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Safe Work Analysis Format (Ats)

The document is a Safe Work Analysis (SWA) template used to assess risks and control measures for specific tasks within a company. It includes sections for task description, potential dangers, control measures, mandatory personal protective equipment, and work authorization details. The template is designed to ensure safety and compliance during high-risk activities.
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0% found this document useful (0 votes)
15 views3 pages

Safe Work Analysis Format (Ats)

The document is a Safe Work Analysis (SWA) template used to assess risks and control measures for specific tasks within a company. It includes sections for task description, potential dangers, control measures, mandatory personal protective equipment, and work authorization details. The template is designed to ensure safety and compliance during high-risk activities.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Code:

SAFE WORK ANALYSIS (SWA) Version:


Date:

Date : Hora Inicial : Final Hour:


Company:

Work or Project:

Task Description:

Specific location of the task:


DANGERS + RISK FACTORS / ENVIRONMENTAL ASPECTS
CONTROL MEASURES TO AVOID EVENTS
ACTIVIDADES A REALIZAR
UNWANTED
STEPS OF THE TASK What could injure me, could go wrong or could damage the environment
What should I do to avoid injury or environmental damage?
environment?

Mandatory Basic Personal Protective Equipment (mark with an X):


SAFETY HELMET SAFETY SHOES SAFETY GLASSES HEADPHONES/EARPLUGS WORK CLOTHING
Please indicate below if high-risk work will be carried out (mark with an X):
HOT WORK ) WORKING AT HEIGHT ) CONFINED SPACE ( ) LIFTING LOADS ( ) ELECTRICAL RISKS )
OTHERS ( ) Detail:

Page 1 of 3
Code:
SAFE WORK ANALYSIS (SWA) Version:
Date:

PERSONAL WHO CARRIES OUT THE WORK

Worker's Name ID card Company Worker's Name ID card Company

Page 2 of 3
Code:
SAFE WORK ANALYSIS (SWA) Version:
Date:

WORK AUTHORIZATION

Position of the person who authorizes Last names and First names Hour Company Start

FOREMAN OR WORK LEADER

SITE MANAGER

SAFETY ENGINEER ON SITE

WORK SUPERVISOR ENGINEER

Page 3 of 3

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