Painters USA JSA V 2.0

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

JOB TASKS

• ACTIVITY 1

• HAZARDS

• RISK

  Select very low low medium high critical

  • very low
  • low
  • medium
  • high
  • critical

• RISK CONTROL MEASURES

• ACTIVITY 2

• HAZARDS

• RISK

  Select very low low medium high critical

  • very low
  • low
  • medium
  • high
  • critical

• RISK CONTROL MEASURES

• ACTIVITY 3

• HAZARDS

• RISK

  Select very low low medium high critical

  • very low
  • low
  • medium
  • high
  • critical

• RISK CONTROL MEASURES

• ACTIVITY 4

• HAZARDS

• RISK

  Select very low low medium high critical

  • very low
  • low
  • medium
  • high
  • critical

• RISK CONTROL MEASURES

• RESPONSIBILITY

• ACTIVITY 5

• HAZARDS

• RISK

  Select very low low medium high critical

  • very low
  • low
  • medium
  • high
  • critical

• RISK CONTROL MEASURES

• ACTIVITY 6

• HAZARDS

• RISK

  Select very low low medium high critical

  • very low
  • low
  • medium
  • high
  • critical

• RISK CONTROL MEASURES

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