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
Picture of task/equipment: Task: TRAFFIC CONTROL
Name of Shop
or Dept:
Job Title(s):
Analyzed by:
Date:
Required PPE:
Safety vests or other reflectives
Required/Recommended Trainings:
None
TASK HAZARDS CONTROLS
1. Control traffic on 1a. Not being visible to 1a1. Wear safety vests or other reflectives on front and back of
Centennial Drive. drivers the body.
1b. Encountering road rage 1b1. Stay on the side of the street.
1b2. Face oncoming cars and make eye contact with drivers.
1c. Not aware of cars 1c1. Remain attentive on duty and be cautious of your
surroundings.
2. Control traffic in 2a. Injuries from 2a1. Approach car only after it has completely stopped.
parking lot. approaching moving
2a2. Wear closed-toe shoes.
vehicle
2a3. Back away from car before car starts moving.
2b1. See above for more information.
2b. Not visible to drivers
2c1. See above for more information.
2c. Encountering road rage
2d1. See above for more information.
2d. Not aware of cars
3. Assisting children to 3a. Not visible to drivers 3a1. See above for more information.
cars.
3b. Encountering road rage 3b1. See above for more information.
3c. Not aware of cars 3c1. See above for more information.
3d. Injuries from 3d1. See above for more information.
approaching moving
vehicle