AGREEMENT between BROWARD COUNTY and Cummings ...

Exhibit 2
Page 202 of 379
SAFE PLAN OF ACTION (SPA) Date:
1. Write the name of the work area and the job task in the blanks where indicated.
2. Conduct a walk-through survey of the work area. Plan and review the job task with all of the employees involved.
On the left side of the form, write down each hazard possible in conducting the task. Consider ways to
control/eliminate the hazards beyond the use of PPE.
3. On the right side of the form, put down what can be done to control/eliminate the hazard.
4. Use PPE checklist on the back of this form to review required protective equipment.
5. When completing the hazard assessment, include any hazards specific to location of work, whether created by
work activity or previously existing.
Work Area
Job Task
HAZARDS ASSESSMENT
SAFE PLAN
CREW/TEAM MEMBER SIGNATURES
P