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Page 1

Hazard Assessment, Analysis and

Control

Page 2

Section 2 Hazard Assessment, Analysis and Control

HAZARD ASSESSMENT POLICY Hazard Assessment Policy - Sample 1 .................................................................................4 Hazard Assessment Policy Sample 2 ...................................................................................5 HAZARD ASSESSMENT FORMS Comprehensive Hazard Assessment "Work Detail - Form 1" - Blank Form .................. 7-8 Comprehensive Hazard Assessment "Controls - Forms 2" - Blank Form ...........................9 Comprehensive Hazard Assessment "Annual Review" - Blank Form ..............................10 Task Hazard Assessment Form - Blank Form ...................................................................11 Completed Samples Comprehensive Hazard Assessment - Completed Sample 1 ....................................... 13-16 Comprehensive Hazard Assessment - Completed Sample 2 ....................................... 17-19 INVENTORY FORMS Critical Task Inventory - Blank Form ................................................................................21 Controlled Product Inventory - Blank Form ......................................................................22 Tool and Equipment Inventory - Blank Form ....................................................................23 CONSTRUCTINGYOUR CRITICAL TASK INVENTORY Defining a "critical task" .............................................................................................. 25-28 SUB-CONTRACTOR POLICY Sub-Contractor Policy - Sample 1 .....................................................................................30 Sub-Contractor Policy - Sample 2 .....................................................................................31 Project Safety Plan - Sample........................................................................................ 32-41 RECORD KEEPING Record Books Available at NSCSA ..................................................................................43

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Hazard Assessment Policy

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Hazard Assessment Policy It is the policy of Company Name/Organization, to implement a systematic process for the identification and control of hazards. At minimum, Company Name/Organization, will:

1. Perform a comprehensive hazard assessment for all activities; equipment; processes and property under our control.

2. Review the comprehensive hazard assessment annually to ensure its ongoing suitability

for our operational needs.

3. Perform task hazard assessments prior to the start of any job requiring activities which are new or unusual.

Signed: Date:

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Hazard Assessment Policy Goal: to implement a systematic process for the identification and control of hazards. At minimum, we will:

1. Perform a comprehensive hazard assessment for all activities; equipment; processes and property under our control.

2. Review the comprehensive assessment annually to ensure it ongoing suitability for our

operational needs.

3. Prior to the start of any job or activities which are new or unusual, we will perform a task hazard assessment.

4. Prior to the start of any project activity with a duration of 30 days or more, conduct a

formal Project Hazard Assessment. Project Hazard Assessments

Project Hazard Assessments will be reviewed on an ongoing basis to ensure all necessary controls are in place and appropriate to the need. Project supervisor will advise Project Management of any revisions during monthly Project Joint Occupational Health and Safety Committee meetings. Records will be forwarded to the office for retention.

Signed: Date:

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Hazard Assessment Forms

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Ranking Hazards by Risk (Consequences and Probability) Once a hazard has been identified, hazard ranking provides us with a gauge to determine where to start as with most elements in a safety program, our priorities will be determined by addressing the worst first. Hazard consequence category: I. Catastrophic - may cause death, injury, or company shutdown II. Critical - may cause severe injury, severe occupational illness or major

property damage III. Marginal - may cause minor injury or minor occupational illness resulting in

workday(s) lost, or minor property damage. IV. Negligible - probably would not affect personnel safety or health. Could result

in a lost workday, and is still in violation of specific criteria. Hazard Probability Category (a) Likely to occur immediately or within a short period of time when exposed to the hazard. (b) Probably will occur in time. (c) Possible to occur in time. (d) Unlikely to occur. During the implementation of the safety program, you will want to focus on hazards that fall in the 1(a), 1(b), 2(a) and 2(b) rating. As time permits, all potential hazards should have controls identified and implemented.

Remember -- regulatory requirements may dictate priorities.

Page 8

NSCSA Comprehensive Hazard Assessment and Control Form

Area of Assessment (Check one)

Shop

Site

Office

Other (Please specify)

Supervisor: (Of area assessed)

Who you might encounter: Sub-Trades General Public Pedestrian & Vehicular Traffic Customer/Client/Contractor Other:____________________

Task: Hazards within task: Regulatory compliance

issue:

Priority ranking: Hazard control(s): Person

responsible: Target date:

Completed date:

Assessment Team: Date:(D/M/Y) Page:__ of___

Hazard Rankings: (1A, 1B, 2A, 2B = Critical Tasks) Possible Legislation & Regulations: Risk – 1. Catastrophic 2. Critical 3. Marginal 4. Negligible - Nova Scotia Occupational Health and Safety Act (Act) - First Aid Regulations (FAR) Probability – A. Likely B. Probably C. Possible D. Unlikely - Occupational Safety General Regulations (OSGR) - W.H.M.I.S. Regulations - Fall Protection and Scaffolding Regulations (FPR) - Motor Vehicle Act.

Page 9

NSCSA Comprehensive Hazard Assessment and Control Form

Area of Assessment (Check one)

Shop

Site

Office

Other (Please specify)

Supervisor: (Of area assessed)

Who you might encounter: Sub-Trades General Public Pedestrian & Vehicular Traffic Customer/Client/Contractor Other:____________________

Task: Hazards within task: Regulatory compliance

issue:

Priority ranking: Hazard control(s): Person

responsible: Target date:

Completed date:

Assessment Team: Date:(D/M/Y) Page:__ of___

Hazard Rankings: (1A, 1B, 2A, 2B = Critical Tasks) Possible Legislation & Regulations: Risk – 1. Catastrophic 2. Critical 3. Marginal 4. Negligible - Nova Scotia Occupational Health and Safety Act (Act) - First Aid Regulations (FAR) Probability – A. Likely B. Probably C. Possible D. Unlikely - Occupational Safety General Regulations (OSGR) - W.H.M.I.S. Regulations - Fall Protection and Scaffolding Regulations (FPR) - Motor Vehicle Act.

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Comprehensive Hazard Assessment Annual Review

My hazards and controls have not changed ì Signed: Dated:

I have new hazards. They are as follows ì Signed: Dated:

Hazard Category Tasks / Issues Priority Ranking Control(s) Person

Responsible Target

Completion Date Completed

Date

Assessment Team: Date:

Page: of

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Task Hazard Assessment

Location: Date:

Supervisor: Page of Equipment, Tools Materials, Conditions

Potential Health and Injury Hazards

Priority Required Action Responsibility Date Completed

Other Considerations/Comments

A A condition or practice likely to cause permanent disability, loss of life, or extensive property loss; e.g. an unguarded saw B A condition or practice likely to cause serious injury or illness, resulting in temporary disability or moderate property damage; e.g.

slippery walkways C A condition or practice likely to cause minor, non-disabling injury or illness or non-disruptive property damage; e.g. handling common

solvents without proper protective gloves.

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Comprehensive

Hazard Assessment

Completed Samples

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NSCSA Comprehensive Hazard Assessment and Control Form

Area of Assessment (Check one)

Shop

Site

Office

Other (Please specify)

Supervisor: (Of area assessed)

Who you might encounter:

Sub-Trades General Public Pedestrian & Vehicular Traffic Customer/Client/Contractor Other:____________________

Phil Mackay

Task: Hazards within task: Regulatory compliance

issue:

Priority ranking: Hazard control(s): Person

responsible: Target date:

Completed date:

Labours Lifting OSGR 3A Training , SWP, and SJP S & E 08/12/10 08/12/10

House keeping OSGR 2A Company rules S & E 08/12/10 08/12/10

Deliveries Unloading OSGR 3A Training , SWP, and SJP S & E 08/12/10 08/12/10

Parking MVA 2C Training , SWP, and SJP S & E 08/12/10 08/12/10

Handling OSGR 2C Training , SWP, and SJP S & E 08/12/10 08/12/10

Driving MVA 1B Experience and Inspections S & E 08/12/10 08/12/10

Assessment Team: Phil Mackay, Brenda Smith, Billy Bob, Murphy Jones Date: 08/12/10 Page: 1 of 1 Hazard Rankings: (1A, 1B, 2A, 2B = Critical Tasks) Possible Legislation & Regulations: Risk – 1. Catastrophic 2. Critical 3. Marginal 4. Negligible - Nova Scotia Occupational Health and Safety Act (Act) - First Aid Regulations (FAR) Probability – A. Likely B. Probably C. Possible D. Unlikely - Occupational Safety General Regulations (OSGR) - W.H.M.I.S. Regulations - Fall Protection and Scaffolding Regulations (FPR) - Motor Vehicle Act.

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NSCSA Comprehensive Hazard Assessment and Control Form

Area of Assessment (Check one)

Shop

Site

Office

Other (Please specify)

Supervisor: (Of area assessed)

Who you might encounter: S Sub-Trades General Public Pedestrian & Vehicular Traffic Customer/Client/Contractor Other: Shop Employees

Sam Green

Task: Hazards within task: Regulatory compliance

issue:

Priority ranking: Hazard control(s): Person

responsible: Target date:

Completed date:

Antifreeze Hazardous Substance WHMIS 2A WHMIS Training Supervisor 08/12/10 08/12/10

Disposal WHMIS 2A Policy, SJP, SWP, Spill Kit Supervisor 08/12/10 08/12/10

Transport TDG 2A Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Petroleum Hazardous Substance WHMIS 3A Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Transport TDG 3A Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Fueling Spillage OSGR 3A Training, Spill Kit Supervisor 08/12/10 08/12/10

Electrical Electrocution OSGR 1D Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Welding Burns OSGR 1D Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Fires OSGR 1D Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Boosting Burns OSGR 1C Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Explosions OSGR 1C Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Assessment Team: Bob Smith, Chris Mackay, Steve Wenzel, Sam Green Date: 08/12/10 Page: 1 of 1 Hazard Rankings: (1A, 1B, 2A, 2B = Critical Tasks) Possible Legislation & Regulations: Risk – 1. Catastrophic 2. Critical 3. Marginal 4. Negligible - Nova Scotia Occupational Health and Safety Act (Act) - First Aid Regulations (FAR) Probability – A. Likely B. Probably C. Possible D. Unlikely - Occupational Safety General Regulations (OSGR) - W.H.M.I.S. Regulations - Fall Protection and Scaffolding Regulations (FPR) - Motor Vehicle Act.

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NSCSA Comprehensive Hazard Assessment and Control Form

Area of Assessment (Check one)

Shop

Site

Office

Other (Please specify)

Supervisor: (Of area assessed)

Who you might encounter:

Sub-Trades General Public Pedestrian & Vehicular Traffic Customer/Client/Contractor Other:____________________

Melissa Brown

Task: Hazards within task: Regulatory compliance

issue:

Priority ranking: Hazard control(s): Person

responsible: Target date:

Completed date:

Carpenters Cutting OSGR 3A Training , SWP, and SJP Employee 08/12/10 08/12/10

Framing OSGR 2A Training , SWP, and SJP Employee 08/12/10 08/12/10

Nailing OSGR 3A Training , SWP, and SJP Employee 08/12/10 08/12/10

Loading OSGR 2A Training , SWP, and SJP Employee 08/12/10 08/12/10

Lifting OSGR 2A Training , SWP, and SJP Employee 08/12/10 08/12/10

Electrician Power tools OSGR 2D Training , SWP, and SJP Employee 08/12/10 08/12/10

Burns WHMIS 1B Training , SWP, and SJP S & E 08/12/10 08/12/10

Electrocution OSGR 1A Training , SWP, and SJP S & E 08/12/10 08/12/10

Plumbers Glues WHMIS 3A Training , SWP, and SJP S & E 08/12/10 08/12/10

Burns WHMIS 1A Training , SWP, and SJP Supervisor 08/12/10 08/12/10

Lifting OSGR 2C Training , SWP, and SJP S & E 08/12/10 08/12/10

Bodily fluids WHMIS 2A Training , SWP, and SJP Employee 08/12/10 08/12/10

Lifting OSGR 3C Training , SWP, and SJP Employee 08/12/10 08/12/10

Assessment Team: Peter Smith, Dawn Macdonald, Sam Jackson, Melissa Brown Date: 08/12/10 Page: 1 of 1 Hazard Rankings: (1A, 1B, 2A, 2B = Critical Tasks) Possible Legislation & Regulations: Risk – 1. Catastrophic 2. Critical 3. Marginal 4. Negligible - Nova Scotia Occupational Health and Safety Act (Act) - First Aid Regulations (FAR) Probability – A. Likely B. Probably C. Possible D. Unlikely - Occupational Safety General Regulations (OSGR) - W.H.M.I.S. Regulations - Fall Protection and Scaffolding Regulations (FPR) - Motor Vehicle Act.

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INVENTORY FORMS

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Critical Task Inventory

Task / Equipment / Tool Hazards Controls

Pa Page 18

Controlled Product Inventory

Supervisor: _________________________________Area:___________________Date:_______________

Product Name: Properly Labelled?

MSD Sheet Expiry Date:

Located:

Pa Page 19

Tool & Equipment Inventory Supervisor: _________________________________Area:___________________Date:_______________

Pag Page 20

CONSTRUCTING YOUR CRITICAL

TASK INVENTORY

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CRITICAL TASK INVENTORY Critical Task : “If the task is not identified or if the procedure is incorrectly performed or absent, has a significant potential for loss to people, product, process or profit”. Using frequency, severity and probability, a task performed by the company can be identified as being “critical”. Keep in mind: $ that if an incident/injury has occurred in the past performing the task, it should

be automatically considered a critical task. $ if O H & S Regulations require a detailed procedure, that task is a critical. Utilize this table and the following formulas to construct your critical task inventory; any task with a total of (7) or more is a critical task and should have a job procedure and/or safe work practice in place to control it.

TASK FREQUENCY SEVERITY PROBABILITY TOTAL

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CRITICAL TASK ANALYSIS FREQUENCY

NUMBER OF TIMES TASK IS PERFORMED BY EACH PERSON

NUMBER OF PERSONS PERFORMING TASKS

LESS THAN DAILY

FEW TIMES PER DAY

MANY TIMES PER DAY

FEW 1 1 2 MODERATE NUMBER 1 2 3 MANY 2 3 3

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CRITICAL TASK ANALYSIS SEVERITY

A SCALE OF 0 - 6 0 - NO INJURY OR ILLNESS, OR A QUALITY, PRODUCTION OR OTHER LOSS OF LESS THAN $100. 2 - MINOR INJURY OR ILLNESS, WITHOUT LOSS TIME, OR-DISRUPTIVE PROPERTY DAMAGE OR A

QUALITY, PRODUCTION OR OTHER LOSS OF $100 - $1,000. 4 - A LOSS TIME OR ILLNESS WITHOUT PERMANENT DISABILITY, OR DISRUPTIVE PROPERTY

DAMAGE, A QUALITY, PRODUCTION OR OTHER LOSS OF MORE THAN $1,000 BUT NOT EXCEEDING $5,000.

6 - PERMANENT DISABILITY OR A LOSS OF LIFE OR BODY PART, AND/OR EXTENSIVE LOSS OF

STRUCTURE, EQUIPMENT OR MATERIAL, QUALITY, PRODUCTION OR OTHER LOSSES EXCEEDING $5,000.

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CRITICAL TASK ANALYSIS PROBABILITY

I. HAZARDOUS - IE: HOW INHERENTLY DANGEROUS IS THE TASK? II. DIFFICULTY - IE: HOW PRONE TO QUALITY, PRODUCTION OR OTHER PROBLEMS IS THE

TASK? III. COMPLEXITY OF THE TASK? IV. CHANCE OF LOSS IF TASK IMPROPERLY PERFORMED?

A SCALE OF FROM - 1 TO + 1 IS USED AS FOLLOWS:

-1 = LESS THAN AVERAGE PROBABILITY OF LOSS. 0 = AVERAGE PROBABILITY OF LOSS. +1 = GREATER THAN AVERAGE PROBABILITY OF LOSS.

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SUB-CONTRACTOR POLICY

Page 26 Page 26

Sub-Contractor Policy

Prior to starting work on (insert company name) sites, the subcontractor shall submit the following policies to (insert company name): Safety Policy, PPE Policy, Rules, Inspection Policy and Training Policy. Subcontractors working at any (insert company name) sites shall, prior to starting work, complete a hazard assessment, critical task inventory with controls, emergency plan, communications information with regular contact numbers as well as emergency contact numbers. Subcontractors shall have a Certificate of Recognition or be in receipt of a Letter of Good Standing from the Nova Scotia Construction Safety Association. While working on (insert company name) projects, the subcontractor shall participate in all work site safety meetings and play an active role as a member of the work site safety committee (when applicable). A copy of all safety-related activity on the site will be submitted to (insert company name). Subcontractors will provide documentation to (insert company name) to verify compliance with this policy.

Acknowledged by: _________________________________ Subcontractor Company Name Date

Page 27 Page 27

Sub Contractor Policy All Sub Contractors utilized on <INSERT NAME> projects will submit documentation verifying: C Good Standing with the NS Workers’ Compensation Board (clearance letter) C Safety Certification, NSCSA Letter of Good Standing or equivalent C Current General Liability insurance coverage In addition, Sub Contractors working at any <INSERT NAME> work sites, prior to starting work, shall complete a pre job hazard assessment which identifies all hazards and potential hazards and the actions taken to control them.<INSERT NAME> may require the submission of a formal “Safety Plan” (outline attached) for any major project. This requirement will be outlined in the appropriate bid specification. While working on <INSERT NAME> projects, the Sub Contractor shall provide a management and worker representative to participate in all work site safety meetings and play active roles as members of the work site JOHS committee(if such committee is mandated by the number of workers). This does not relieve the sub contractor of any duty to maintain an employer JOHS committee if mandated by the OH&S Act. Confirmation of ongoing review of the sub contractors hazard assessment will be tabled at each meeting. Sub Contractors shall conform to all <INSERT NAME>’s policies including, but not limited to, PPE, Drugs and Alcohol, and General Rules & Discipline. <INSERT NAME>’s project representative will be provided with documentation to verify the ongoing activity related to health and safety as dictated by corporate policy and the nature and complexity of the project. Acknowledged by: Subcontractor Company Name Date

Page 28 Page 28

THE SAFETY PLAN HEALTH AND SAFETY PLAN For a project manager, a “Safety Plan” provides a blue print or check list to ensure that appropriate controls exist to ensure against loss and also ensure compliance with OH&S legislation. The role of a project manager is to communicate, co-ordinate and control information and activities that may impact on a successful project Contents may vary from project to project; however the following elements should be contained in all safety plans. Policies - All policies relevant to OH&S and related legislation. These will include Safety Policy, PPE Policy, Inspection Policy, Investigation Policy, OH&S Meetings and the Site Safety Rules and applicable Enforcement Policy (discipline). Hazard assessment(s) - A Project Hazard Assessment should be undertaken by the constructor responsible for the actual work activity and all major sub trades. Hazards and Critical Tasks are identified. Control measures will be identified and all applicable safe work practices and safe job procedures will be submitted as part of the plan. Communications - A strategy to address the necessary information flow on the work site must exist. All parties on the work site must participate and the project manager should ensure that he/she receives verification that OH&S requirements are being met. Emergency Plan - An emergency plan must take into consideration all potential problems or situations which might arise during the life of the project. An effective plan will promote a timely response in the event of disaster. Consideration must be given to: C medical emergencies C fire or explosions C flooding C environmental disasters Specific procedures and contact names and numbers should be clearly identified.

Page 29 Page 29

Project Safety Plan

Project Name: Project Address: Submission of (Firm Name): Scope of Application: For the time period: This submission includes the Safety Plan’s of (sub contractors, list as required): 1) 2) 3) 4) 5) 6) Prepared by: Contact Phone # Preparation date:

Page 30 Page 30

Table of Contents

Policies Section 1 Pg. Hazard Assessment Section 2 Pg. Critical Task List Section 3 Pg. Controls Section 4 Pg. Communication Section 5 Pg. Emergency Preparedness Section 6 Pg.

Page 31 Page 31

Section 1 Policy Statements

List All applicable Policies for this project: 1.

2.

3.

4.

5.

6.

7.

This page is intended to identify the policies which will govern site activity. The highest authority on the site will provide this list.

Page 32

Section 2

Hazard Assessment Performed by: Date: Scope of Application:

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Section 3 Critical Task

Produced by: Firm Name Task Name: 1. 2. 3. 4. 5. 6. A general Contractor will list all applicable Critical tasks in their submission and

identify their source. A sub-trade will list only tasks applicable to their scope of application.

Page 34

Section 4 Controls

Index of all Critical Task Procedures: 1. 2. 3. 4. 5. 6. 7.

All Critical task Procedures will accompany the index and form this section.

Depending on the complexity of the project, this may be substantial.

The industry uses many different names for critical task procedures. They may be called Standard Operating Procedures, Job Procedures or Task Procedures.

Formats will vary depending on the training source.

Page 35

Section 5 Communication

(Internal) This section will define communication strategies for project activity. This is not intended for emergency purposes. At a minimum the following information shall be provided. Contact Numbers

Page 36

Posting Posting will address: C Project bulletin board C Relevant Legislation C Policies C Rules C Notices and/or Orders C Emergency Communication Chart C JOSH Committee C Project Meeting Schedule C Other Information (as suitable)

Responsibilities will be defined and delegated to specific individuals or positions.

Page 37

Section 6 Emergency Preparedness

This section deals with the various aspects of emergency consideration and will address: C Identification of probabilities What can go wrong - medical -

environmental crisis C Notification Who do we call or notify - legislative

requirements C Activation Communication & Responsibilities C Deployment Action Plan C Operations Specific Responsibilities and

Authorities C Recovery Procedures How do we put the project back up on

its’ feet

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NSCSA RECORD BOOKS

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