Picture of task/equipment: Task: OPERATING A HAMMER DRILL

Name of Shop
or Dept:
Job Title(s):
Analyzed by:
Date:
Required PPE:
1. Dust Mask
2. Safety Goggles
3. Hearing Protection Device

Required/Recommended Trainings:
Follow standard safety instructions for use of all tools.

TASK HAZARDS CONTROLS

1. Prepare for Use Electric Shock Make sure the outlet is properly grounded.
Do not modify the plug provided with the tool.
Unplug the tool before changing accessories
or making adjustments.
2. Use Electric Shock Hold tool by insulated gripping surfaces.
Hearing Loss Wear ear protectors when using the tool for
extended periods.
Eye Injury Wear safety goggles.
Bodily Injury Keep hands away from all cutting edges and
moving parts.
Inhalation of Wear a dust mask.
Dust/Harmful Work in a well-ventilated area.
Chemicals
3. After Use Electric Shock When cleaning the tool, never immerse it in
liquid or allow liquid to flow inside the tool.

Injury & Illness Prevention Program

Job Safety Analysis Form
501 Westwood Plaza, 4th Floor • Los Angeles, CA 90095
Phone: 310-825-5689 • Fax: 310-825-7076 • www.ehs.ucla.edu