Environmental Engineering Reference
In-Depth Information
tABle 12.1
job safety/hazard Analysis (jsA/jhA) Worksheet
job safety Analysis Worksheet
Title.of.Job/Operation.. _________________________________.Date..___________.No...___________
Position/Title(s).of.Person(s).Who.Does.Job..___________ .Name.of.Employee.Observed.. _________
__________________________________________________ .Analysis.Made.By.. _____________
Department..__________________________________________ .. . ______________
Section.._____________________________________________ .Analysis.Approved.By..____________
Potential Accidents
or hazards
recommended safe
job Procedures
sequence of Basic job steps
. 1.. Struck-By.(SB)
. 2.. Struck-Against.(SA)
. 3.. Contacted-By.(CB)
. 4.. Contact-With.(CW)
. 5.. Caught-On.(CO)
. 6.. Caught-In.(CI)
. 7.. Caught-Between.(CBT)
. 8.. Fall-Same-Level.(FS)
. 9.. Fall-To-Below.(FB)
.10.. Overexertion.(OE)
.11.. Exposure.(E)
Source:
. Courtesy.of.Mine.Safety.and.Health.Administration.
