Document Title: JOB SAFETY ANALYSIS

Doc. ID: OHS-F-02 Revision No.: 03 Date of Revision: 21st September, 2021 No. of Pages: Page 1 of 4

TASK LOCATION TYPE OF TASK DATE (DD/MM/YYYY) CLIENT LOCATION (IF APPLICABLE) JSA NO.
Generic New JSA-002

TASK DESCRIPTION: Forklift Operations

SPECIFIC RULES AND PROCEDURE TO BE FOLLOWED:

SEQUENCE OF JOB HAZARDS/RISK IDENTIFIED RISK RATING CORRECTIVE MEASURES / RECOMMENDATIONS

STEPS H/M/L
Visual inspection; fluid and oil levels; Chains for wear,
1. Machine Inspection Mechanical Failure ‐ kinks, corrosion; Air cleaner, Mast hoses and cables,
cleanliness, anti-slip surfaces, tire pressure
‐ Periodic maintenance
‐ Maintain proper tire pressure
Do not step on tire
‐
2. Entering / Exiting Maintain 3-point contact with steps and handrail
Personal injury – slip or fall ‐
the Cab Wear appropriate footwear and Ensure footing is clean
‐
and dry
‐ Non‐slip surfaces as needed
‐ Face unit while entering / exiting
Trained and Qualified personnel
‐
Operator Error only to Operate
‐
Manufacturer Manual
Ensure unit is on level, solid
‐ ground
‐
Ensure unit is NOT in gear
Overturning unit ‐
Do not overload machine
‐
3. Starting the Engine ‐ Ensure tire pressure is satisfactory
Ensure parking brake is set
Allow engine to warm up
‐
Mechanical Failure Verify proper pressures and levels and voltages
‐
Make sure personnel are clear of
‐ machine (Verify horn)
Personal Injury
‐ Do not approach unit unless you
have eye contact with the Operator
 Document Title: JOB SAFETY ANALYSIS

Doc. ID: OHS-F-02 Revision No.: 03 Date of Revision: 21st September, 2021 No. of Pages: Page 2 of 4

Battery Hazards (acid, electricity, ‐ Keep metal tools away from

flames) ‐ terminals Wear appropriate PPE
Operate machine from Operators
‐ seat only
‐ Trained and Qualified personnel
Operator Error – Various
4. General Machine ‐ only Operate Manufacturer
Hazards
Operation ‐ Manual
‐ Operate per load and safety labels/graphics
Do not rush, Ensure aware of safety features
‐ Ensure aware of equipment limitations
Situational awareness about weather conditions, terrain
‐
and soil (foundation and level)
‐ Maintain line of sight with ground personnel
‐ Always wear seatbelt
Overturning Hazard
‐ Periodic ROPS inspections
‐ Maintain loads as low as possible
‐ Maintain stability via slow speeds and turning
5. General Machine
Personnel caught in moving Avoid wearing loose fitting clothing, damaged clothing,
Operation ‐
parts jewelry, long uncontained hear
‐ Maintain safe clearances
Maintain awareness of fluids, pressures, temperatures,
Equipment failure ‐ etc.

Approach load slowly

‐ Ensure visibility is satisfactory
‐
Collision and Damage with Load Ensure forks are level
‐
Use front wheels as pivot points to align forks
‐
6. Maneuvering and
Observe load limits in cab labels (and in manufacturer’s
Transporting
manual)
‐
Overturning Unit, Uneven Maintain unit level
‐
surfaces, Mechanical failure Maintain safe speeds and turning
‐
Operate on inclines with load uphill. Travel up inclines
in forward and down in reverse
 Document Title: JOB SAFETY ANALYSIS

Doc. ID: OHS-F-02 Revision No.: 03 Date of Revision: 21st September, 2021 No. of Pages: Page 3 of 4

Use a Banks Man

‐ Use horns
‐
Limited visibility, Traffic Operate smoothly, slow down for turns and when
‐
Hazards operating on uneven surfaces
‐
Always look in direction of travel, keep a clear view, keep
load as low as possible, Slow down, Sound horn at cross
aisles and during high traffic or limited visibility
‐ Ensure load within capacity of unit
Unsecure or Unstable Load ‐ Adjust forks so weight is evenly distributed
‐ While loaded, maintain mast tilted backward
‐ Ensure load properly secured
‐ Stop the machine, lower the load until centered and held
Load Shifts or Breaks Free
‐ properly. Rearrange load before attempting to move
Operating personnel maintain line
of sight Hand signals known and
7. Maneuvering and ‐ used
Transporting ‐ Area maintained safe by on ground personnel
Personal Injury, Collision ‐ Maintain safe personnel
‐ clearances Use appropriate
‐ headgear
Operate smoothly, slow down for turns and when
operating on uneven surfaces
Always look in direction of travel, keep a clear view, keep
‐ load as low as possible, Slow down, Sound horn at cross
aisles and during high traffic or limited visibility
Overhead Power Lines ‐ Maintain 15’ from overhead lines
Move machine to safe location, Apply parking
brake Transmission and hydraulic controls in
neutral
Overturning on subsequent
8. Engine Shutdown ‐ Lower the carriage
startup, Personal Hazard,
and Unit Parking
Equipment / Traffic Hazard

H/M/L= High/Medium/Low
 Document Title: JOB SAFETY ANALYSIS

Doc. ID: OHS-F-02 Revision No.: 03 Date of Revision: 21st September, 2021 No. of Pages: Page 4 of 4

TASK DESCRIPTION: Forklift Operations

SAFETY EQUIPMENT REQUIRED
Safety Hard Hat Face Shield Cotton/Leather Lock Out Scaffolding Fire Blanket
Gloves
Safety Boots Hearing Protection Dust/Chemical Tag Out Gas Detectors Fire Resistant Clothing
Mask
Safety Glasses Goggles Safety Harness Lifting Precaution Rope Off Area Fire Extinguishers

Coveralls Chemical gloves Hot Work Permit Vessel Entry Permit Barricades Fire Watch

I understand and will adhere to the steps, hazards and controls as described in this JSA. I understand that performing steps out of sequence may pose hazards that have not been evaluated, nor
authorized. I will contact my Supervisor prior to continuing work, if the scope of work changes or new hazards are introduced. I understand I have the authority and responsibility to stop work I
believe to be unsafe.
TEAM MEMBERS
NAME SIGNATURE DATE NAME SIGNATURE DATE

SUPERVISIOR ACCEPTANCE
I have reviewed the steps, hazards & controls described in this JSA with all workers listed above & authorize them to perform the work. Workers are qualified (i.e. years of
experiences or trained) to perform this activity.
PRINT NAME: SIGNATURE: DATE: