D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Troubleshooting High Voltage Electronic Equipment
Description: Troubleshooting High Voltage Electronic Equipment
JHA ID: JHA-2020-ATCM-03 Status: Approved Review Due On: 2021-01-03
JHA ACCOUNTABILITY
Responsible Section: S3 - ATCM/Wx Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Mr. John Steckman Approver: Mr. Michael R Hancock
Date Signed: SHEPPARD.JE Digitally signed by SMS, SGE
KRI.S.10155293 SHEPPARD.JEKRI.S.1015
529330 Approver Signature: HANCOCK.MIC Digitally signed by
Date Signed: HAEL.R.108915 HANCOCK.MICHAEL.R.1
30 Date: 2020.01.28 09:36:57 089155440
-05'00'
5440 Date: 2020.01.28 19:57:30
-05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes Electrical Safety and Lockout/Tagout
task.
Special equipment required. Yes Shorting Probe and Multimeter
Chemicals associated with this task. No
Governing policy, procedure, or TM. No
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Body / Torso Safety Hook and Non-
exposed to hazard. PPE: conductive Safety
Shoes/Boots
Body Part/System(s) Hands PPE: Rubber HV Gloves
exposed to hazard.
Body Part/System(s) PPE:
exposed to hazard.
Body Part/System(s) PPE:
exposed to hazard.
PPE Comments, Notes, & Information: Ensure rating on Rubber HV Gloves exceeds potential stored energy.
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: De-energize and Secure
HAZARD: None.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
The completion of this step does not pose any hazard; however, improperly secured power could result in a
potential hazard of electrical shock in future step.
Control Measure:
- PPE: Non-conductive Safety Shoes/Boots
- Safety Person must verify all correct power sources have been de-energized and secured properly.
Step # 2 Step Title/Description: Dissipate and Verify Removal of Stored Energy
HAZARD: Electrical Shock
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible C - May RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
The completion of this step places the technician at risk of electrical shock from stored electrical energy in
certain devices.
Control Measures:
- PPE: Non-conductive Safety Shoes/Boots, Rubber HV Gloves, Shorting Probe, and Safety Hook
- Safety Person with Safety Hook.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
- Dissipate stored energy with Shorting Probe.
- Multimeter to verify all stored energy has been dissipated.
- Safety Person shall ensure the following: removal of all conductive materials; proper PPE is worn; all
required points are grounded; and verify all stored energy has been dissipated.
Step # 3 Step Title/Description: Troubleshoot Equipment
HAZARD: Electrical Shock
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible C - May RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
This step should not pose any hazard of electrical shock; however, ensure minimal contact with equipment
being troubleshot. Additionally, be observant of accidental physical contact with potential ground sources,
especially with knees and elbows.
Control Measures:
- PPE: Non-conductive Safety Shoes/Boots and Safety Hook
- Safety Person with Safety Hook.
- One hand in the equipment while troubleshooting.
- Ensure other parts of the body are not grounded or touching metal.
Step # 4 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 5 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Working Aloft Procedures
Description: Working Aloft Procedures
JHA ID: JHA-2020-ATCM-04 Status: Approved Review Due On: 2021-01-03
JHA ACCOUNTABILITY
Responsible Section: S3 - ATCM/Wx Common Use JHA: No
Reviewer/Drafter:
Mr. Trevor Casavant Approver: Mr. Michael R Hancock
Reviewer Signature:
SMS, SGE
Date Signed: SHEPPARD.JEK Digitally signed by HANCOCK.MIC Digitally signed by
RI.S.101552933 SHEPPARD.JEKRI.S.10155 Approver Signature: HAEL.R.108915 HANCOCK.MICHAEL.R.10
29330 Date Signed: 89155440
0 Date: 2020.01.28 09:34:29 5440 Date: 2020.01.28 19:56:38
-05'00' -05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes Lockout/Tagout, PPE Use, Fall Protection Work
task. Plan/Rescue Plan (Site Specific)
Special equipment required. Yes Full Body Harness, Fall Arrest Y Lanyard,
Positioning Lanyard, Fall Arrester, Helmet, Eye
Protection, Gloves, Safety Shoes/Boots
Chemicals associated with this task. No
Governing policy, procedure, or TM. Yes Air Facility Order 5100.4F
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Head / Face / Eyes PPE: Helmet, Eye Protection
exposed to hazard.
Body Part/System(s) Body / Torso PPE: Full Body Harness, Fall
exposed to hazard. Arrest Y Lanyard
Body Part/System(s) Hands PPE: Gloves
exposed to hazard.
Body Part/System(s) Feet PPE: Safety Shoes/Boots
exposed to hazard.
PPE Comments, Notes, & Information: End user must have training on PPE before it can be used.
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Deenergize and Lockout/Tagout Equipment
HAZARD: None
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
The completion of this step does not pose a hazard; however, improperly secured power could result in
possible risk of electrical, mechanical, radiation (non-ionizing), or struck by hazards in future step.
Control Measure:
- Safety Person shall verify all correct power sources have been de-energized and secured properly.
- PPE: Non-conductive Safety Shoes/Boots
Step # 2 Step Title/Description: Proceed Aloft
HAZARD: Fall, Struck Against
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
I - Catastrophic C - May RAC 2 - Serious Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
PPE needs are specific to each work site. See site Fall Protection Work Plan for PPE requirements before
inspecting and donning fall protection equipment. Transitions pose the highest fall risk. Employ 100% tie-off
when transitioning to the working surface.
Control Measure:
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
- Safety Person verifies fall arrest lanyard is properly connected to dorsal d-ring on full body harness.
- Safety Observer required on the ground when working aloft.
- PPE: Full Body Harness, Fall Arrest Y Lanyard, Positioning Lanyard, Fall Arrester, Helmet, Eye Protection,
Gloves, Safety Shoes/Boots
Step # 3 Step Title/Description: Inspect/Repair Site
HAZARD: Fall, Electrical, Mechanical, Radiation (Non-ionizing), Struck Against, Stuck By
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
I - Catastrophic C - May RAC 2 - Serious Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Maintain 100% tie-off while on the working surface. Only attach both legs of the fall arrest Y lanyard when
changing anchor points.
Control Measure:
- Safety Observer required on the ground when working aloft.
- PPE: Full Body Harness, Fall Arrest Y Lanyard, Positioning Lanyard, Fall Arrester, Helmet, Eye Protection,
Gloves, Safety Shoes/Boots
Step # 4 Step Title/Description: Debark From Aloft
HAZARD: Fall, Struck Against
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
I - Catastrophic C - May RAC 2 - Serious Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Transitions pose the highest fall risk. Employ 100% tie-off when transitioning from the working surface.
Verify fall arrester is not installed upside down before disconnecting fall arrest Y lanyard from anchor. This
disables the protection provided by the fall arrester.
Control Measure:
- Safety Observer required on the ground when working aloft.
- PPE: Full Body Harness, Fall Arrest Y Lanyard, Positioning Lanyard, Fall Arrester, Helmet, Eye Protection,
Gloves, Safety Shoes/Boots
Step # 5 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
s
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.
Personal Protective Equipment (PPE) ATCM
Requirement: 29 CFR 1910.132(a) ‐ Protective equipment, including personal protective equipment for eyes, face, head, and extremities, protective clothing, respiratory devices, and
protective shields and barriers, shall be provided, used, and maintained in a sanitary and reliable condition wherever it is necessary by reason of hazards of processes or environment,
chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through
absorption, inhalation or physical contact.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TFPK‐6/U/6FTAK Servmart ReadyWorker Fall Pro $109.82 Yes
Body Harness, Safety,
Hazard industrial DBI/SALA, Notes Comment
Medium
Fall from elevation
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Ear SparkPlug ‐ TL2A00326280 Servmart Moldex $45.65 No
Hazard Disposable Foam Notes Comment
Earplugs
Noise Exposure during weapons operation Noise Reduction Rating of this product is 33 dB. Contact Safety for purchase. Contact Safety for
purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A87262465 Servmart Peltor $36.09 No
Ears Protector, Hearing ‐
Hazard Ear Muffs Notes Comment
Excessive Noise Exposure Its are to be worn during PM and periodic maintenance on or around generators created noise levels
above 85dB. These are not the hearing protection used with flight deck helmets. Contact Safety for
purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A69684587 Servmart $19.01 No
Eyes Googles, Indirect
Hazard Vent (Splash) Notes Comment
Splash from a variety of sources The purpose of the indirect venting is to limit or prevent the passage of liquid splash into the goggle.
In cases where chemical splash is a hazard, indirect vented goggles should be selected as appropriate
protection.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 1 of 3
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A60345337 Servmart MCR $12.09 No
Eyes Impact Resistant
Hazard Safety Glasses Notes Comment
Falling / Flying Debris This item is maintained on the truck deck and in each P19. Replacements are available in the safety
office.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A79356648 Servmart Bellville $151.17 No
Foot Safety Boots ‐
Hazard Belleville (550ST) Notes Comment
Common steel toe boot worn with utility uniform.
Motor Vehicle Maintenance
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
GSA Global Supply $248.90 No
Hands Gloves, Electrical TL2A42086173 Servmart
Hazard Worker Notes Comment
Rader / Communications Equipment Electrical
Hazards
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Hands Disp. Nitrile Gloves TL2A41904608 Servmart BoSMA $15.99 No
Hazard Notes Comment
Bodily Fluids
This items is located on ARFF‐4 MCAF Rescue Vehicle. Additionally, this item may be provided to
other sections if desired for field day purposes, or other times this item would provide appropriate
"hand" PPE.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A8000‐004004‐01 Servmart Zoll ####### NA
Heart Automatic
Hazard Emergency Notes Comment
Defibrillator AED's are located on ARFF Quarterdeck, bld 2105 gym, bld 2100 Quarterdeck, MCAF Medical
Officer's Office, and ATCM.Monthly equipment checks/inspection is required. Replacement batteries
Stress, Strain, Electric are available in the safety office.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 2 of 3
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Heart TL2A56595614 Servmart Zoll $195.80 Yes
AED Replacement
Hazard Pads (Adult) Notes Comment
NA
AED's are located on ARFF Quarterdeck, bld 2105 gym, bld 2100 Quarterdeck, MCAF Medical
Officer's Office, and ATCM. Replacement items will be required prior to the date listed on the
equipment tag.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
NA Office First Aid Kit MC026545‐01‐433‐83 Servmart Ability One $29.39 Yes
Hazard Notes Comment
General First Aid
Replacement kits available by contacting the safety office. Sections are reminded that not all items in
first aid kits expire, and periodic inspectinos should be conducted to ensure items about to expire are
replaced. Additionally, ALL HANDS are reminded to submit a FIRST AID CASE if first aid items were
used as a reults of a workplace injury not seroius enough to seek professional medical attention.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
NA AED Inspection Tags TL2A52941572 Servmart DefibTech $1.16 NA
Hazard Notes Comment
Monthly AED Inspection Tags sold separately. Contact Safety for purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
$26.90 NA
NA Fire Extinguisher TL2A63371819 Servmart NMC
Hazard Inspection Tag
Notes Comment
NA (Fire extinguisher monthly inspection) Each items comes in a pack of 25. Contact Safety for purchase.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 3 of 3
2020 RISK MITIGATION2P0L1A8N
“In no other profession are the penalties for employing untrained personnel so appalling or
so irrevocable as in the military.”
General Douglas MacArthur
This page intentionally
left blank.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Fuel Sampling
Description: Daily retrieval of fuel samples from ARC 5K Refueler Trucks
JHA ID: JHA-2020-FUELS-01 Status: Approved Review Due On: 2021-01-15
JHA ACCOUNTABILITY
Responsible Section: S4 - Fuels Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Corporal Zachary Coyle Approver: Mr. Michael R Hancock
Date Signed: SMS, SGE
NAYLOR.ADAM. Digitally signed by Approver Signature: HANCOCK.MIC Digitally signed by
GEORGE.12748 NAYLOR.ADAM.GEORGE. Date Signed: HANCOCK.MICHAEL.R.10
1274858776 HAEL.R.108915 89155440
Date: 2020.01.28 19:54:44
58776 Date: 2020.01.28 09:04:32 5440 -05'00'
-05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes Primarily conducted via OJT style demonstrations,
task. followed by supervised operations leading to
unsupervised sampling.
Special equipment required. Yes PPE is required during operations in order to
prevent bodily contact with Jet Fuel.
Chemicals associated with this task. Yes F-24 Jet Petroleum. Safety Data Sheet is located in
the SDS binder in the fuels facility.
Governing policy, procedure, or TM. Governing NAVAIR 00-80T-109
SOP
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Head / Face / Eyes PPE: Splash Goggles or a face shield.
exposed to hazard.
Body Part/System(s) Body / Torso PPE: Rubber Apron
exposed to hazard.
Body Part/System(s) Hands PPE: Rubber elbow-length gloves
exposed to hazard.
Body Part/System(s) Ears PPE: Double-hearing protection
exposed to hazard.
PPE Comments, Notes, & Information: When in operation, the ARC 5K Refueling Trucks generate a metered 99
decibels (dB) which will require the user (and those in close proximity to the equipment) to wear double hearing
protection. Each noise producing item (including vehicles) is identified by a yellow decibel level sticker. That
sticker will identity the actual dB of that piece of equipment. All hands are required to hold one-another
accountable for proper hearing protection. Failure to wear proper PPE will not be tolerated and is punishable
under the UCMJ.
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Set Truck up for recirculation/Unroll the hose reel with "male" pressure
nozzle attached to the end, and lock it into the "female" reception valve located on the far right
side of the fueling operation controls.
HAZARD: The only hazard present at this stage is the elevated noise level from the operation of the truck.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate C - May RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Double-hearing protection is required when operating on and around the ARC 5K Refueling Truck. Wearing
foamy or rubber hearing protection inserts, along with a cranial, negates any damage that can be potentially
caused from exposure to the noises of the truck.
Step # 2 Step Title/Description: Retrieve Samples/At this stage, the truck has been recirculated and
HAZARD: is ready to have samples pulled from it.
SEVERITY:
Bodily contact with fuel, along with the noise exposure of the fuel truck.
PROBABILITY: RAC: Is PPE Required during this step?
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
III - Moderate C - May RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
In addition to the double-hearing protection mentioned previously, all personnel conducting sample retrieval
must be wearing elbow-length rubber gloves, splash resistant goggles (such as the ones attached to the cranial),
and a rubber apron. Occasionally when retrieving samples minute amounts of fuel will leak out of the fuel
nozzle when removing the fuel sampling device. The gloves negate all exposure, and the apron and goggles are
present as an extra precaution in the very unlikely event that fuel sprays from the nozzle sampling port.
Step # 3 Step Title/Description: Close Truck/At this final stage, the fuel nozzle is disconnected from
the intake valve, the hose reel is rolled up, and the truck is shut down.
HAZARD: Noise exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate C - May RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
At this stage there is no real probability of fuel exposure, the only remaining hazard is that in the noise
exposure, which can be prevented entirely if the truck is shut down directly after retrieving the last sample.
The truck can be broken down and returned to its original position without it running. Otherwise double-
hearing protection is required while the truck is still operational.
Step # 4 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 5 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1. Only personnel that have been trained by either 1391 Bulk Fuel Specialists, or those personnel that have
been endorsed by 1391 Bulk Fuel Specialists may perform this task.
2.
3.
4.
5.
6.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Defueling Operations
Description: The process of removing F-24 Jet Fuel from aircraft utilizing the ARC 5K Defueler Truck
JHA ID: JHA-2020-FUELS-02 Status: Approved Review Due On: 2021-01-16
JHA ACCOUNTABILITY
Responsible Section: S4 - Fuels Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Corporal Zachary Coyle Approver: Mr. Michael R Hancock
Date Signed: NAYLOR.ADAM SMS, SGE
.GEORGE.1274
Digitally signed by Approver Signature: HANCOCK.MIC Digitally signed by
NAYLOR.ADAM.GEORGE Date Signed: HANCOCK.MICHAEL.R.1
.1274858776 HAEL.R.10891 089155440
858776 Date: 2020.01.28 08:59:30 55440 Date: 2020.01.28 19:53:52
-05'00' -05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes The physical operation of defueling is done
task. primarily with OJT style demonstrations along with
supervised operations, before being endorsed to
complete unsupervised operations. Secondary
requirements are listed in the comments at the end
of this JHA.
Special equipment required. Yes A cranial equipped with goggles, and Earpro as all
stages in this operation require Double-hearing
protection.
Chemicals associated with this task. Yes F-24 Jet Petroleum
Governing policy, procedure, or TM. Governing NAVAIR 00-80T-109
SOP
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Head / Face / Eyes PPE: Cranial with goggles.
exposed to hazard.
Body Part/System(s) Ears PPE: Double hearing protection. Wear
exposed to hazard. Earpro under the cranial's
earmuffs.
Body Part/System(s) Feet PPE: Issued Steel-toed boots.
exposed to hazard.
Body Part/System(s) PPE:
exposed to hazard.
PPE Comments, Notes, & Information:
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Park Truck/Drive the ARC 5K Refueler Truck to the respective aircraft,
relation to the aircraft is dependant on the aircraft type, but allow enough room to safely move
about, as well as an easy route to evacuate the truck in the event of an emergency.
HAZARD: Noise exposure, and eye exposure to debris.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
At this initial stage of the refueling operation, the only probable hazard is noise exposure, both from the ARC
as well as the aircraft. The aircraft are permitted to run their APU's, which produce decibels requiring double
hearing protection. Additionally, flight crew may utilize "Huffers", which act as a satellite engine to run the
aircraft without the aircraft being "lit off". Also, certain aircraft APU's may result in exhaust flow that has the
potential to throw dust and other particles around your fueling area. For this purpose when the APU is "lit off"
you must have your goggles on in addition to the double-hearing protection. During battery defuels (APU's off)
goggles are not required and may be worn at the discretion of the operator.
Step # 2 Step Title/Description: Connect to the Aircraft/At this stage the "male" pressure defueling
nozzle is connected and locked to the "female" intake valve on the aircraft awaiting
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
defueling, and also connecting the grounding cable from the Defueler Truck to the
respective aircraft.
HAZARD: Noise exposure and risk of force impact.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
During this stage the main concern is the double-hearing protection, this exposure will be in effect until the
conclusion of the defueling operation. The only other hazard present is the minimal risk of dropping the fuel
nozzle on yourself, which is negated entirely by wearing steel toed boots.
Step # 3 Step Title/Description: Receive Fuel/This stage the operator observes the defueling
operation to ensure no incidents occur during the transfer of fuel.
HAZARD: Noise exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
At this stage, the only hazard is again in the noise exposure. Once the PTO Pump has been activated, the
operator will observe the truck as it issues fuel to ensure no incidents during the operation.
Step # 4 Step Title/Description: Close Truck/After the defuel operation is complete the fuel nozzle
is disconnected, and both the fuel hose and grounding cable are rewound and returned to
their original positions.
HAZARD: Noise exposure and small risk of impact exposure.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Noise exposure is once again the primary hazard associated with this stage. Ensure that double-hearing
protection is still being worn. The only other hazard is the minimal risk that your hand may be caught in the
hose reel as it is being rewound. For this stage gloves are PROHIBITED to minimize the risk of them getting
caught on any part of the moving machinery. In addition, almost all moving components of the reel are
controlled by the operator with a "push and hold" style button that will disengage the reel motor when released.
In the event of any body part getting caught, release the button.
Step # 5 Step Title/Description: Leaving/The final stage is departing from the aircraft. Do so in a
safe manner, and in the event you are required to back up, ensure that a ground guide is
present.
HAZARD: Noise exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
As you depart the aircraft, ensure that you do not remove the double-hearing protection until the truck has been
secured, and its engine has been turned off. The hearing protection will negate any potential noise damage so
long as the operator, and any personnel operating nearby keeps their double-hearing protection donned until all
aircraft and vehicles have shut down their engines.
SPECIAL INSTRUCTIONS
1. *Secondary requirements to operate the ARC 5K Refueler Truck include: *Valid State Driver's License.
*Medical Certificate. *Common Access Card (CAC). *MCAF Access Badge. *Arrive Alive Certificate of
Completion (if under age 26). OR *Driver Improvement Card (primary MOS 3531). *Explosive and
Hazardous Material Endorsement Card. *Basic Motor Vehicle Operator Card (BMVOC). *ARC 4900
Refueler (M-73) License. *Airfield Vehicle Operation Card (AVOC). * Refueler appointment letter signed
by SNCOIC of MCAF S-4. *Operator must be trained by personnel of MCAF S-4 Fuels Section, and
endorsed by both S-4 Fuels NCOIC and SNCOIC to be permitted to defuel aircraft unsupervised.
2.
3.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Refueling Operations
Description: This is the process of issuing F-24 Jet Fuel with the ARC 5K Refueling Truck
JHA ID: JHA-2020-FUELS-03 Status: Approved Review Due On: 2021-01-16
JHA ACCOUNTABILITY
Responsible Section: S4 - Fuels Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Corporal Zachary Coyle Approver: Mr. Michael R Hancock
Date Signed: SMS, SGE
NAYLOR.ADA Digitally signed by Approver Signature: HANCOCK.M Digitally signed by
NAYLOR.ADAM.GEOR Date Signed: ICHAEL.R.10 HANCOCK.MICHAEL.
M.GEORGE.1 GE.1274858776 R.1089155440
274858776 Date: 2020.01.28 89155440 Date: 2020.01.28
09:06:14 -05'00' 19:53:13 -05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes The physical operation of refueling is done
task. primarily with OJT style demonstrations along with
supervised operations, before being endorsed to
complete unsupervised operations. Secondary
requirements are listed in the comments at the end
of this JHA.
Special equipment required. Yes A cranial equipped with goggles, and Earpro as all
stages in this operation require Double-hearing
protection.
Chemicals associated with this task. Yes F-24 Jet Petroleum
Governing policy, procedure, or TM. Governing NAVAIR 00-80T-109
SOP
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Head / Face / Eyes PPE: Cranial with goggles.
exposed to hazard.
Double hearing protection.
Body Part/System(s) Ears PPE: Wear Earpro under the
exposed to hazard. cranial's earmuffs.
Body Part/System(s) Feet PPE: Issued Steel-toed boots.
exposed to hazard. PPE:
Body Part/System(s)
exposed to hazard.
PPE Comments, Notes, & Information:
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Park Truck/Drive the ARC 5K Refueler Truck to the respective aircraft,
relation to the aircraft is dependent on the aircraft type, but allow enough room to safely move
about, as well as an easy route to evacuate the truck in the event of an emergency.
HAZARD: Noise exposure, and eye exposure to debris.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
At this initial stage of the refueling operation, the only probable hazard is noise exposure, both from the ARC
as well as the aircraft. While "Hot Refueling" does not take place aboard MCAF, the aircraft are permitted to
run their APU's, which produce decibels requiring double hearing protection. Also, certain aircraft APU's may
result in exhaust flow that has the potential to throw dust and other particles around your fueling area. For this
purpose when the APU is "lit off" you must have your goggles on in addition to the double-hearing protection.
During battery refuels (APU's off) goggles are not required and may be worn at the discretion of the operator.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
Step # 2 Step Title/Description: Connect to the Aircraft/At this stage the "male" pressure nozzle is
connected and locked to the "female" intake valve on the receiving aircraft as well as
connecting the grounding cable from the ARC to the receiving aircraft.
HAZARD: Noise exposure and risk of force impact.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
During this stage the main concern is the double-hearing protection, this exposure will be in effect until the
conclusion of the defueling operation. The only other hazard present is the minimal risk of dropping the fuel
nozzle on yourself, which is negated entirely by wearing steel-toed boots.
Step # 3 Step Title/Description: Issue Fuel/This stage is the physical issuing of Jet Fuel to the
receiving aircraft.
HAZARD: Noise exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
At this stage, the only hazard is again in the noise exposure. Once the PTO Pump has been activated, the
operator will observe the truck as it issues fuel to ensure no incidents during the operation.
Step # 4 Step Title/Description: Close the truck/After issuing fuel, the nozzle and grounding cable
are returned to their appropriate spaces aboard the truck, and the fueling operation ceases.
HAZARD: Noise exposure and risk of force impact
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Noise exposure is once again the primary hazard associated with this stage. Ensure that double-hearing
protection is still being worn. The only other hazard is the minimal risk that your hand may be caught in the
hose reel as it is being rewound. For this stage gloves are PROHIBITED to minimize the risk of them getting
caught on any part of the moving machinery. In addition, almost all moving components of the reel are
controlled by the operator with a "push and hold" style button that will disengage the reel motor when released.
In the event of any body part getting caught, release the button.
Step # 5 Step Title/Description: Leaving/The final stage is departing from the aircraft. Do so in a
safe manner, and in the event you are required to back up, ensure that a ground guide is
present.
HAZARD: Noise exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate B - Probably RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
As you depart the aircraft, ensure that you do not remove the double-hearing protection until the truck has been
secured, and its engine has been turned off. The hearing protection will negate any potential noise damage so
long as the operator, and any personnel operating nearby keeps their double-hearing protection donned until all
aircraft and vehicles have shut down their engines.
SPECIAL INSTRUCTIONS
1. *Secondary requirements to operate the ARC 5K Refueler Truck include: *Valid State Driver's License.
*Medical Certificate. *Common Access Card (CAC). *MCAF Access Badge. *Arrive Alive Certificate of
Completion (if under age 26). OR *Driver Improvement Card (primary MOS 3531). *Explosive and
Hazardous Material Endorsement Card. *Basic Motor Vehicle Operator Card (BMVOC). *ARC 4900
Refueler (M-73) License. *Airfield Vehicle Operation Card (AVOC). * Refueler appointment letter signed
by SNCOIC of MCAF S-4. *Operator must be trained by personnel of MCAF S-4 Fuels Section, and
endorsed by both S-4 Fuels NCOIC and SNCOIC to be permitted to defuel aircraft unsupervised.
2.
3.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Preventative Maintenance Inspections
Description: Daily, Weekly, and Montly Preventative Maintenance Inspections completed on ARC 5K
Refueler Trucks.
JHA ID: JHA-2020-FUELS-04 Status: Approved Review Due On: 2021-01-16
JHA ACCOUNTABILITY
Responsible Section: S4 - Fuels Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Corporal Zachary Coyle Approver: Mr. Michael R Hancock
Date Signed: SMS, SGE
NAYLOR.ADAM Digitally signed by Approver Signature: HANCOCK.MI Digitally signed by
.GEORGE.1274 NAYLOR.ADAM.GEORGE Date Signed: CHAEL.R.108 HANCOCK.MICHAEL.R.
.1274858776 1089155440
858776 Date: 2020.01.28 09:01:39 9155440 Date: 2020.01.28
-05'00' 19:51:40 -05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes OJT Style training with demonstrations and
task. supervised operations, followed by endorsed
unsupervised operations.
Special equipment required. Yes Cranial
Chemicals associated with this task. Yes Various automotive fluids. (Oil, Transmission
Fluid, Power Steering Fluid, etc.)
Governing policy, procedure, or TM. Governing TM 10780B-10
Tech
Manual
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Head / Face / Eyes PPE: Cranial, goggles
exposed to hazard. PPE: optional
PPE:
Body Part/System(s) PPE:
exposed to hazard.
Body Part/System(s)
exposed to hazard.
Body Part/System(s)
exposed to hazard.
PPE Comments, Notes, & Information:
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Inspect Fluids
HAZARD: Bodily contact with fluid
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible No (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
During the inspection of fluids, some dipsticks are removed and inspected for level and quality there exists an
unlikely chance that a minute amount of fluid can come in contact with the operator's skin. This fluid, while
harmful in large quantities and long exposure time (hours at once), poses no immediate health threat to the
operator, and may be washed off with commercial pumice-based hand cleanser (Mojo, Gojo, Fast Orange, etc).
Step # 2 Step Title/Description: Inspect exterior of ARC 5K Refueler Truck
HAZARD: Risk of falling.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
II - Critical D - Unlikely RAC 4 - Minor Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
While inspecting the exterior of the ARC 5K Refueler, the operator has to climb to the top of the catwalk and
inspect the topside of the truck. This poses a small, but potentially harmful risk of slipping and falling off of
the truck. To combat the risk of falling, ensure that the operator maintains three points of contact at all times
when mounting and dismounting the catwalk. While on the catwalk, it is highly recommended that the operator
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
be in a crouched position, lowering his/her center of gravity so that in the event he/she does lose their balance,
they will fall on the catwalk, and not off of it.
Step # 3 Step Title/Description: Inspect interior of ARC 5K Refueler Truck
HAZARD: Noise Exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible No (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
During the inspection of the ARC 5K Refueler Truck, the operator has to inspect the working order of the gear
shifters, as well as the braking system. To this end, the ARC has to be running. During normal operation of the
ARC (without the pump running), no hearing protection is required.
Step # 4 Step Title/Description: Inspection of the pump nomenclature.
HAZARD: Noise Exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate D - Unlikely RAC 5 - Yes (If Yes, describe in
Negligible control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
During the inspection of the pump operation of the ARC 5K Refueler Truck, the operator tests the pump by
recirculating the fuel. During the recirculation process, the noise level generated by the pump requires double-
hearing protection, however the test lasts for one minute, thereby negating most of the potential short term
harm. However, repeated exposure over a long period of time can result in hearing damage, so double-hearing
protection is mandatory for all persons operating on and around the ARC 5K Refueler Truck.
Step # 5 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1. Operators must possess the following to fully inspect the ARC 5K Refueler Truck: *Valid State Driver's
License. *Medical Certificate. *Common Access Card (CAC). *Arrive Alive Certificate of Completion (if
under age 26). OR *Driver Improvement Card (primary MOS 3531). *Explosive and Hazardous Material
Endorsement Card. *Basic Motor Vehicle Operator Card (BMVOC). *ARC 4900 Refueler (M-73) License.
Additionally all operators must possess the endorsement of the MCAF S-4 Fuels NCOIC and SNCOIC in
order to inspect the ARC 5K Refueler Truck.
2.
3.
4.
5.
6.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Tram/Forklift Operations
Description: The operation of the Tram and Forklift
JHA ID: JHA-2020-FUELS-5 Status: Approved Review Due On: 2021-01-17
JHA ACCOUNTABILITY
Responsible Section: S4 - Fuels Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Corporal Zachary Coyle Approver: Mr. Michael R Hancock
Date Signed: SMS, SGE
NAYLOR.AD Digitally signed by HANCOCK.M
NAYLOR.ADAM.GEOR Approver Signature: ICHAEL.R.10 Digitally signed by
AM.GEORGE GE.1274858776 HANCOCK.MICHAEL.
R.1089155440
.1274858776 Date: 2020.01.28 89155440 Date: 2020.01.28
09:07:40 -05'00' 19:50:50 -05'00'
28-Jan-2020 Date Signed: 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes Each vehicle requires specialized training by
task. authorized instructors, as well as licenses specific
to each vehicle.
Special equipment required. Yes Cranial/Hardhat
Chemicals associated with this task. No
Governing policy, procedure, or TM. Governing TM-4700-15/1
Tech
Manual
Body Part/System(s) EXPOSURE RISK AND PPE REQUIRED PPE: Earpro is required when
exposed to hazard. Ears operating the forklift to
PPE: prevent hearing
Body Part/System(s) Head / Face / Eyes PPE: damage.
exposed to hazard. PPE:
A cranial or hardhat is
required to operate both
pieces of machinery.
Body Part/System(s)
exposed to hazard.
Body Part/System(s)
exposed to hazard.
PPE Comments, Notes, & Information:
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Enter the vehicle/This is the process of mounting and entering the
respective vehicle.
HAZARD: Impact risk from falling
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Ensure that your hardhat or cranial is securely mounted to your head before attempting to enter the vehicle in
the event that a fall occurs. Do NOT wears gloves during the boarding process to ensure maximum grip against
the handholds. Also ensure that you maintain three points of contacts on each machine at ALL times.
Step # 2 Step Title/Description: Vehicle Operations/The physical operating of the respective
vehicle.
HAZARD: Noise exposure/Impact exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate C - May RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
During operations of the FORKLIFT, both hearing and head protection are required. The forklift is an open-
cab style machine and is open to all exterior noise, resulting in hearing damage over a period of time. Also,
due to the open nature of the forklift, a possibility of debris falling from the forks onto the operator is (while
unlikely) present, and therefore it is imperative that the operator maintains his headgear.
Step # 3 Step Title/Description: Shutdown and disembark/Disengaging the engine, and
disembarking from the vehicle.
HAZARD: Impact exposure.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
At this final stage, the engine has been disengaged and there is no longer a noise exposure. The remaining
hazard is falling during disembarking from the vehicle. Ensure headgear stays on until securely on the ground,
and that three points of contact are maintained whilst climbing down.
Step # 4 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 5 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1. In order to operate both the FORKLIFT and TRAM, the following is required: Forklift license Tram license
Explosive operator endorsement (dependant on cargo)
2.
3.
4.
5.
6.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Snow Removal
Description: The process of completing snow removal on the airfield, and the surrounding roadways.
JHA ID: JHA-2020-FUELS-06 Status: Approved Review Due On: 2021-01-22
JHA ACCOUNTABILITY
Responsible Section: S4 - Fuels Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Corporal Zachary Coyle Approver: Mr. Michael R Hancock
Date Signed: SMS, SGE
NAYLOR.ADAM. Digitally signed by Approver Signature: HANCOCK.MIC Digitally signed by
GEORGE.12748 NAYLOR.ADAM.GEORGE. Date Signed: HAEL.R.108915 HANCOCK.MICHAEL.R.10
1274858776 89155440
58776 Date: 2020.01.28 08:56:45 5440 Date: 2020.01.28 19:49:52
-05'00' -05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes Snow Plow Certification provided by MCB
task. Quantico
Special equipment required. Yes P/U Truck with a snow plow
Chemicals associated with this task. Yes Salt/Sand mixture and Cryotech
Governing policy, procedure, or TM. Governing P11240.106B
Policy
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Hands PPE: Gloves to prevent skin
exposed to hazard. contact with ice-
PPE: melting chemicals.
PPE:
Body Part/System(s) PPE:
exposed to hazard.
Body Part/System(s)
exposed to hazard.
Body Part/System(s)
exposed to hazard.
PPE Comments, Notes, & Information:
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Load Salt-Sand Mixture/This is the process of acquring the salt-sand
mixture from one of the two depots located on MCB Quantico.
HAZARD: Impact hazard from salt-sand mixture falling from loader buckets onto operator.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
II - Critical D - Unlikely RAC 4 - Minor No (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
There is no PPE required for this step because during the loading process the operator MUST remain inside the
vehicle for the entirety of the process. During the loading procedure the TRAM pours buckets of salt-sand
mixture into the bed of the plow truck, this operation runs a small risk of debris falling onto personnel, which
is entirely negated by the operator remaining in the vehicle.
Step # 2 Step Title/Description: Salting Operation/The physical operation of laying salt-sand
mixture on the airfield and surrounding roadways.
HAZARD: Flying debris/Slip hazards.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate C - May RAC 3 - Moderate No (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
During this stage, few hazards exist to the operator. More hazards exist to any bystanders or property within
the radius of the salt-sand being slung from the spreader. To this end, ensure that all personnel are clear from
the radius of the spreader's reach, and any property that can be damaged by the flying salt-sand mixture is
either out of range, or the spreader motor is appropriately lowered to reduce the spreader's arc.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
Step # 3 Step Title/Description: Plowing Operations/The usage of the plow aboard the airfield, and
surrounding roadways.
HAZARD: Damage to personnel and property via the snow plow.
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
II - Critical D - Unlikely RAC 4 - Minor No (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
During this stage of operation, the metal plow is lowered to the ground level and is used to push snow to clear
the airfield and roadways. Ensure that all areas to be plowed are cleared of any objects or personnel that could
be damaged or cause damage to the snow plow. Utilize a ground guide whenever necessary to operate in closer
spaces or when backing up. Ensure that during transport the plow is up and cocked to one side or the other to
allow maximum visibility. Ensure that you travel at lower speeds with the plow (each plow is rated at different
speeds) to avoid damage to the plow or truck.
Step # 4 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 5 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1. Ensure that all operators possess the appropriate credentials, to include: Government license, State Driver’s
License, Common Access Card (CAC), Government License with 4x4 and appropriate weight endorsement,
Airfield Operator License, and Snow Plow License. Ensure that all operators have an assistant driver in the
vehicle with them. No one is to operate a plow truck alone.
2.
3.
4.
5.
6.
Personal Protective Equipment (PPE) FUELS
Requirement: 29 CFR 1910.132(a) ‐ Protective equipment, including personal protective equipment for eyes, face, head, and extremities, protective clothing, respiratory devices, and
protective shields and barriers, shall be provided, used, and maintained in a sanitary and reliable condition wherever it is necessary by reason of hazards of processes or environment,
chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through
absorption, inhalation or physical contact.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Body Rubber Lab Apron 8415‐00‐634‐5023 Servmart Ability One $44.59 NO
Hazard Notes Comment
Contact w/ hazardous substance
Jet A is comprised of Kerosene C9‐C16 & Naphthalene. Apron is required to be used during fuel
sample/handling operations and when changing/moving vehicle or equipment batteries when the
risk of coming in contact with battery acid.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Body Rubber Wheel Chocks RC915 GSA OPR Purchase Checkers Industrial Sa $36.55 No
Hazard Notes Comment
Stuck by rolling vehicle Each ARFF vehicle and fuel truck require one set of chocks to prevent rolling when parked.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Body 2308001BLKMR GSA OPR Purchase Dakota $103.50 No
Cold Weather
Hazard Coveralls Notes Comment
Cold Exposure
Current items are stored in supply warehouse for re‐issue during cold months. Multiple sizes
required. Original set of gear purchase in winter of 2017.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Body SNMWPM GSA OPR Purchase Dakota $14.34 No
Cold Weather Long
Hazard Underwear ‐ Bottom Notes Comment
Cold Exposure
Current items are stored in supply warehouse for re‐issued during cold months. Multiple sizes
required. Contact the safety office for more information regarding the purchase of cold weather gear.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 1 of 4
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Body SNMWTS GSA OPR Purchase Dakota $14.34 No
Cold Weather Long
Hazard Underwear ‐ Top Notes Comment
Cold Exposure
Current items are stored in supply warehouse for re‐issued during cold months. Multiple sizes
required. Contact the safety office for more information regarding the purchase of cold weather gear.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Ear SparkPlug ‐ TL2A00326280 Servmart Moldex $45.65 No
Hazard Disposable Foam
Earplugs Notes Comment
Noise Exposure during weapons operation Noise Reduction Rating of this product is 33 dB. Contact Safety for purchase. Contact Safety for
purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Eyes Chemical Splash TL2AS3400X Servmart UVEX Flexseal $15.91 NA
Hazard Goggles / Indirect
Vent Notes Comment
Distillates (petroleum), hydro treated light At a minimum, safety glasses with a side shield are required. Indirect vented goggles are preferred.
Contact lenses ARE NOT recommended when working with weapons solvent tank. Goggles should be
immediately removed if signs of deterioration are present. See SDS sheet for specific hazards.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
4240‐01‐492‐5720 GCSS NA $4.26 No
Eyes Safety Goggles (Flight
Hazard Deck) Notes Comment
Airborne Particulates Goggles are provided as a part of the cranial package. This item will also be used for any AM2 matting
replacement or repair, Aircraft Taxi, during fueling operations if aircraft are turning in the area, or
other times the cranial is required. This eye protection is NOT to be used when chemical splash
goggles are required.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A69684587 Servmart $19.01 No
Eyes Googles, Indirect
Hazard Vent (Splash) Notes Comment
Splash from a variety of sources The purpose of the indirect venting is to limit or prevent the passage of liquid splash into the goggle.
In cases where chemical splash is a hazard, indirect vented goggles should be selected as appropriate
protection.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 2 of 4
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
75125997 GSA OPR Purchase Belleville $171.19 No
Foot 330ST Wet Wx Flight
Hazard Boots Notes Comment
Flight line & Fueling activities There is an extremely long wait time once ordered from SERVMART. Well prior to order, contact the
safety office with boot size needed. Safety will have boots transferred from Cherry Point or New
River to Quantico.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Hands Mechanix Work Glove TL2A50808518 Servmart Mechanix $39.45 NA
Hazard Notes Comment
Struck against, pinch, laceration
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A9700PFXL ServMart NIGHTHAWK $7.36 No
Hands Gloves, chemical and
Hazard oil protective Notes Comment
Short duration indirect fuel contact.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Hands Cold Weather Gloves CamelBak $28.92 NA
CW05‐09 (size depend GSA OPR Purchase
Hazard Notes Comment
Overexposure
These items will be provided to the fuels department prior to the potential of cold weather
operations.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Head TL2A91067595 Servmart North $30.58 Yes
Hard Hat, 8Pt
Hazard Ratchet, White Notes Comment
Falling Hose
To prevent serious injury during "hose hanging" operations, hard hats are required for use in ARFF.
Although OSHA does not establish expiration dates for hard hats, since plastic does deteriorate over
time, MCAF will replace these hard hats on a 36 month replacement cycle.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 3 of 4
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Head Flight Deck Helmet 22589G‐08FDH8B GCSS NA $111.63 No
Hazard Notes Comment
Multiple flight line hazards
Flight deck helmets are designed to provide protection from falls/head strikes, noise, and eye
hazards on the flight line. ARFF is required to wear the flight deck helmet when climbing on top of
fire trucks and rescue vehicles.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
$26.90 NA
NA Fire Extinguisher TL2A63371819 Servmart NMC
Hazard Inspection Tag
Notes Comment
NA (Fire extinguisher monthly inspection) Each items comes in a pack of 25. Contact Safety for purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2ARPT37 Servmart NMC $26.90 NA
NA Eye Wash Inspection
Hazard Tag Notes Comment
Each items comes in a pack of 25. Contact Safety for purchase.
Required for weekly inspection.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
NA Office First Aid Kit MC026545‐01‐433‐83 Servmart Ability One $29.39 Yes
Hazard Notes Comment
General First Aid
Replacement kits available by contacting the safety office. Sections are reminded that not all items in
first aid kits expire, and periodic inspectinos should be conducted to ensure items about to expire are
replaced. Additionally, ALL HANDS are reminded to submit a FIRST AID CASE if first aid items were
used as a reults of a workplace injury not seroius enough to seek professional medical attention.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 4 of 4
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: Weed Eater / Grass Trimmer Operations
Description: Covers the activity of operating a weed eater / gasoline powered grass trimmer
JHA ID: JHA-2020-S4MAINT-01 Status: Approved Review Due On: 2021-01-15
JHA ACCOUNTABILITY
Responsible Section: S4 - Log / Supply / Common Use JHA: Yes
Reviewer/Drafter:
Reviewer Signature: Facilities / Bks / Armory
Date Signed: Mr. Garrett Dickinson Approver: Mr. Michael R Hancock
SMS, SGE
DICKINSON.GAR Digitally signed by Approver Signature: HANCOCK.MIC Digitally signed by
RETT.W.1383069 DICKINSON.GARRETT.W.13 Date Signed: HAEL.R.108915 HANCOCK.MICHAEL.R.1
83069498 089155440
498 Date: 2020.01.28 05:59:30 5440 Date: 2020.01.28 19:47:22
-05'00' -05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes General period of instruction.
task.
Special equipment required. Yes Proper gasoline ratio is required to prevent
equipment damage.
Chemicals associated with this task. Yes Gasoline / Oil Mixture
Governing policy, procedure, or TM. No No
EXPOSURE RISK AND PPE REQUIRED
Body Part/System(s) Head / Face / Eyes PPE: Impact Resistant Safety
exposed to hazard. Glasses/Goggles
Body Part/System(s) Ears PPE: Double Hearing
exposed to hazard. Protection Required
Body Part/System(s) Body / Torso PPE: Full Length Trousers
exposed to hazard.
Body Part/System(s) Feet PPE: Closed Toed Shoes
exposed to hazard. Required
PPE Comments, Notes, & Information: If performing maintenance on string trimmers, protective gloves may be
required as additional PPE. Prior to use ensure all PPE is inspected. While operating the equipment be aware of
pedestrians walking nearby who may accidently be impacted by flying debris. Additionally, weed eaters generate
a measured 98 decibels (dB) which will require the user to wear double hearing protection. Each noise producing
item at MCAF is identified by a yellow decibel level sticker. That sticker will identity the actual dB of that piece
of equipment. All hands are required to hold one-another accountable for proper hearing protection. Failure to
wear proper PPE will not be tolerated and is punishable under the UCMJ.
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Obtain the weed eater from storage location.
HAZARD: Potential Back Strain,
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
If maintained on the floor, operator should use caution when bending to prevent lower back strain. If mixing
the oil and fuel mixture you may want to wear gloves to protect skin from the drying effect of the gasoline. If
gloves become contaminated ensure they are disposed of properly. During the inspection of the equipment be
aware of any pinch or nip points that may exist on the equipment.
Step # 2 Step Title/Description: Pre-Inspection of work area and determination of working
conditions
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
To protect pedestrians, facilities, and property it is important that prior to the use of the equipment, the user
walks the area. Every effort should be used to pick up any lose debris that could become a flying object that
could injure individuals or damage property. Additionally, since weed eaters produce high levels of noise
where the user may not hear mass notification warnings it is important they evaluate the potential for inclement
and hazardous weather. If the chance for severe thunderstorms, winds, or lightening exist, the operator should
seek guidance from their supervisor. Always be ready to seek shelter when required.
Step # 3 Step Title/Description: Operation of the Weed eater
HAZARD: Flying debris, noise, ...
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Prior to starting the equipment, all PPE mentioned above should be donned properly. Full length trousers and
close toed shoes are required to protect the user’s feet and legs from flying debris and cutting string.
Protective eye wear and hearing protection is required at all times when the equipment is running. Failure to
wear PPE as described is unacceptable and violators will be reported to their respective supervisor and the
Safety Office.
Step # 4 Step Title/Description: Extended periods of weed eater operations.
HAZARD: Excessive Heat / Exposure
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate C - May RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Although it doesn’t fall into the PPE category, having an adequate source of hydration is critical if the operator
will be exposed to heat for extended periods of time. Since weed eating operations most often occur in the
very hot months of summer, this step cannot be overlooked as dehydration will certainly lead to heat related
illness or injury.
Step # 5 Step Title/Description: Securing the Weed eater
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible No (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
After the equipment has ran for an extended period of time, be careful with your hand placement as the muffler
area of the engine will be extremely hot. Use the handles provided on the equipment to prevent burns or
injuries.
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
JOB (TASK) HAZARD ANALYSIS
Task Title: MCAF Welding, Cutting, and Grinding
Description: Grounds Maintenance personnel periodically grind mower blades, weld various mechanical
parts, and use benchtop and handheld cutting wheels in the performance of their duties.
JHA ID: JHA-2020-S4MAINT-02 Status: Approved Review Due On: 2021-01-15
JHA ACCOUNTABILITY
Responsible Section: S4 - Log / Supply / Common Use JHA: No
Reviewer/Drafter:
Reviewer Signature: Facilities / Bks / Armory
Date Signed: Mr. Garrett Dickinson Approver: Mr. Michael R Hancock
SMS, SGE
DICKINSON.GA Digitally signed by HANCOCK.MIC Digitally signed by
RRETT.W.1383 DICKINSON.GARRETT.W. Approver Signature: HAEL.R.108915 HANCOCK.MICHAEL.R.1
1383069498 Date Signed: 089155440
069498 Date: 2020.01.28 06:00:44 5440 Date: 2020.01.28 19:45:17
-05'00' -05'00'
28-Jan-2020 28-Jan-2020
UNIQUE TASK INFORMATION
Explanation
Special training required to accomplish this Yes Welding Qualification Required.
task.
Special equipment required. Yes Unique welding equipment as needed by the job
being performed.
Chemicals associated with this task. No
Governing policy, procedure, or TM. Governing 29 CFR 1910 Subpart Q
Policy
EXPOSURE RISK AND PPE REQUIRED
Welding Helmet,
Body Part/System(s) Head / Face / Eyes PPE: Impact resistant
exposed to hazard. goggles, face shield,
hearing protection
Body Part/System(s) Hands PPE: Welding/Heat Resistant
exposed to hazard. Gloves
Body Part/System(s) Body / Torso PPE: Welding Jacket & Full
exposed to hazard. Length Trousers,
Body Part/System(s) Feet PPE: Steel Toe Safety Shoes
exposed to hazard.
PPE Comments, Notes, & Information: Welding, Cutting, and Grinding each present unique and separate hazards.
It is important that NO job is done without knowledge of the activity and the PPE requirements. Single hearing
protection is required, and where surrounding areas may be effected, a welding curtain may be required.
Individual should become knowledgeable of all requirements outlined in 29 CFR 1910 Subpart Q.
TASK STEP, RISK, AND CONTROL MEASURES
Step # 1 Step Title/Description: Preparation for Welding
HAZARD: None
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible No (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Prior to any welding operations, the fire inspector will be contact to obtain an appropriate burn permit.
Additionally, prior to welding, the welder must consult with their supervisor to obtain welding permission and
if needed, an assistant/fire watch will be provided to assist. The welder will assess the location of the weld
operation to ensure to flammable, combustible, or explosive materials pose an increased hazard, and adequate
ventilation is available to prevent inhalation of fumes.
Step # 2 Step Title/Description: Don Appropriate PPE
HAZARD:
SEVERITY: None
IV - Negligible
PROBABILITY: RAC: Is PPE Required during this step?
D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
D & YƵĂŶƚŝĐŽ
:Žď ,ĂnjĂƌĚ ŶĂůLJƐŝƐ WƌŽŐƌĂŵ
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Prior to any welding, cutting, or grinding, ALL PPE should be inspected for defects and proper fit. At no time
will welding, cutting, or grinding take place when defects in the PPE have been identified. Contact the Safety
Office immediately for PPE ordering or replacement.
Step # 3 Step Title/Description: Review Welding Checklist / Prepare materials
HAZARD: Laceration hazard
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
IV - Negligible D - Unlikely RAC 5 - Negligible Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Depending on the material condition being welded, be cautious of sharp edges or burrs that may be in the
metal. Ensure electrode and work leads are tightly attached to the machine terminals. Cable insulation should
be free from cuts, damage, and wear and the electrode lead tightly connected to the clamp. Ensure floor is dry,
and ventilation is adequate to draw fumes away from the welders face. Ensure appropriate fire extinguisher has
been inspected and available.
Step # 4 Step Title/Description: Grinding / Cutting Operations
HAZARD: Cuts, Abrasions, Flying Debris
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
III - Moderate C - May RAC 3 - Moderate Yes (If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Proper PPE, equipment condition, and equipment set-up is critical to safe operation. Per 29 CFR 1910.215
requires safety guards during all operations where the work provides a suitable measure of protection to the
operator. Prior to use, the operator must ensure the work rest is adjusted to a maximum opening of 1/8” to
prevent the work from being jammed between the wheel and the rest. Additionally, the tongue guard must be
adjust to ¼” max and eye shields must be in place. A measurement tool has been provided and should be
maintained near the bench grinder to ensure compliance which guarding standards.
For portable grinding wheel operations, the user will become familiar and comply with 29 CFR 1910.241, 242,
243 and 244. Contact the Safety Office for access to the Code of Federal Regulations.
Step # 5 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in
control measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
Step # 6 Step Title/Description:
HAZARD:
SEVERITY: PROBABILITY: RAC: Is PPE Required during this step?
(If Yes, describe in control
measures below)
CONTROL MEASURES: (Specific Steps to eliminate or reduce the identified hazard exposure)
SPECIAL INSTRUCTIONS
1. All PPE is provided by the Safety Office. If there are special items needed, contact Safety for purchase.
2. To assist in proper measurement and compliance with the bench grinder guarding standards, the Safety
Office will purchase a measuring tool to be stationed at (or connect by cable to) the grinder.
3.
4.
5.
6.
Personal Protective Equipment (PPE) Armory
Requirement: 29 CFR 1910.132(a) ‐ Protective equipment, including personal protective equipment for eyes, face, head, and extremities, protective clothing, respiratory devices, and
protective shields and barriers, shall be provided, used, and maintained in a sanitary and reliable condition wherever it is necessary by reason of hazards of processes or environment,
chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through
absorption, inhalation or physical contact.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Body Rubber Lab Apron 8415‐00‐634‐5023 Servmart Ability One $44.59 NO
Hazard Notes Comment
Contact w/ hazardous substance
Jet A is comprised of Kerosene C9‐C16 & Naphthalene. Apron is required to be used during fuel
sample/handling operations and when changing/moving vehicle or equipment batteries when the
risk of coming in contact with battery acid.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Ear SparkPlug ‐ TL2A00326280 Servmart Moldex $45.65 No
Hazard Disposable Foam Notes Comment
Earplugs
Noise Exposure during weapons operation Noise Reduction Rating of this product is 33 dB. Contact Safety for purchase. Contact Safety for
purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Eyes Chemical Splash TL2AS3400X Servmart UVEX Flexseal $15.91 NA
Hazard Goggles / Indirect
Vent Notes Comment
Distillates (petroleum), hydro treated light At a minimum, safety glasses with a side shield are required. Indirect vented goggles are preferred.
Contact lenses ARE NOT recommended when working with weapons solvent tank. Goggles should be
immediately removed if signs of deterioration are present. See SDS sheet for specific hazards.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A69684587 Servmart $19.01 No
Eyes Googles, Indirect
Hazard Vent (Splash) Notes Comment
Splash from a variety of sources The purpose of the indirect venting is to limit or prevent the passage of liquid splash into the goggle.
In cases where chemical splash is a hazard, indirect vented goggles should be selected as appropriate
protection.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 1 of 2
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A60345337 Servmart MCR $12.09 No
Eyes Impact Resistant
Hazard Safety Glasses Notes Comment
Falling / Flying Debris This item is maintained on the truck deck and in each P19. Replacements are available in the safety
office.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A79356648 Servmart Bellville $151.17 No
Foot Safety Boots ‐
Hazard Belleville (550ST) Notes Comment
Common steel toe boot worn with utility uniform.
Motor Vehicle Maintenance
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
NA Office First Aid Kit MC026545‐01‐433‐83 Servmart Ability One $29.39 Yes
Hazard Notes Comment
General First Aid
Replacement kits available by contacting the safety office. Sections are reminded that not all items in
first aid kits expire, and periodic inspectinos should be conducted to ensure items about to expire are
replaced. Additionally, ALL HANDS are reminded to submit a FIRST AID CASE if first aid items were
used as a reults of a workplace injury not seroius enough to seek professional medical attention.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
$26.90 NA
NA Fire Extinguisher TL2A63371819 Servmart NMC
Hazard Inspection Tag
Notes Comment
NA (Fire extinguisher monthly inspection) Each items comes in a pack of 25. Contact Safety for purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2ARPT37 Servmart NMC $26.90 NA
NA Eye Wash Inspection
Hazard Tag Notes Comment
Each items comes in a pack of 25. Contact Safety for purchase.
Required for weekly inspection.
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 2 of 2
Personal Protective Equipment (PPE) Grounds Maintenance
Requirement: 29 CFR 1910.132(a) ‐ Protective equipment, including personal protective equipment for eyes, face, head, and extremities, protective clothing, respiratory devices, and
protective shields and barriers, shall be provided, used, and maintained in a sanitary and reliable condition wherever it is necessary by reason of hazards of processes or environment,
chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through
absorption, inhalation or physical contact.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Ear SparkPlug ‐ TL2A00326280 Servmart Moldex $45.65 No
Hazard Disposable Foam Notes Comment
Earplugs
Noise Exposure during weapons operation Noise Reduction Rating of this product is 33 dB. Contact Safety for purchase. Contact Safety for
purchase.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A55310221 Servmart Plus $9.34 NA
Extremities Wasp and Hornet
Hazard Killer Notes Comment
Wasp /Hornet Sting Replacement cans available in the Safety PPE Locker. Sections are encouraged to remove all nesting
material
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2A69684587 Servmart $19.01 No
Eyes Googles, Indirect
Hazard Vent (Splash) Notes Comment
Splash from a variety of sources The purpose of the indirect venting is to limit or prevent the passage of liquid splash into the goggle.
In cases where chemical splash is a hazard, indirect vented goggles should be selected as appropriate
protection.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Face / Eyes Welding Helmet TL2A40765299 Servmart GSA Global $349.61 NA
Hazard Notes Comment
UV Radiation, Sparks, Burn UV Radi
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 1 of 3
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Face / Eyes Face Shield TL2A09212747 Servmart NA $8.71 NA
Hazard Notes Comment
have available to provide any section that uses mounted or portable grinders. Currently, Facilities
Grounds is the only section requireing however, may be an option for ARFF.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Hands Welders Gloves TL2A63534853 Servmart Pro‐Ssafe $13.98 No
Hazard Notes Comment
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Hands Servmart Mechanix $39.45 NA
Mechanix Work Glove TL2A50808518
Unit Price Shelf Life
Hazard Notes Comment $7.36 No
Struck against, pinch, laceration
Unit Price Shelf Life
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand $23.98 NA
TL2A9700PFXL ServMart NIGHTHAWK
Hands Gloves, chemical and
Hazard oil protective Notes Comment
Short duration indirect fuel contact.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand
1041T39BR GSA OPR Purchase Magid Glove and Safe
Legs Tan leather Welding
Hazard Chaps Notes Comment
This item requires purchase for Grounds Maintenance.
Hot coals, sparks
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 2 of 3
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Legs 8005083‐32 GSA OPR Purchase Sawbuck $130.41 No
Chainsaw Chaps (32"
Hazard Green) Notes Comment
Laceration
These items are maintained in ARFF, and one pair (32") pair with grounds maintenance for use when
performing chain saw testing and operations.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
NA Office First Aid Kit MC026545‐01‐433‐83 Servmart Ability One $29.39 Yes
Hazard Notes Comment
General First Aid
Replacement kits available by contacting the safety office. Sections are reminded that not all items in
first aid kits expire, and periodic inspectinos should be conducted to ensure items about to expire are
replaced. Additionally, ALL HANDS are reminded to submit a FIRST AID CASE if first aid items were
used as a reults of a workplace injury not seroius enough to seek professional medical attention.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
TL2ARPT37 Servmart NMC $26.90 NA
NA Eye Wash Inspection
Hazard Tag Notes Comment
Each items comes in a pack of 25. Contact Safety for purchase.
Required for weekly inspection.
Body Part PPE Nomenclature NSN/Part Number Method of Purchase Brand Unit Price Shelf Life
Torso Welding Jacket TL2A62870407 Servmart GSA global Supply $325.15 NA
Hazard (Pigskin)
Notes Comment
Hot coals associated with welding hazards 30 CARBN FIBER BLK LRG WELDING JACKET ‐ Steiner ‐ 1360‐L ‐ Size L, Black Welding Jacket with 1
Pocket ‐ 44 to 46 Inch Chest, Carbonized Fiber, Snap Front, Flame Resistant
Attention Safety Reps: PPE Training Requirements: 29 CFR 1910.132(f)(1) through 132(f)(2) ‐ The employer shall provide training to each employee who is required by this section to use PPE. Each such
employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE; and, The proper care,
maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly,
before being allowed to perform work requiring the use of PPE.
Saturday, February 01, 2020 Page 3 of 3
2020 RISK MITIGATION2P0L1A8N
“In no other profession are the penalties for employing untrained personnel so appalling or
so irrevocable as in the military.”
General Douglas MacArthur
This page intentionally
left blank.
MARINE CORPS AIR FACILITY QUANTICO
OFF-DUTY RECREATION ACTIVITIES
RISK ASSESSMENT / HAZARD MITIGATION
WORKSHEETS
2020 RISK MITIGATION2P0L1A8N
“In no other profession are the penalties for employing untrained personnel so appalling or
so irrevocable as in the military.”
General Douglas MacArthur
This page intentionally
left blank.
Recreational Activity: OFF-DUTY ACTIVITY RISK ASSESSMENT
Date of Assessment: Mountain Climbing / Hiking
2019-05-15
INDIVIDUALS COMPLETING THE ASSESSMENT
1. Cpl Carlos Diaz / Cpl Kyle Knight 4. Jackson Gray / Edwin Roby / Michael Herbert
2. Cpl Danny Cruz / Cpl Blake Cannon 5. Jaley Wallace / Blake Cannon / Kyle Anthony
3. PFC Jaley Wallace 6. Ivan Garcia / Mary Kraynak / Joseph Camargo /
Josh Langdon / Logan Davis
UNIQUE ACTIVITY INFORMATION
Explanation
Is special training required for this activity? No However, if hiking where a fall protection
harness is required or repelling will take
place, special training will be required.
Is special equipment or PPE required? Yes Appropriate clothing, area map, footwear,
water source, sunscreen, cell phone,
portable cell phone charger, flashlight, first
aid kit.
Will weather have an adverse effect? Yes Rain/Snow or heavy dew will make
trails/rocks slippery. Colder temperatures
increases risk of hypothermia and higher
temperatures increase risk of heat related
injury.
For safety reasons, is it advisable that this Yes It is always better to hike with a partner. If
activity utilize the buddy system? hiking alone, be sure to inform someone
staying behind the start and end point of
your hike, a map with your hiking route
annotated, and estimated time of return.
HAZARD, RISK, AND CONTROL MEASURES
HAZARD: SEVERITY: PROBABILITY: RAC:
Distance from home base. II C RAC 3
CONTROL MEASURES:
In the case the hiker gets lots or separated from the group, it is important to have a communications plan prior
to departure. Take a fully charged phone, charger, and emergency numbers. Communicate to those at home
base where you will be hiking, entry and exit points, and when you anticipate to return.
HAZARD: SEVERITY: PROBABILITY: RAC:
Environment - cold, wet, wind, heat. II B RAC 2
CONTROL MEASURES:
Ensure appropriate clothing, food, drink, and equipment. Prior to departure check the weather during the
duration of the hike as well as the temperatures for the upcoming nighttime. If cooling is expected, pack a
small emergency blanket, hand/body warmers, and/or items to build a survival fire.
HAZARD: SEVERITY: PROBABILITY: RAC:
Uneven ground - slips, trips, falls. II C RAC 3
CONTROL MEASURES:
While hiking, stay on established pathways. Pay attention to route of travel looking for rocks or other items
that may cause a slip, trip, or falls. Don't jump over loose rocks.
HAZARD: SEVERITY: PROBABILITY: RAC:
III C RAC 3
Water Crossings
CONTROL MEASURES:
It's always best to cross water on a bridge where available. Rivers can be fast-moving, and getting caught in
one can take you somewhere you don't want to go. Be especially mindful of children and pets around moving
water sources. If no bridge is available, only cross in shallow slow moving water. When in doubt, DON'T
CROSS.
HAZARD: SEVERITY: PROBABILITY: RAC:
Snakes and/or wildlife encounter III C RAC 3
CONTROL MEASURES:
Prior to departure, do your research. Check with the state or national park ranger or local biologist to find out
what species you may encounter, or purchase a regionally appropriate "field guide." During warmer
temperatures snakes will routinely be in the shade. In cooler temperatures, they will be sunning themselves for
warmth. Do not stick your hands into places you cannot see. Do not harm the snake or other animals you come
into contact with. You are in their territory. If bitten, don't panic, identify the species, and plan your next
move accordingly.
HAZARD: SEVERITY: PROBABILITY: RAC:
Cuts, scrapes, abrasions III B RAC 3
CONTROL MEASURES:
Anyone suffering a wound should allow the wound to bleed for a moment to help clean it out. Use the first aid
kit as needed.
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
SPECIAL INSTRUCTIONS
1. Follow the guidelines and advice of rangers and other land management agencies.
2. Don't let others' actions determine your decisions without careful consideration.
3. Heed warning signs at trailheads and listen to the well-informed advice of agency staff you meet in ranger
stations or on the trail.
4. Turn back if conditions aren't safe or if someone in your group is uncomfortable is always the right
decision.
5.
6.
REAL LIFE STORIES (Provided by the Safety Office)
Off-Duty/USMC: While heading down the trail, service member's foot slipped into a hole in the ground and became
stuck, causing the service member to fall forward. The forward fall coupled with the lodged foot resulted in an
avulsion fracture of the service member's distal fibula head. Service member also suffered contusions to both knees,
the hands, and head.
Off-Duty/USMC: SNM was rocking climbing a mountain face about 20Ft off the ground. Individual was wearing all
of the proper safety equipment. The member lost his hand hold on the mountain which causing him to fall 10-15 feet
and swing back into the mountain. SNM suffered a broken right ankle from impact.
Recreational Activity: OFF-DUTY ACTIVITY RISK ASSESSMENT
Date of Assessment: Going to the Race Track (Motor Vehicle)
2019-05-21
1. Crispin Cortes INDIVIDUALS COMPLETING THE ASSESSMENT
2. Andrew Dennison 4. Silvestre Rodriguez
3. Devon Richards 5. William Horne
6.
UNIQUE ACTIVITY INFORMATION
Explanation
Is special training required for this activity? No
Is special equipment or PPE required? Yes Helmet; Seatbelt, Gloves
Will weather have an adverse effect? Yes Slippery when wet
For safety reasons, is it advisable that this
activity utilize the buddy system?
HAZARD, RISK, AND CONTROL MEASURES
HAZARD: SEVERITY: PROBABILITY: RAC:
Crash and Fire II - Critical C - May RAC 3 - Moderate
CONTROL MEASURES:
Fire Extinguisher; Wear seat belts; closed toed shoes.
HAZARD: SEVERITY: PROBABILITY: RAC:
Dehydration III - Moderate D – Unlikely RAC 5 - Negligible
CONTROL MEASURES:
Hydration source at all times, A/C; ventilation.
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
SPECIAL INSTRUCTIONS
1. Vehicle Inspection
2. Driver Safety Course
3.
4.
5.
6.
REAL LIFE STORIES (Provided by the Safety Office)
Currently, the Naval Safety Center Data Analysis Center contains no documented mishaps at race tracks. There are
multiple motorcycle fatalities and injuries, however none that list 4 wheel vehicles in the descriptions.
Recreational Activity: OFF-DUTY ACTIVITY RISK ASSESSMENT
Date of Assessment: LAN Party
2019-05-21
1. Luke Stogianis INDIVIDUALS COMPLETING THE ASSESSMENT
2. Nickolas Lapolla 4. Joshua Palmeri
3. Adam Papay 5. Yonel ValdezBaez
6.
UNIQUE ACTIVITY INFORMATION
Explanation
Is special training required for this activity? No
Is special equipment or PPE required? Yes Pedialyte; Proper ventilation for System;
Surge protection; ample food supplies
Will weather have an adverse effect? Yes Possible power outage
For safety reasons, is it advisable that this Yes
activity utilize the buddy system?
HAZARD, RISK, AND CONTROL MEASURES
HAZARD: SEVERITY: PROBABILITY: RAC:
Thumb / Hand cramps III - Moderate D - Unlikely RAC 5 - Negligible
CONTROL MEASURES:
Proper hand stretches; fingerless gloves; take breaks every 5 hours for 10 minutes. Icy-hot; athletic tape;
ibuprofen. Repetitive motion injuries are possible through extended gaming.
HAZARD: SEVERITY: PROBABILITY: RAC:
II – Critical
Transportation Home after Party D – Unlikely RAC 4 - Minor
CONTROL MEASURES:
Designated Driver; Uber; Stay overnight.
HAZARD: SEVERITY: PROBABILITY: RAC:
II – Critical
Potential Conflict C - May RAC 3 - Moderate
CONTROL MEASURES:
Designated Drunk Handler (Mediator).
HAZARD: SEVERITY: PROBABILITY: RAC:
RAC 5 - Negligible
Dehydration III - Moderate C - May
CONTROL MEASURES:
Pedialyte; Half gallon of water before, 1 bottle every hour thereafter.
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:
SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.
REAL LIFE STORIES (Provided by the Safety Office)
Currently, the Naval Safety Center Data Analysis Center contains no documented “LAN Party” mishaps.