Activity Hazard Analysis (AHA)

Project Information

Activity / Work Task

Project / Location

Prime Contractor / GC

Date Prepared

Prepared By (Name / Title)

Reviewed By (Name / Title)

General Foreman

Superintendent

Overall Highest RAC

Field Notes / Review Comments

Job Steps · Hazards · Controls

Pick a task - hazards, controls, and a starting risk code fill in automatically. Edit anything to fit the day, then set the RAC. Add as many as you need.

Risk Assessment Code (RAC) Matrix

Cross severity (row) with probability (column) to find the RAC. Use the highest code across all steps as the Overall RAC above.

Severity / Probability	Frequent	Likely	Occasional	Seldom	Unlikely
Catastrophic	E	E	H	H	M
Critical	E	H	H	M	L
Marginal	H	M	M	L	L
Negligible	M	L	L	L	L

E = Extremely High H = High Risk M = Moderate Risk L = Low Risk

Equipment To Be Used

Equipment	Training Required	Inspection Required

Activities Requiring a Competent / Qualified Person

Attach proof of competency. e.g. Excavation (>5 ft), Scissor/Aerial lift, Fall protection, Powder-actuated tools, LOTO / Qualified Electrical Worker.

Activity	Designated Competent / Qualified Person

Signatures - Verification of Review

Every crew member working under this AHA signs that they reviewed it.

Name (Print)	Signature	Date

AHA Modified & Reviewed

Record any field changes to this AHA during the shift, with who reviewed the change.

Name (Print)	Signature	Date