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JSA JOB SAFETY ANALYSIS Site×Project: Name of Contractor×Subcontractor: Date: Weather: Task×Activity: CRITICAL PROCEDURES: Check applicable anticipated or potential hazards: Where work involves
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How to fill out job safety analysis form

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Point by point guide on how to fill out a job safety analysis form:

01
Start by gathering all the necessary information related to the specific task or job that needs to be analyzed. This includes identifying the task, the specific equipment or tools involved, and any potential hazards or risks associated with it.
02
Next, break down the task into individual steps or operations. Write down each step in a clear and concise manner, ensuring that it covers all the actions required to complete the task.
03
For each step, assess the potential hazards or risks involved. Consider both the immediate risks and any long-term or cumulative effects on the workers' health and safety.
04
Determine the existing safety measures or controls that are already in place to mitigate these hazards. This could include the use of personal protective equipment (PPE), safety protocols, or engineering controls.
05
Evaluate the effectiveness of the existing safety measures and identify any gaps or areas that require improvement. This could involve analyzing if the current controls are sufficient to reduce or eliminate the risks associated with each step.
06
Develop new or additional control measures if needed. This could involve implementing additional safety protocols, providing additional training or supervision, or modifying the equipment or work processes to reduce the risks.
07
Once you have identified the hazards, evaluated the existing controls, and developed new measures, document all this information in the job safety analysis form. Use clear and concise language to describe each step, the associated hazards, the existing controls, and any new measures to be implemented.
08
Review the completed form with relevant stakeholders, such as supervisors, workers, or safety committees. Seek their input and make any necessary revisions or updates based on their feedback.
09
Communicate the findings and control measures identified in the job safety analysis to all individuals involved in performing the task. This ensures that everyone is aware of the potential hazards and the necessary precautions to take.
10
Regularly review and update the job safety analysis form. As new equipment, processes, or hazards arise, it is important to keep the form current and relevant. Conduct periodic inspections and monitor the effectiveness of the controls to ensure ongoing safety.

Who needs a job safety analysis form?

A job safety analysis form is necessary for anyone involved in tasks or jobs that may pose certain risks or hazards. This includes employers, supervisors, and workers in various industries such as construction, manufacturing, healthcare, and transportation. The form helps ensure that all individuals are aware of the potential risks involved in their work and have the necessary information to take appropriate safety measures. By implementing job safety analysis forms, organizations can prioritize employee safety and prevent accidents or injuries in the workplace.
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Job safety analysis form is a document that outlines the potential hazards and risks associated with a particular job or task, as well as the safety measures that should be followed to prevent accidents and injuries.
Employers are typically required to file job safety analysis forms for jobs or tasks that have the potential for workplace hazards.
Job safety analysis forms are usually filled out by identifying the steps of a task, analyzing potential hazards at each step, and documenting the safety measures in place to mitigate those hazards.
The purpose of a job safety analysis form is to identify potential hazards, assess risks, and establish safety procedures to prevent workplace accidents and injuries.
Information on job safety analysis forms typically includes job steps, potential hazards, recommended safety measures, and any additional comments or observations.
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