ESH&Q Manual
3210-T3 Task Hazard Analysis Worksheet
Task Hazard Analysis Worksheet
A-08-016-T
Complete all information. Use as many sheets as necessary.
Task location
Hall A
Task title Critical crane lifts
Division
Physics
Prepared by
Folts
Department
Hall A
Reviewed by
Supervisor
deJager
Approved by Folts
Standard Requirements:
(PPE, TOSPs, SOPs, etc.)
Task
Potential
Hazards
Risk Code
before
mitigation
Critical crane lifts
with multiple attach
points, uneven loads
or multiple lifting
devices
Crush, bump,
pinch
Drop load
4
Safe
Procedures/Practices/Controls
Equipment training
Proper PPE, Crane training
Lift plan
Risk Code
after
mitigation
1
Use warning beacons and
guards
Requires master rigger training
May require lift plan
May require OSP
3210T3THA—11/9/01
rev: November 16, 2001
3210-T3 Page 1 of 2
ESH&Q Manual
3210-T3 Task Hazard Analysis Worksheet
When a completed analysis indicates that the estimated risk code for any of the steps of this task is “medium” or
higher (RC≥3), then develop a formal written procedure for the task and have it reviewed and approved prior to
beginning the work.
3210T3THA—11/9/01
rev: November 16, 2001
3210-T3 Page 2 of 2