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Job Safety Analysis: Location Date New Revised Jsa No. Task Supervisor Analysis by Approved by
Job Safety Analysis: Location Date New Revised Jsa No. Task Supervisor Analysis by Approved by
Task Supervisor
Team Members Analysis By
Approved By
Pre-Job Assessment (Check all that apply in both sections)
Potential Hazards :
CHEMICAL EXPOSURE NOISE ARC/ FLASH PRESSURE FALLS FIRE/ EXPLOSION CHIPS/ SLIVERS
HAZARDOUS ATMOSPHERE WORKING/ WALKING SURFACES OPEN HOLE LIFTING MACHINERY SPILL PINCH POINTS
CONFINED SPACE ENVIRONMENT/ WEATHER IGNITION SOURCES OVERHEAD HEAT STRESS SLIP/ TRIPS HOT SURFACES
SPECIAL SAFETY EQUIPMENT REQUIRED WORK PERMITS EYEWASH/ SAFETY SHOWER LOCATION HOLT BOLTING POLICY SPILL CONTROL/ CONTINGENCY PLAN
IGNITION SOURCE CONTROLS FIRE FIGHTING MATERIAL SAFETY DATA SHEETS (MSDS) FALL PROTECTION
SEQUENCE OF BASIC JOB STEPS POTENTIAL INCIDENTS AND/OR HAZARDS AT EACH STEP RECOMMENDATIONS TO ELIMINATE HAZARDS
SAFETY SHOES SAFETY HARNESS WORK VESTS WORK PERMIT REQUIRED CRANE
Is there a "Weak Link" in the process sequence today? If so, what is it and what actions are necessary ?
Potential Hazards :
CHEMICAL EXPOSURE NOISE ARC/ FLASH PRESSURE FALLS FIRE/ EXPLOSION CHIPS/ SLIVERS
HAZARDOUS ATMOSPHERE X WORKING/ WALKING SURFACES OPEN HOLE LIFTING MACHINERY X SPILL PINCH POINTS
CONFINED SPACE X ENVIRONMENT/ WEATHER IGNITION SOURCES OVERHEAD HEAT STRESS X SLIP/ TRIPS HOT SURFACES
SPECIAL SAFETY EQUIPMENT REQUIRED WORK PERMITS EYEWASH/ SAFETY SHOWER LOCATION HOLT BOLTING POLICY X SPILL CONTROL/ CONTINGENCY PLAN
IGNITION SOURCE CONTROLS FIRE FIGHTING MATERIAL SAFETY DATA SHEETS (MSDS) FALL PROTECTION
SEQUENCE OF BASIC JOB STEPS POTENTIAL INCIDENTS AND/OR HAZARDS AT EACH STEP RECOMMENDATIONS TO ELIMINATE HAZARDS
Dump sand trap as needed Body strain, slips, trips, and falls take your time, watch body placement, don’t rush, be aware
Take hourly readings slips, trips, and falls. be alert of surroundings, get plenty of rest, footing and hand placement
check tank levels splills, leaking tank, slips, trips, and falls do walk arounds, be alert, take notes, use 3 point contact
Get water hauled off as needed spills, leaking tanks, truck drivers, backing trucks do walk arounds, good communication, use a spotter
weather heat, wind, rain, hail be aware of your surroundings, check weather regularly
X SAFETY SHOES SAFETY HARNESS WORK VESTS WORK PERMIT REQUIRED CRANE
Is there a "Weak Link" in the process sequence today? If so, what is it and what actions are necessary ?
Freddy Saldana