Anonymous

JSA Grading

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Use this Template

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Information

Vessel Name
Conducted on
HSE Representative
Personnel

JSA Activity
Crew attitude towards the JSA
Sequence of job steps
Hazard recognition
Recommendation to eliminate hazard
Participation by crew
Comprehension of JSA findings
Knowledge of JSA process by crew
Effectiveness of JSA presenter
Other (describe)
Comments
Captain's Signature
Evaluator's Signature
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Anonymous

JSA Grading

Use this Template

Print as PDF

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