Job Safety Analysis Sheet: Facility
Job Safety Analysis Sheet: Facility
PERSONAL PROTECTIVE EQUIPMENT & TOOLS: Hard Hat, Safety Shoes, Face Shield, Safety Goggles, Hand Gloves, Coverall,
Respiratory Protection
SEQUENCE OF Yes /
POTENTIAL HAZARDS PRECAUTIONS
BASIC JOB STEPS No
- Elevated loads Use forklift to raise hangers to ceiling, mark area under
- Elevated work platform or stairs platform. Tie hanger to platform to prevent dropping. Do
2. Install Hangers - Hand tools not store hangers on platform.
- Lifting equipment (forklifts,
hoists)
- Elevated loads Mark area under platform, keep personnel out of area,
- Elevated work platform or stairs falling object hazard. Locate tools and power cord to
3. Drill Hole for
- Hand tools minimize tripping hazard. Gloves and eye protection
Hanger
- Power tools (electric, gas,
required.
hydraulic, pneumatic)
- Elevated loads
- Elevated work platform or stairs Lift pipe with forklift. Block area under pipe from foot
4. Place Conduit - Hand tools Traffic. Tie pipe to lift until hangers are tight.
- Lifting equipment (forklifts,
hoists)
Additional Hazards
(Other than indicated
above)
Name: Designation:
KOC / ID. No. Company:
JSA Done By
Controlling Team: Contract No.(If Applicable):
Signature: Date: