JOB RISK REVIEW

• Document No.

• Reviews

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1-9. General HSSE Management Systems

• Required

  Yes

  No

Type of Tasks Performed

• 10. Janitorial JSAs

  Required

  Yes

  No

• 11. Mechanical JSAs

  Required

  Yes

  No

• 12. Electrical JSA s

  Required

  Yes

  No

• 13. Grounds / Landscaping / Snow Removal

  Required

  Yes

  No

TASK PROGRAM AREAS

• 14. GHS Hazard Communication

  Yes

  No

  N/A

• 15. Personal Protective Equipment

  Yes

  No

  N/A

• Yes

  No

  N/A

• 16. Emergency Action Plan

  Compliant

  Non Compliant

  Not Observed

  Not Applicable at this Site

• 17. Ergonomics & Lifting Back Safety

  Compliant

  Non Compliant

  Not Observed

  Not Applicable at this Site

• 18. Walking Working Surfaces

  Compliant

  Non Compliant

  Not Observed

  Not Applicable at this Site

• 19. Hand & Power Tools

  Compliant

  Non Compliant

  Not Observed

  Not Applicable at this Site

• 20. Bloodborne Pathogens

  Compliant

  Non Compliant

  Not Observed

  Not Applicable at this Site

• 20a. Supervisor BBP & OPIM Training

  Yes

  No

  N/A

• 20b. HBV Declination Forms if Yes Has the Vaccinations Started?

  Yes

  No

  N/A

• 21Flammable and Combustible Chemicals

  Yes

  No

  N/A

• 22 Ladder Safety Training

  Yes

  No

  N/A

• 22a. Step Ladders

  Yes

  No

  N/A

• 23. Waste Management

  Yes

  No

  N/A

• 24. Fall Protection

  Yes

  No

  N/A

• 25. Asbestos Safety

  Yes

  No

  N/A

• 26. Lockout/ Tagout. (LOTO)

  Yes

  No

  N/A

• 27. Refrigerant Management

  Yes

  No

  N/A

• 28. Electrical Safety

  Yes

  No

  N/A

• 28a. NFPA 70 E

  Required

  Yes

  No

• 29. Machine Guarding

  Yes

  No

  N/A

• 30. Respiratory Protection

  Yes

  No

  N/A

• 31. Compressed and Liquified Gases (OSHA )

  Yes

  No

  N/A

• 32. Confined Space

  Yes

  No

  N/A

• Drivers Safety

  Yes

  No

  N/A

• 34. Powered Industrial Vehicles (PIV)

  Yes

  No

  N/A

• 34. Forklifts

  Yes

  No

  N/A

• 34b. Aerial Lifts Scissor/Boom/Manlifts

  Yes

  No

  N/A

• 34c. Golf Carts

  Yes

  No

  N/A

• 34d. Other (Specify)

  Yes

  No

  N/A

• 35 Welding, Cutting, Brazing

  Yes

  No

  N/A

• 35a. Stainless Steel (Hexavalent Chrome)

  Yes

  No

  N/A

• 36. Hearing Conservation

  Yes

  No

  N/A

• 37. Emergency Response ( Hazwoper Spill Response)

  Yes

  No

  N/A

• 38 Excavation

  Yes

  No

  N/A

• 39. Cranes, Hoists and Slings

  Yes

  No

  N/A

• 40. Hazardous Materials

  Yes

  No

  N/A

• 41. Lab Safety

  Yes

  No

  N/A

• 42. Process Safety Management

  Yes

  No

  N/A

• 43. Water Damage and Fungi (Mold)

  Yes

  No

  N/A

• Pandemic Flu (Disease Exposure)

  Yes

  No

  N/A