Professional Documents
Culture Documents
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Standard
Non-standard
Date:
Plant:
Type of JSA.
Equipment:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Responsibility
Mobilization,
preparation and
handling of tools
Excavation of soil
Backfilling &
compaction
Unsafe conditions
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all measures in
job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature: