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  • Job Safety Analysis (JSA) Work Sheet: To Be Completed by Manager/Supervisor

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    Mykz Merced
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    This document is a Job Safety Analysis (JSA) worksheet used to assess procedures, tasks, plants, or events for potential hazards. It collects information such as the date, location, functional unit, task steps, potential hazards, current controls, effectiveness of controls, risk levels, proposed additional controls, approval of proposed controls, and whether a formal risk assessment is needed. The bottom of the document promotes a mobile app that allows completing this paperwork in a faster, easier, and safer way through a free trial.

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    Job-Safety-Analysis

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    This document is a Job Safety Analysis (JSA) worksheet used to assess procedures, tasks, plants, or events for potential hazards. It collects information such as the date, location, functional unit, task steps, potential hazards, current controls, effectiveness of controls, risk levels, proposed additional controls, approval of proposed controls, and whether a formal risk assessment is needed. The bottom of the document promotes a mobile app that allows completing this paperwork in a faster, easier, and safer way through a free trial.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Job Safety Analysis (JSA) Work Sheet: To Be Completed by Manager/Supervisor

    Uploaded by

    Mykz Merced
    This document is a Job Safety Analysis (JSA) worksheet used to assess procedures, tasks, plants, or events for potential hazards. It collects information such as the date, location, functional unit, task steps, potential hazards, current controls, effectiveness of controls, risk levels, proposed additional controls, approval of proposed controls, and whether a formal risk assessment is needed. The bottom of the document promotes a mobile app that allows completing this paperwork in a faster, easier, and safer way through a free trial.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Job Safety Analysis (JSA) Work sheet

    Date: Division: Reference No.

    Location: Procedure/Task/Plant/Event Assessed:

    Functional/Operational Unit: JSA Team Members

    Task Step Hazard Current control Current control Risk level Proposed control
    effective? Y/N

    JSA Reported to: Date Reported:

    To be completed by Manager/Supervisor

    Control proposed by JSA Team approved for implementation Signature Date

    JSA registered for a formal risk assessment Signature Date

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