DOCUMENT ID.

EHS-RBF-173
REVISION NUMBER 00
FORM
EFFECTIVE DATE JAN.18.2024
PAGES Page 1 of 6
SUBJECT: REAL TIME JOB HAZARD ANALYSIS

Description of Work/Task: RMD Form work segregation and loading to trailer bed with manpower and telehandler
Highest Risk
Substanti
Assessment
al / High
Code (RAC)
Hazards
Identified in
associate Medium
this
d with
Assessment
this
(select from
work?
drop down)

Identify the Fatal 8 & Critical Risk Tasks associated with this work Click here for JHA Job Aid
☒ Working Around Mobile ☐ Working on or Near ☐ Ground Disturbance &
☒ Protecting the Public
Equipment Energized Systems Excavations
☒ Hoisting, Rigging, &
☒ Working Near Traffic ☒ Working at Heights ☐ Confined Space Entry
Lifting
☐ Working on or Near ☐ Walking or Working Near ☐ Working Near Radiological
☒ Environment
Water Live Rail Sources
☐ Other: ________________ ☐ Other: _______________ ☐ Other: ________________ ☐ Other: ________________

Identify documents or permits required to perform the work described within the JHA Potential hazardous substances associated with the work.
☐ Confined Space Permit ☐ Asbestos
☐ Complex Lift Plan ☐ Other: Click or tap here to enter text. Designated Substance Report
☐ Hot Work Permit ☐ Lead
☐ Critical Lift Plan ☐ Other: Click or tap here to enter text. (DSR) / Exposure Control Plan
☐ Trench Checklist ☐ Silica
☐ Critical Material Handling ☐ Other: Click or tap here to enter text. completed and requirements
☐ Ground Disturbance ☐ Hazardous Chemicals: included within this JHA.
Plan ☐ Other: Click or tap here to enter text.
Permit ___________________
☐ Fall Protection Plan ☐ Other: Click or tap here to enter text.
☐ Utilities Locates SDS must be available
N/A

Key Equipment and PPE required to perform this work Specific Competencies/Qualifications required to perform this work
PPE: Hard Hat: Protects against falling objects. Competencies / Qualified Roles: Basic understanding of safe material handling practices.
Safety Glasses: Protects eyes from dust, debris, and Knowledge of proper lifting techniques to prevent injuries.
splashes. Ability to identify and address potential hazards associated with different materials (e.g.,
High-Visibility Vest: Ensures worker visibility on construction flammability of petrol, weight of rebar).
sites. Awareness of safe storage procedures for various construction materials.
Work Boots: Provides good traction and protects feet from
punctures.
Gloves: Protects hands from cuts, abrasions, and
chemicals. (Consider cut-resistant gloves for specific tasks)

Copyright © Aecon Group Inc. All rights reserved. If printed, this document is uncontrolled.
 DOCUMENT ID. EHS-RBF-173
REVISION NUMBER 00
FORM
EFFECTIVE DATE JAN.18.2024
PAGES Page 2 of 6
SUBJECT: REAL TIME JOB HAZARD ANALYSIS

Fall Protection (For Working at Heights): Harnesses,

lanyards, guardrails, travel cages (climbing formwork).
Dust Mask: Protects against dust inhalation.
Hearing Protection: Protects against noise from tools and
equipment.
Equipment/Tools: Telehandler: For unloading and transporting palletized materials (plywood, Training Requirements: General construction safety training.
cement) and potentially heavy rebar [Link] slings and straps: For safe lifting and Tele Handler operation training
maneuvering of heavy materials (rebar bundles, large plywood sheets).Wheelbarrows: For Safe lifting techniques training.
transporting smaller quantities of materials (cement bags, hand tools).Pallets: Used to elevate Hazard communication training (understanding Safety Data
materials off the ground and improve stacking stability (plywood, cement).Storage Containers: Sheets - SDS) for proper handling of hazardous materials
Secure containers for tools (toolboxes) and flammable liquids (petrol safety cans). Designated (cement, petrol).
Spill Kit: To address potential petrol spills during refueling. Fire extinguisher (appropriate class
for petrol fires): readily available near petrol storage and refueling areas.
Task Steps Hazard Controls Risk
(Explain how the task will be carried out in a sequence of (Identify all potentials for harm) (Describe how the hazard will be controlled) (Final risk
steps) Click: Critical Control Reference after controls
are in place)

Click: Risk
Matrix

Please add more steps if needed by (1) clicking into the table above and (2) clicking on at the bottom right corner
Administration Print Name Signature Date (dd-mm-yyyy)
Prepared By: Cayln Harrigan 11/6/26
Reviewed By: Vishnu Nair
Approved By: Keron Brown

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 DOCUMENT ID. EHS-RBF-173
REVISION NUMBER 00
FORM
EFFECTIVE DATE JAN.18.2024
PAGES Page 3 of 6
SUBJECT: REAL TIME JOB HAZARD ANALYSIS

Managing Change
If there is a change or deviation from the planned activity, including the tasks, equipment to be used or methods of construction the work must
stop and be reassessed with the supervisor. Any changes made to the work as planned must be updated in this document and reviewed with all
workers involved in the task.

Sign off and Acknowledgement: By signing below, you (the WORKER) acknowledge that you have reviewed the JOB HAZARD ASSESSMENT
and understand the controls established to carry-out the work safely. All questions or concerns must be raised to your immediate supervisor for
clarification, and work must STOP when any NO-GO conditions are present.

Print Name Signature Date (dd-mm-yyyy) Print Name Signature Date (dd-mm-yyyy)

Appendix A: Critical Control Reference (back to top)

Critical Risk Priority Unwanted Event Controls

Physical Barriers & Stop Work for the

Protecting the Public Pedestrian Interaction Work Zone Access Control Wayfinding
Separation Public

Copyright © Aecon Group Inc. All rights reserved. If printed, this document is uncontrolled.
 DOCUMENT ID. EHS-RBF-173
REVISION NUMBER 00
FORM
EFFECTIVE DATE JAN.18.2024
PAGES Page 4 of 6
SUBJECT: REAL TIME JOB HAZARD ANALYSIS

Positive
Hoisting, Rigging & Safety Interlocks & Zones of Exclusion
Loss of Control of Load Planning & Review Inspection & Maintenance Communication
Lifting Alarms & Influence
Systems
Internal Site Segregation Mobile Equipment Safety & Warning and High Visibility
Worker Contacted by Equipment Dedicated Spotter
and Barriers Visibility Systems Proximity Systems Workwear
Working Around Mobile
Equipment
Job Planning & Ongoing Inspection &
Equipment Loss of Stability Equipment Safeguarding Operator Competency
Monitoring Maintenance

Traffic Management Barriers and High Visibility

Working Near Traffic Worker Contacted by Vehicle Road User Warning Systems
Plan Delineation Workwear

Contact with Rotating and/or Functioning

Physical Guarding Lock Out, Tag Out, Try Out
Moving Machinery Emergency Stop
Working On or Near
Energized Systems
Contact with Overhead Maintain a Safe Dedicated Spotter in Contact Response
Planning and Review Visual Identification
Powerlines Distance Place Actions

Tool & Material

Fall from Heights Pre-Job Planning Physical Barriers Tool Securement Exclusion Zones
Storage
Working at Heights
Certified Work Access Personal Fall
Dropped Objects Pre-Job Planning Barriers & Covered Openings
Equipment Protection Systems

Notification, Location Expose/Daylight Post Contact

Contact with Buried Facility Excavation Plan Spotter
and Marking Buried Facilities Response Actions
Ground Disturbance &
Excavation
Assess, Plan and Excavation Edge
Excavation Collapse Sloping and Benching Shoring Trench Box
Ongoing Monitoring Protection

Confined Space Emergency Rescue

Confined Space Asphyxiation Entry Permit System Atmospheric Monitoring
Watch Plan(s)
Working On or Near Personal Floatation Emergency
Unplanned Contact with Water Guardrails Inclement Weather Plan Edge Stability
Water Device Response Plan
Walking or Working Near Unplanned Worker in Rail High Visibility Work
Pre-Job Briefing Work Zone Walkdown Boundary Delineation
Live Rail Corridor Wear

Storage, Handling &

Working near Unplanned Exposure/Release of Emergency Response
Pre-Job Planning Radiation Protection Transportation of
Radiological Sources Radiological Source Plan
Radiological Sources

Appendix B: Risk Matrix (back to top) for full Risk Matrix please click here

Project
Quantitative Qualitative
ood
elih

Cat
Lik

Execution
Likelihood Likelihood
Likelihood

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 DOCUMENT ID. EHS-RBF-173
REVISION NUMBER 00
FORM
EFFECTIVE DATE JAN.18.2024
PAGES Page 5 of 6
SUBJECT: REAL TIME JOB HAZARD ANALYSIS

Almost Certain
Annually or Higher than Expected to occur
more L5 Medium Medium High Severe Severe
90% chance regularly in our
frequently industry

Likely Probably will

Every 1 to 5 90% - 60% occur in our industry
L4 Medium Medium Medium Severe Severe
years chance but not a persistent
issue

Occasional
Reasonable
Every 5 to 60% - 30%
probability of L3 Low Medium Medium High Severe
10 years chance occurring in our
industry

Rare Known to
Every 10 to 30% - 10%
happen within our L2 Low Low Medium High Severe
20 years chance industry infrequently

May happen Remote

in the Less than Conceivable but not
L1 Low Low Low Medium High
lifetime of a 10% chance likely to occur in our
facility industry

C1 C2 C3 C4 C5

Consequence Category
Increasing Consequence

CONSEQUENCE MATRIX (C-VALUE)

RATING VALUE C1 C2 C3 C4 C5
AECON INCIDENT
CLASSIFICATION LOW LOW MEDIUM HIGH (SIF/SIFP) SEVERE (SIF/SIFP)
SCALE

Copyright © Aecon Group Inc. All rights reserved. If printed, this document is uncontrolled.
 DOCUMENT ID. EHS-RBF-173
REVISION NUMBER 00
FORM
EFFECTIVE DATE JAN.18.2024
PAGES Page 6 of 6
SUBJECT: REAL TIME JOB HAZARD ANALYSIS

HEALTH AND Minor injury or no injury Injury or illness that Injury that causes permanent
Injury or illness that should remedy
SAFETY that should resolve in should remedy within disability, significant life-altering Multiple fatalities
within month/s to a year
CONSEQUENCE hours to a week week/s to a month complications, or a Fatality
Release occurs (e.g. • Non-Reportable spill • Reportable spill contained on-site • Large volume spill that causes • Pipeline explosion that results in a
contained in building or (reaches environment and/or within immediate results in significant adverse significant release to a waterway,
secondary but no adverse effects / surrounding area, localized environmental impact effects or with the potential for impacts to
containment, does not meets regulatory adverse effects disruption to human activity human health and aquatic life
reach environment) exemptions) • Site stormwater runoff resulting in • Spill to waterbody, wetland or • Chemical spill that contaminates
• Discovery of deceased erosion and/or localized adverse environmentally sensitive or municipal drinking water source or
fauna on an Aecon site effects to flora/fauna protected area, which based on system
• Unauthorized land/water volume or toxicity, has the potential • Activities that result in extensive
disturbance that results in local to result in widespread or significant destruction of protected wildlife
adverse effect adverse effects habitat and/or protected areas
• Harassment of endangered or • Spill that could potentially (e.g. provincial/federal parks)
protected species contaminate groundwater
ENVIRONMENTAL
• Unauthorized waste disposal that • Unauthorized land disturbance that
CONSEQUENCE
leads to local adverse effects impacts an environmentally sensitive
or protected area
• Activities that result in the harm or
death of an endangered species or
their habitat
• Emissions to air (including dust) that
cause a widespread adverse effect,
extensive property damage, or
disruption to human activities
• Unauthorized waste disposal that
leads to significant or widespread
adverse effects
FINANCIAL
$1 - $1k $1k - $10k $10k - $100k $100k - $1m $1m plus
CONSEQUENCE
A Regulatory Non-
No Regulatory Non- Compliance occurred but A Reportable Non-Compliance with
Compliance occurred it is NOT immediately A Reportable Non-Compliance with potential for a significant response
REGULATORY
but a regulatory limit Reportable to an A Reportable Non-Compliance. potential for a response and/or and/or penalties from authority. (e.g.
CONSEQUENCE
triggering Notification authority. A Voluntary Self penalties from authority. Loss of an operating license or
was reached. Disclosure (VSD) may be Control Order)
completed.

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