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Job Safety Analysis: Permit Type: Permit No

This Job Safety Analysis document outlines the main hazards, personal protective equipment requirements, and special tools needed for a specific job. It is to be completed by the permit issuer, reviewed by the permit executor, and approved by the Safety Officer before a Safe Work Permit is issued. The document identifies potential hazards such as noise, fire/explosion, slipping, abrasion, and more. It also lists required protective gear including ear plugs/muffs, fire suits, safety harnesses, respirators, gloves, and boots. Finally, it specifies special tools for safely performing the job like wrenches, torque wrenches, impact wrenches, and hammers.

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shubhansh10101998
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44 views1 page

Job Safety Analysis: Permit Type: Permit No

This Job Safety Analysis document outlines the main hazards, personal protective equipment requirements, and special tools needed for a specific job. It is to be completed by the permit issuer, reviewed by the permit executor, and approved by the Safety Officer before a Safe Work Permit is issued. The document identifies potential hazards such as noise, fire/explosion, slipping, abrasion, and more. It also lists required protective gear including ear plugs/muffs, fire suits, safety harnesses, respirators, gloves, and boots. Finally, it specifies special tools for safely performing the job like wrenches, torque wrenches, impact wrenches, and hammers.

Uploaded by

shubhansh10101998
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Following are the main hazards as perceived by the Team.

This JSA to be carried out before issuing Safe Work Permit. JSA to be conducted by permit issuer, reviewed by
permit executor and approved by Safety Officer.
 Noise  Fire & Explosion  Slip & Trip  Abrasion
 Vibration  Electrical shock  Fall  High pressure
 Heat / Temperature  Exposure to harmful gases/Liquids  Struck by  Poor lighting
 Dust  Sprain  Cut or laceration  Access & egress

JOB SAFETY ANALYSIS


Total Sheets:
Department: Section: Date:
Job: Title of the person who does the
JSA conducted by:
job:
Reviewed by:
Permit type: Permit No:
Approved by:
JOB STEPS POTENTIAL HAZARDS RECOMMENDED PRECAUTIONS

Following PPE are required for this job: Permit Issuer to highlight the applicable PPE with
1 a highlighter
 Ear Plug / Ear Muff  Fire / proximity suit  Full body double lanyard harness  Leather gloves
 Ant vibration gloves  Electrical safety shoes  Fall arrestor  Cryogenic gloves
 Kevlar gloves  Cartridge type respirator  Face shield  Steel toe gumboot
 Half face piece respirator  SCBA  Cut resistant gloves  PVC / rubber hand gloves
Following special tools are required to safely perform this job:
 Ring spanners  Non-sparking tools  Torque wrench  Brass / wooden bar to hammer
 Pipe wrench  Box spanner set  Impact wrench  Heavy duty hammer

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