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JOB SAFETY ANALYSIS
FORM
Owner: Risk Management
Revision No: 01
Worksite:
Description of Work:
Potential Hazards: (Check
those that apply)
Lifting hazards
Fall potential
Electrical shockDocument number:
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How to fill out job safety analysis

How to fill out job safety analysis
01
To fill out a job safety analysis, follow these steps:
02
Identify the job or task to be analyzed.
03
Break down the job or task into specific steps or actions.
04
Identify the potential hazards and risks associated with each step or action.
05
Evaluate the severity and likelihood of each potential hazard or risk.
06
Develop control measures to eliminate or mitigate the identified hazards and risks.
07
Document the control measures and communicate them to the workers involved.
08
Review and update the job safety analysis periodically or when changes occur in the job or task.
09
Train workers on the contents of the job safety analysis and ensure their understanding.
10
Monitor and enforce compliance with the identified control measures.
11
Continuously improve the job safety analysis based on feedback and lessons learned.
Who needs job safety analysis?
01
Job safety analysis is needed by various individuals or organizations, including:
02
- Employers who want to ensure the safety and well-being of their employees.
03
- Workers who want to perform their tasks in a safe manner.
04
- Safety managers or supervisors who are responsible for implementing safety programs.
05
- Health and safety professionals who need to assess and manage workplace hazards.
06
- Regulatory agencies or authorities that enforce safety regulations.
07
- Contractors or subcontractors who work in potentially dangerous environments.
08
- Any individual or organization committed to preventing accidents and promoting workplace safety.
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What is job safety analysis?
Job Safety Analysis (JSA) is a process used to identify and address potential hazards in the workplace by breaking down each job task into its essential steps.
Who is required to file job safety analysis?
Employers are required to conduct and document job safety analysis for all tasks that have potential risks to employees.
How to fill out job safety analysis?
To fill out a job safety analysis, identify the job tasks, hazards, and safety measures for each task, involve employees in the process, and review and update as needed.
What is the purpose of job safety analysis?
The purpose of job safety analysis is to prevent workplace accidents and injuries by identifying and eliminating potential hazards through a systematic approach.
What information must be reported on job safety analysis?
Job safety analysis must include job task descriptions, identified hazards, risk levels, safety measures, and training requirements.
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