additional permissions?

work area? (Example: Cutting and Welding, confined space, roof access, permits)
8. New Danger of Mobile Equipment? 16. Has anything changed since the last shift / occasion when
Was this task completed?
For each "YES" answer in section 3.3, information must be added to section 3.5 of this format.
3.4 CHANGE MANAGEMENT
If during the work any risk is detected or a change in the plan or standardized work is required, STOP and:
1. Complete section 3.5 on the back of this form
2. Contact your supervisor if the change requires deactivating any security device (electronically or physically)
3. Contact your supervisor if the change creates or exposes people, property, or processes to new hazards.

Date: PART 3 - DAILY WORKER SAFETY ENGAGEMENT PAGE 6

Complete the fields to include additional security information identified in section 3.3 before the task begins.
Note: if the change involves a MEDIUM/HIGH RISK TASK, it must be STOPPED, include your Safety Analysis in the
Work, recalculate the Safety FMEA and obtain acceptance from your supervisor and the EHS Coordinator Crocsa.

3.5 SECURITY ANALYSIS OF THE CHANGES IDENTIFIED IN SECTION 3.3

STEPS IN THE TASK DANGERS MEASURES OF ELIMINATION / CONTROL Initials of supervisor

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 completing it.

Nombre: Company Confirmation Initials Following the Task

At the end of the task y put my

initials on this form, I confirm, to
my best understanding is that all tasks
were carried out according to the Analysis of
Work Safety and that there was none
injury o any incident during the
completion of this task that there is not
has been reported to my supervisor.

3.7 TERMINATION OF THE TASK - The Contractor's workers, with the help of their Direct Supervisor, must answer the
following questions after the work has been completed
Questions ANSWER Acción (es) / Comentarios

During the task, you o the team had to deviate from the plan o him
S N
Do I identify any new danger that requires the use of the MOC process?

Was there any accident or incidents during the execution of this activity? S N

Are all the tools/equipment organized and stored properly?

S N
used, waste, garbage, etc.?
Is it necessary to update the Pre-Task?o standardized work? Or is there
lessons learned to be shared at the next kickoff meeting S N
activities?
3.8 EHS SUPERVISOR REVIEW OF THE SUBCONTRACTOR:

Firma:_______________________________ Fecha:___________________________________ Hora:____________________________

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.

GENERAL NOTES AND COMMENTS

Note: If the activity discovers a potential exposure to lead or asbestos, immediately contact your safety coordinator.
that additional precautions and safety procedures must be followed.

Revision: 0 - Dec. 2019

LOCATION SKETCH PROJECT - CROCSA
 RISK ANALYSIS / FMEA OF SAFETY
POTENTIAL SEVERITY - [NO controls applied]
Punctuation CATEGORY DESCRIPTION (SCORE JUSTIFICATION)

15 Fate Death of one or more people.

Injury Loss of two limbs / eyes, both hands, both feet, paralysis, or severe permanent illness
10 irreversible
criticism
permanent loss of respiratory function, hearing loss, non-terminal illness). Third-degree burn
Grade > 9% of the body. Any injury requiring hospitalization of more than one week.

Injury
6 irreversible
grave
Loss of a limb / eye, a hand, a foot. Second-degree burn > 9% of the body. Any
injury that requires 2-7 days in the hospital.

Loss of fingers from hands / toes, fracture of a major bone (for example, skull, arm, back,
4 Injury
irreversible
pelvis, leg, rib) or minor permanent illness (for example, mild hearing loss). Third-degree burn
Grade <9% of the body. Any injury that requires hospitalization.

2 Injury
reversible
Minor bone fracture (fingers, hand, toes, foot) or minor temporary illness (for example, bruise,
sprain or injury due to repetitive strain). Burns from 1% to 9% of the body. Hospitalization is not required.

1 Minor Injury
reversible
Laceration, abrasion or minor health condition or second-degree burn <1% of the body. First aid
only aids.
(P) - PROBABILITY OF OCCURRENCE - [Implemented control measures]
Punctuation CATEGORY DESCRIPCIÓN (JUSTIFICACIÓN DE PUNTUACIÓN)

Typically, the risks in this category do not have controls or are minimal. 80 to 100%

15 CERTERO
probability of injury occurring due to hazards. An injury will occur immediately when a
a person comes into contact with danger. A person is in the danger zone, or it is very likely that an
accident, like in the case of a mezzanine without handrails, or an exposed electrical cable in a work area.

Normally, the risks in this category are mitigated with people-dependent controls, such as
training, standardized work, Pre-Task plans, Safe Work Method, warning signals or
EPP. The injury will occur if a single person does not follow the instructions or procedures. 5 to 80% probability.
8 POSSIBLE an injury occurs due to the dangers. An injury can occur if additional factors are related, but
it is unlikely to happen without them. In the presence of danger, an additional factor such as vibration, wind or
human negligence will cause the injury. The incident will occur if a single person does not follow the instructions or
procedures.

Por lo general, los riesgos en esta categoríase mitigan con controles de ingeniería y la combinación de otros
security control methods (for example, safety inspections or critical equipment inspections)
of safety, warning signs, training and/or PPE) that depend on one or more people for
LITTLE
2 PROBABLE
review the processes in place (examples: safety walkthroughs, critical equipment safety review.) 1
a 5% chance of an injury occurring due to the hazards. Several factors need to combine to
that an injury occurs, and the probability is low. Multiple people would have to stop following the instructions or
procedures. For example, a person is on a lifting team without being anchored and the monitor at level of
The floor does not remind you to use fall protection.

(F) - FREQUENCY OF EXPOSURE [to the hazard DURING the

(NP) - NUMBER OF PEOPLE EXPOSED
Task, not during the Shift

Punctuation CATEGORY Punctuation CATEGORY

5 Constantly exposed to danger throughout the task 12 MORE THAN 50 PEOPLE

Intermittently [more than once, exposed to danger to the 8 16 A 50

4 length of the task
4 8 A 15

2.5 Only once [exposed to danger once during the task]

2 3A7
1 1A2

Note: only the values listed above can be used for FMEA calculations.

Review: 5.0 - Sept. 2018