Title Page

  • Danos JSEA Audit

  • Location:

  • Customer:

  • Division:

  • Task Leader:

  • Task Leader Job Title:

  • Supervisor:

  • Audit Date:

  • Task:

  • Project/Account Manager:

  • JSEA Date:

  • 1. Is the JSEA written for the task being performed?

  • 2. Is the latest version of the JSEA being used?

  • 3. Are all sections of the review form filled out completely?

  • 4. Have all relevant signatures been captured?

  • 5. Have SSEs been identified with a mentor?

  • 6. If there are required references identified (e.g procedures, permits, etc.) are these documents attached to the JSEA?

  • 7. Is the pre-job hazard assessment form used to identify applicable hazards?

  • 8. Are hazards identified on the pre-job hazard assessment mitigated in the JSEA?

  • 9. Is the "sharp" process being utilized in the JSEA?

  • 10. Does the JSEA have a sufficient number of steps to cover the basic job task?

  • 11. Are hazards controls relevant to the potential hazards identified?

  • 12. Does the JSEA cover "site-specific" hazards as well as "task-based"?

  • 13. If required, did team make changes to an existing work procedure or practice?

  • 14. Have assigned person(s) been identified on each task step?

  • 15. Does the JSEA address the hazards of the tools and equipment being used?

  • 16. Does the JSEA address the specific PPE required for the hazards listed?

  • 17. Does the JSEA address appropriate body position and "line of fire" issues?

  • 18. Does the JSEA address weather and other environmental concerns?

  • 19. Has the after action review form been filled out?

  • 20. Has the JSEA been reviewed by the supervisor and reviewed by entire work crew? (On site assessments)

  • 21. Is the crew following the steps on the JSEA? (On site assessment)

  • 22. Have the recommended mitigation actions and/or procedures been put to place? (On site assessment)

  • 23. Is the JSEA available at the job site for reference and review as job conditions change? (On site assessment)

  • Are you (auditor) satisfied with the overall quality of this JSEA?

  • Audit Summary:

  • Job Title:

  • Add signature

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