HSW- Job Safety and Enviromental Analysis (JSEA)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• undefined

• Job Details

• Location of Work

• JSEA Developed by

  Sign

• Date

  Date

• Personnel Involved in Activity

  Yes

  No

  N/A

• Name of Relevant Worker

• Qualification / Licenses / Ticket Held

• Signature

  Sign

• Personnel Involved in Activity

  Yes

  No

  N/A

• Name of Relevant Worker

• Qualification / Licenses / Ticket Held

• Signature

  Sign

• Work Environment/Site Layout

• Working from Height

• Ground Surface

• Stability

• Security

• Vibration

• Confined Spaces

• Site Access/Egress

• Underground Hazards

• Lighting

• Mobil Plant/Pedestrians

• House Keeping

• Asbestos

• Thermal Comfort

• Slips & Trips

• Overhead Hazards

• Site induction

• Chemical

• Biological

• Fire/Flammability

• Corrosive

• Compatibility

• Labelling

• MSDS Available

• Absorption

• Inhalation/Ingestion

• Signage

• Spill Control

• Storage

• PPE Available

• Manual Handling

• Repetitive Actions

• Cold/Hot

• Lifting/Carrying

• Bending/Reaching

• Excessive Distances

• Awkward Postures

• High Forces- Heavy Load

• Pushing/Pulling

• Restraining/Supporting

• Stability/Size of Load

• Plant

• Crushing

• Cutting/Stabbing

• Electrical

• Entanglement

• Falling

• High Pressure

• Hot Surfaces

• Isolation

• Maintenance

• Noise

• Pre-start Checks

• Striking

• Signage

• Safe Work Procedures

• HSW RISK MATRIX

JOB SAFETY ANALYSIS

• Job Safety Analysis

  Yes

  No

  N/A

• Task

• Hazards

• Potential Risk Score

• Risk Control Measures

• Residual Risk Score

• Responsible Person

  Sign

• Task

• Hazards

• Potential Risk Score

• Risk Control Measures

• Residual Risk Score

• Responsible Person

  Sign

• Task

• Hazards

• Potential Risk Score

• Risk Control Measures

• Residual Risk Score

• Responsible Person

  Sign