JSA - Annexure E

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JOB SAFETY ANALYSIS

Area: Job Description:


Date of Job: Supervisor: Team Lead:
DO not deviate from scope of work-if change is required –STOP-regroup-Discuss, then proceed with the work

Required personal protective equipment:

Other PPE requirements:

Work Procedure/Guideline Ref No: Permit No:


BASIC JOB STEPS POTENTIAL ACCIDENT OR ACTIONS TO REDUCE RISK RESPONSIBLE
HAZARD PERSON

Attendees

Z:\HSE\GMDP\Safety\Procedure\VMGL-OM-R-011, Rev. 00.doc

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