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    Blank Jsa

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    ammad
    This document is a Job Safety Analysis (JSA) form used to identify hazards and safety controls for a construction project. It requires information on the company, project details, work description, equipment, and materials. The main body includes a list of job steps and corresponding hazards and barriers or controls. The form must be prepared by the supervisor, approved by management, and reviewed by all workers before starting the project to ensure safety.

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    Blank Jsa

    Uploaded by

    ammad
    113 views1 page
    This document is a Job Safety Analysis (JSA) form used to identify hazards and safety controls for a construction project. It requires information on the company, project details, work description, equipment, and materials. The main body includes a list of job steps and corresponding hazards and barriers or controls. The form must be prepared by the supervisor, approved by management, and reviewed by all workers before starting the project to ensure safety.

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    This document is a Job Safety Analysis (JSA) form used to identify hazards and safety controls for a construction project. It requires information on the company, project details, work description, equipment, and materials. The main body includes a list of job steps and corresponding hazards and barriers or controls. The form must be prepared by the supervisor, approved by management, and reviewed by all workers before starting the project to ensure safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    113 views1 page

    Blank Jsa

    Uploaded by

    ammad
    This document is a Job Safety Analysis (JSA) form used to identify hazards and safety controls for a construction project. It requires information on the company, project details, work description, equipment, and materials. The main body includes a list of job steps and corresponding hazards and barriers or controls. The form must be prepared by the supervisor, approved by management, and reviewed by all workers before starting the project to ensure safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    JSA No.

    ________
    JSA Form
    Company _________________________________ Project __________________________________

    Contractor ________________________________ Supervisor in charge _______________________

    Work location _____________________________ Estimated start date/duration _______________

    Work description _____________________________________________________________________

    Trade groups (including sub-contractors) _________________________________________________

    Major equipment _____________________________________________________________________

    Reference material ____________________________________________________________________

    Job Steps Hazards Barriers or Controls

    Prepared by _______________________________________________________________________

    Approved by __________________________________ Date approved _____________________

    Instructions:
    1. To be prepared by the supervisor most directly involved in the work.
    2. Must be approved by preparer’s management supervisor.
    3. Must be reviewed by all workers involved in the work.
    4. Emergency plan must be considered.
    5. If the work plan changes and the JSA is amended, changes must be reviewed by all workers
    involved in the work.

    4 Introduction

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