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Job Safety Analysis: Sequence of Basic Hazards and Effects Identified Job Steps Risk (R)
Job Safety Analysis: Sequence of Basic Hazards and Effects Identified Job Steps Risk (R)
Job Safety Analysis: Sequence of Basic Hazards and Effects Identified Job Steps Risk (R)
DATE: JSA #
LOCATION
DESCRIPTION
Emergency Evacuation/ Response: ALL WORKERS ARE AWARE OF MUSTER AREA AND RESPONSE TO AIR HORN FOR APPROXIMATELY 3 MINU
SAFETY EQUIPMENT REQUIRED Safety Hard Hat ( ) Gloves
General Work Permit ( ) Safety Boots ( ) Safety Harness ( )
Excavation Permit ( ) Safety Glasses ( ) Fire Extinguishers ( )
Hot Work Permit: ( ) Lifting Proctection ( ) Lock Out/Tag Out ( )
CANDIDATE NAME
SIGNATURE
ANALYSIS
SITE VISITED
Risk
CORRECTIVE MEASURES/RECOMMENDATIONS
[*R]
SEVERITY
LIKELIHOOD
Slight [1] Serious [2] Major [3]
Low [1] Low [1] Low [2] Medium [3]
Medium [2] Low [2] Medium [4] High [6]
High [3] Medium [3] High [6] High [9]