Activity Hazard Analysis (AHA)
Activity/Work Task: Concrete Pouring Overall Risk Assessment Code (RAC) (Use highest code) L
Project Location: Risk Assessment Code (RAC) Matrix
Contract Number:
Severity Probability
Date Prepared: Frequent Likely Occasional Seldom Unlikely
Catastrophic E E H H M
Prepared by (Name/Title):
Critical E H H M L
Marginal H M M L L
Reviewed by (Title):
Negligible M L L L L
Notes: Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC
(See above)
“Probability” is the likelihood to cause an incident, near miss,
or accident and identified as: Frequent, Likely, Occasional, RAC Chart
Seldom or Unlikely.
“Severity” is the outcome/degree if an incident, near miss, or E = Extremely High Risk
accident did occur and identified as: Catastrophic, Critical, H = High Risk
Marginal, or Negligible
Step 2: Identify the RAC (Probability/Severity) as E, H, M, or M = Moderate Risk
L for each “Hazard” on AHA. Annotate the overall highest L = Low Risk
RAC at the top of AHA.
Page 1 of 4
AHA-007, Concrete Pouring, Rev. 001
Activity Hazard Recommended Controls RAC
Concrete Pouring and Finishing of the Particles and Debris in the Wear ANSI approved safety glasses with side shields.
Foundation, Footers, Pre-Cast Walls and Eyes Goggles and/or face shield may be used for additional protection.
Applying Concrete Sealant) L
Eye wash solution will be available to aid in removing particles from
eyes
Injuries to personnel while Concrete may be applied to an area by hand, chute, pneumatic hoses,
pouring concrete (contact or buckets. For pneumatics, check the hoses and couplings to prevent
with skin) a breach.
Anchor the hose in place to prevent excess movement.
Do not ride concrete buckets or hoist/swing the buckets over
workers.
Do not walk under concrete buckets or hoist/swing the buckets while
in operation.
Only authorized personnel working directly with this process should
be permitted in area.
Always wear dust mask and goggles while working with dry
concrete.
The chemicals in wet concrete may cause burns or skin irritation. So,
always wear gloves, boots and goggles to avoid skin contact with wet
concrete. L
Wear protective clothing, such as waterproof gloves, long-sleeved
shirts, and long pants to keep the concrete from making contact with
your skin.
Ensure the protective clothing stays dry so it does not transfer the
alkaline or hygroscopic effects to the skin.
Wear rubber boots if you must stand in the fresh concrete while it is
being placed, screened, or floated to prevent concrete from flowing
into them and making contact with your lower legs, ankles and feet.
Activity Hazard Recommended Controls RAC
Page 2 of 4
AHA-007, Concrete Pouring, Rev. 001
Activity Hazard Recommended Controls RAC
Concrete Pouring and Finishing of the Contact with overhead lines Survey the area for overhead power and utility lines before dumping
Foundation, Footers, Pre-Cast Walls and while pouring concrete begins.
Applying Concrete Sealant) Stay a minimum of 10 ft from power lines during dumping
operations.
Consider all lines to be energized and in service.
Where it is difficult for the operator to maintain the desired clearance L
by visible means, a worker shall be designated to observe the
distance between the concrete truck and truck parts and the line so as
to give timely warning to the operator.
This should be the ONLY job the monitor is performing when this
hazardous condition is present.
Injury from being struck by Use flag person or other means to control traffic.
dump truck Provide high visibility outer garments for workers exposed to vehicle
and heavy equipment traffic.
Only workers that are directly involved with concrete pour should be
in work zone.
Only trained and qualified operators will run equipment.
Activity Hazard Recommended Controls RAC
Page 3 of 4
AHA-007, Concrete Pouring, Rev. 001
Activity Hazard Recommended Controls RAC
Concrete Pouring and Finishing of the Hand injury while using hand Use tools with handles to smooth the surfaces. Use the larger
Foundation, Footers, Pre-Cast Walls and tools muscles of your shoulders to move the trowel and avoid twisting
Applying Concrete Sealant) your back.
If you are smoothing a walking surface, bend your legs, not your
back, and apply the trowel.
Consider wide mats and knee pads to help you access areas that need
smoothing
Tools will be used according to the manufacturer's instructions.
L
Associates will be familiar with the proper use of the tool being used.
Tools will be maintained according to manufacturer’s
recommendations.
Tools will be inspected before each use.
Damaged or defective tools will be placed out of operation until
repaired or replaced.
Gloves will be worn to protect hands and aid in keeping tools from
slipping out of the hand.
Page 4 of 4
AHA-007, Concrete Pouring, Rev. 001
