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Job Safety Analysis Format

This document provides a job safety analysis for an unspecified job. It includes checklists for general safeguards, required personal protective equipment, and fire protection. The analysis requires listing the basic job steps and their associated potential hazards, as well as the safeguards that will be put in place to control the hazards. Responsible parties must sign off after preparing, reviewing, and approving the analysis. The purpose is to identify and mitigate workplace safety risks before starting the job.

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133 views2 pages

Job Safety Analysis Format

This document provides a job safety analysis for an unspecified job. It includes checklists for general safeguards, required personal protective equipment, and fire protection. The analysis requires listing the basic job steps and their associated potential hazards, as well as the safeguards that will be put in place to control the hazards. Responsible parties must sign off after preparing, reviewing, and approving the analysis. The purpose is to identify and mitigate workplace safety risks before starting the job.

Uploaded by

Speed Tech தமிழ்
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Job Safety Analysis

Sec No IMSF/PS/SFT/63
Issue No. & Date 01 & 10/05/2021

Rev No. & Date 01 & 30/12/2021

Date: Department: Job description:


Location:

Employees Involved in the JSA Name of the JSW Employees:


preparation Name of the Contract Employees:

General Safeguards checklist:


 Area barricaded, cordoned off  Manpower deployed for the job is  All Tools and Equipment are inspected
trained
 Isolations done as per LOTO (if  Special Work Permits being deployed  Is Hazards, risk & control measures are
applicable). (if applicable) explained to the workmen during Tool Box
Talk
PPE Checklist:
 Safety Helmet  Dust Mask, Cartridge Mask  Safety Helmet with Face Shield
 Safety Shoes  Leg Guard  Welding Apron
 Safety Goggles  Denim Coat , Aluminum Coat ,  Arch Flash Suit
Reflective vest
 Ear Plugs, Ear Muffs  Gloves – Ordinary, Cut Resistant,  Other PPEs If any:
Chemical, Hot Work, Electrical ……………………………………………
Fire Protection checklist:
 Area is free from Flammables and  Fire Hose laid out and ready for  Fire Extinguisher is available
Combustibles materials usage
 Fire Blankets  Sand Buckets is available  Sprinkler/ detectors are working

Safeguard / controls to be put in


Sequence of Basic Job Steps Potential Hazards Responsibility
place

Prepared by Reviewed by Approved by HOD

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