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  • Sample JSA

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    4nd13s.lf
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    This document provides a job safety analysis for cutting, grinding, and welding activities. It records the work area, required personal protective equipment like helmets and gloves, working time, and potential hazards from the activities. For each basic job step, it identifies potential incidents or hazards and ways to eliminate or control those hazards, such as descriptions of safety measures.

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    sample JSA

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    This document provides a job safety analysis for cutting, grinding, and welding activities. It records the work area, required personal protective equipment like helmets and gloves, working time, and potential hazards from the activities. For each basic job step, it identifies potential incidents or hazards and ways to eliminate or control those hazards, such as descriptions of safety measures.

    Copyright:

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

    Sample JSA

    Uploaded by

    4nd13s.lf
    This document provides a job safety analysis for cutting, grinding, and welding activities. It records the work area, required personal protective equipment like helmets and gloves, working time, and potential hazards from the activities. For each basic job step, it identifies potential incidents or hazards and ways to eliminate or control those hazards, such as descriptions of safety measures.

    Copyright:

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

    JOB SAFETY ANALYSIS

    Analisa Keselamatan Kerja


    WORK ACTIVITY
    Aktifitas Pekerjaan Cutting, Grinding & Welding Activity

    RECORD OF CHANGES Any Change? / Ada perubahan? □ Yes □ No NAME SIGNATURE


    Catatan Perubahan IF ANY ADDITIONAL ACTIVITY OR HAZARDS, PLEASE DESCRIBE AT ROW PROVIDED AT THE END Nama Tanda tangan
    Jika terdapat tambahan kegiatan atau potensi bahaya, harap mengisi di baris bagian akhir

    WORK AREA TS PIC Acknowlodge:


    Area Kerja

    WORKING TIME DATE/Tanggal: START TIME/Waktu mulai: END TIME/Waktu selesai: Site supervisor/Foreman:
    Durasi waktu bekerja

    Required/Recommended PPE : Name of Subcontractor:


    Helmet Safety Shoes Safety Glasses Face shield Ear protection (single or double)
    Respirator Hand Gloves Body Harness Dust Mask Other / Lainnya:

    WAYS TO ELIMINATE OR CONTROL HAZARDS


    BASIC JOB STEPS POTENTIAL INCIDENTS OR HAZARDS CARA MENGHILANGKAN ATAU PENGENDALIAN BAHAYA
    LANGKAH DASAR PEKERJAAN POTENSIAL KEJADIAN ATAU BAHAYA
    Description Y N N/A
    1.
      1.1.1.1.

     1.1.1.1.

      1.1.1.2.

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