Job hazard analysis

  • Each individual hazard assessment is listed as "Elements" each assessment assumes engineering controls are in place first and PPE is recommended only when engineering and administrative controls cannot eliminate the hazards.

  • Job task
  • Job task pictures

  • Task description

  • Job location/s

  • Hazards associated with this task

  • Add media

  • Measurements or Baselines

  • Severity of a potential injury

  • Can the hazard be minimized through administrative controls

  • List administrative controls

  • Can the hazard be eliminated or reduced with engineering controls?

  • Controls required or recommended

  • Add media

  • Drawings

  • Parts of the body requiring protection

  • Likelihood of injury without PPE?

  • PPE required to protect the worker

  • Add media

  • Recommendations on PPE application

  • Are other controls required to minimize hazards

  • Recommended additional controls to reduce hazard

  • Add media

Approval

Approval

  • JSA's approved Manager/Supervisor signature

  • Print name

  • Date approved

  • Would you like to add a comment?

  • Comment

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