Title Page
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Danos JSEA Audit
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Location:
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Customer:
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Division:
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Task Leader:
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Task Leader Job Title:
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Supervisor:
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Audit Date:
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Task:
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Project/Account Manager:
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JSEA Date:
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1. Is the JSEA written for the task being performed?
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2. Is the latest version of the JSEA being used?
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3. Are all sections of the review form filled out completely?
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4. Have all relevant signatures been captured?
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5. Have SSEs been identified with a mentor?
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6. If there are required references identified (e.g procedures, permits, etc.) are these documents attached to the JSEA?
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7. Is the pre-job hazard assessment form used to identify applicable hazards?
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8. Are hazards identified on the pre-job hazard assessment mitigated in the JSEA?
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9. Is the "sharp" process being utilized in the JSEA?
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10. Does the JSEA have a sufficient number of steps to cover the basic job task?
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11. Are hazards controls relevant to the potential hazards identified?
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12. Does the JSEA cover "site-specific" hazards as well as "task-based"?
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13. If required, did team make changes to an existing work procedure or practice?
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14. Have assigned person(s) been identified on each task step?
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15. Does the JSEA address the hazards of the tools and equipment being used?
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16. Does the JSEA address the specific PPE required for the hazards listed?
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17. Does the JSEA address appropriate body position and "line of fire" issues?
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18. Does the JSEA address weather and other environmental concerns?
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19. Has the after action review form been filled out?
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20. Has the JSEA been reviewed by the supervisor and reviewed by entire work crew? (On site assessments)
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21. Is the crew following the steps on the JSEA? (On site assessment)
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22. Have the recommended mitigation actions and/or procedures been put to place? (On site assessment)
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23. Is the JSEA available at the job site for reference and review as job conditions change? (On site assessment)
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Are you (auditor) satisfied with the overall quality of this JSEA?
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Audit Summary:
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Job Title:
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