Facilities Management – Opening Electrical Panels

Job Safety Analysis Form

501 Westwood Plaza, 4th Floor • Los Angeles, CA 90095
Phone: 310-825-5689 • Fax: 310-825-7076 • www.ehs.ucla.edu
Picture of task/equipment: Task: Painting Curbs, Lines, and Stalls
Name of
Shop or Dept:
Job Title(s):

Analyzed by:

Date:
Required PPE:
Reflective Safety Vest

Safety Glasses

Ear Plugs

Gloves

Dust mask

Sturdy Work Boots

Sun Protection
Required/Recommended Trainings:
Back Safety

Flagger Training

Operation of Airless Pressure Sprayer

TASK HAZARDS CONTROLS
Set up equipment and Collisions between vehicles and Use flaggers to caution drivers and channel traffic away from
supplies vehicles, vehicles and workers, workers when necessary
vehicles and pedestrians
Do not work alone

Wear reflective safety vests and boots

Mark area with traffic cones, wet paint signs, amen and equipment
working signs
Clear work area with Collisions between vehicles and Use flaggers to caution drivers and channel traffic away from
blowers and brooms workers workers when necessary

Do not work alone

Wear reflective safety vests

Muscle strain Use back safety techniques; stretch before working; avoid twisting
neck, back and knees; maintain posture and conserve motion, using
large muscle groups

Take frequent breaks

Stay hydrated

Damage to hearing, vision, and Wear ear plugs, safety glasses, and dust mask when using blower;
respiratory system wear safety glasses when sweeping

Place stencils and forms Muscle strain Stretch before working; avoid twisting neck, back and knees; use
on painting surface large muscle groups and conserve motion
Pinch points for hands, fingers feet,
 toes Take frequent breaks

Exposure to sun, head, and/or cold Stay hydrated

Avoid pinch points by keeping eyes on task

Wear hat, light-colored clothing, and sunglasses when appropriate

Operate airless pressure Damage to skin and vision for self and Make sure tip guard is working properly
sprayer others
Never point pressure sprayer toward yourself, another person, or an
animal

Wear safety glasses and gloves

Property damage from broken line or Before and during use, make sure line is protected by cones or
connection barricades and that connections are secure

Collision with vehicles Wear reflective safety vests and stay within barricaded area

Never work alone

Clean up work area; Collision between vehicles and Use flaggers to caution drivers and channel traffic away from
remove stencils, forms, vehicles, vehicles and workers, workers when necessary
cones, and barricades vehicles and pedestrians
Do not work alone

Wear reflective safety vests

Muscle strain Stretch before working; avoid twisting neck, back and knees; use
large muscle groups and conserve motion

Take frequent breaks

Stay hydrated
Clean sprayer tip; scrape Pinch points for hands and fingers Wear gloves
dried paint off stencils;
coat stencils and hang to Avoid pinch points by keeping eyes on task
dry in shop
Vision damage Wear safety glasses

Environmental damage Place dried scrapings inside dry paint buckets and deposit in
dumpster