JSA – Jobsite Safety Analysis

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Crew Lead
Crewmen
Job Type
Hazard Risk Analysis
NASlightModerateElevatedSevere
Slip
NA
Slight
Moderate
Elevated
Severe
Trip
NA
Slight
Moderate
Elevated
Severe
Fall
NA
Slight
Moderate
Elevated
Severe
Cut/Laceration
NA
Slight
Moderate
Elevated
Severe
Puncture
NA
Slight
Moderate
Elevated
Severe
Silica/Dust
NA
Slight
Moderate
Elevated
Severe
Electrocution
NA
Slight
Moderate
Elevated
Severe
Eye Injury
NA
Slight
Moderate
Elevated
Severe
Hearing Loss
NA
Slight
Moderate
Elevated
Severe
Flying/Falling Debris
NA
Slight
Moderate
Elevated
Severe
Suffocation
NA
Slight
Moderate
Elevated
Severe
Entrapment (Cave In)
NA
Slight
Moderate
Elevated
Severe
Explosion/Flame
NA
Slight
Moderate
Elevated
Severe
Corrosive Materials
NA
Slight
Moderate
Elevated
Severe
Classify hazards for this project/job

Environmental Factors

Select all the applicable environmental factors

Weather
Terrain
Soil Classification
Please choose the classification of the soil type. Please contact Chris if you need further training related to Soil Classification

Required PPE

List the required Personal Protective Equiptment to be used on this project.

Personal Protective Equiptment
Personal Preventative Equiptment

Substance Hazards

Most of the materials we use are not hazardous, but some materials may, if used incorrectly or without proper training, have potential to cause harm to employees, the public, plants, and/or animals.

Materials Used Or Encountered (Danger)
Materials Used Or Encountered (Warning)
Materials Used Or Encountered (Other)

Fire Hazards

This will list some possible health hazards associated with products used or encountered.

Oxidizing (Danger)

View SDS for details

Flammable liquid or vapor (Warning)

View SDS for details

Oxidizing (Warning)

View SDS for details

Explosive (Warning)

View SDS for details

Contents under pressure (Warning)

View SDS for details

Health Hazards

This will list some possible health hazards associated with products used or encountered.

Environmental Hazards

This will list some possible Environmental Hazards associated with products used or encountered.

Tool Safety and Usage

Most of the materials we use are not hazardous, but some materials may, if used incorrectly or without proper training, have potential to cause harm to employees, the public, plants, and/or animals.

Select All The Power Tools To Be Used
Select All the Simple Tools To Be Used
Select All the Mechanical Tools To Be Used
Stretch and Flex Session
By Completing this item you acknowledge that you completed a full Stretch and Flex -=> As A Crew! <=-
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