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Job Safety Analysis Template 2019

The document provides a safety analysis for a job. It details the personal protective equipment and tools that will be used, as well as potential hazards such as falls, strikes, or contact with chemicals. It also lists preventive measures such as using electrical equipment in good condition, keeping work areas demarcated, and using safety harnesses for work at heights.

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0% found this document useful (0 votes)
16 views4 pages

Job Safety Analysis Template 2019

The document provides a safety analysis for a job. It details the personal protective equipment and tools that will be used, as well as potential hazards such as falls, strikes, or contact with chemicals. It also lists preventive measures such as using electrical equipment in good condition, keeping work areas demarcated, and using safety harnesses for work at heights.

Translated by

ScribdTranslations
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

AST-02

JOB SAFETY ANALYSIS ELAB: OCT-


2019
COMPANY: WORKPLACE:
FECHA: UNTIL: RESPONSIBLE SUPERVISOR FOR STAFF:

PERSONAL PROTECTIVE EQUIPMENT TO BE USED (Mark with an X, if applicable)


Safety Helmet Welder gloves Hyflex Gloves Clear Lenses Legionary Safety Harness
Shoes PVC gloves Earplugs Dark Glasses Work Clothes Arnes Caves
Kid Leather Gloves Nitrile Gloves Reflective Vest Sunscreen 3M mask
Another:
Welding Mask Rain Suit Boots Mask with Respiratory Protection Facial Mask

EQUIPMENT OR TOOL TO BE USED (Mark with an X, if applicable)


Welding Machine Hand Tools (Wrenches, pliers, screwdriver, etc) Pump Press
Angular Grinder Pipe Cutter Eyelash curler Tow Truck
Pedestal Grinder Folder Spot Welder Forklift
Manual Drill Guillotine Mechanical Lathe Little basket
Pillar Drill Roller Cutting table (Plasma Crane and/or Bridge Crane
Stairs Scaffolding Rotosphere Another:

TASK DESCRIPTION

WORK TO BE DONE POTENTIAL OR EXISTING HAZARDS (Mark with an X, if applicable)


Hot Work Falls at the Same Level Overturning
Work at Heights Falls Different Level Particle Projection
Work in Confined Space Material Fall Fires
Work with machines and/or tools with
Hits Contact with Chemical Substances
Moving Parts
Work on Energized Equipment Cortes Asphyxia
Lifting Works Entanglement and/or Crushing Exposure to Noise
Electrical Contact Exposure to UV Radiation
Suspended Load
Another:
Runovers Others (Specify)
Shocks

PREVENTIVE MEASURES TO CONSIDER (Mark with an X, if applicable)

WORK WITH MACHINES AND/OR TOOLS WITH PARTS IN


Lifting Works HOT WORK
MOVEMENT
Maintain a defined work area (Tape of
Use electrical plugs, cables, and/or extension cords in good condition Keep PQS fire extinguisher in the workplace
hazards and/or safety cones
Do not stand under suspended loads Machines and tools with their safety protections Use of screens to control particle projection
Check that the lifting accessories are available Do not wear jewelry, loose clothing, or loose hair while using machines and/or
in good condition
Remove any combustible materials from the workplace.
electric tools
Check that the lifting accessories are
suitable for the weight and material to be lifted Having the appropriate PPE in good condition Having the appropriate PPE in good condition
Check the correct installation of the accessories of Do not handle immediately, freshly cut materials or
Verify the proper operation of the machines and/or tools
lifting soldiers (Hot surfaces)
Be alert to any unfavorable movement Keep the work area marked (Hazard tape and/or
Keep a distance from the critical point of the machines and/or tools
of the load during its lifting and final positioning safety cones
In case of carrying out repair work, do not proceed
Never leave machines and/or tools running if you are not using them. no hot work until verified with the client, that the
Do not place hands or feet under load
using the deposit is without any product that can
react with heat (Explosion)
Maintain a designated work area (hazard tape and/or cones)
security)
To carry out maintenance or inspections of machine operation,
Another: equipment and/or tools, disconnect from the power supply (place card of Another:
block
Do not work on wet surfaces or floors
Another:
WORK AT HEIGHT WORK IN CONFINED SPACE WORK WITH TRUCKS, VEHICLES AND/OR CRANES
Honk every time you are about to reverse or move a vehicle.
Use of Safety Harness with 2 Lifelines Check that the storage is clean and ventilated.
(As a warning to the rest of the staff)
Stay anchored to a point at all times.
Check the existing air intakes Respect established speed limits on the plant (20Km/H)
insurance
Keep tools in buckets and machines Measure %O2 before entering (<19.5 >23.5 Not allowed) Never cross, pass in front of or behind a vehicle in
tied enter) movement
Check that the scales and/or scaffolding are During the work, permanently monitor the % of Oxygen of
Always be visible to the driver and/or operator
find in good condition interior
Always position scales and/or scaffolding on The worker must be monitored at all times by another person from the
Use of Reflective Vest
leveled land exterior
Check the good condition of the scaffold wheels
mobile (place safety devices)
Take work breaks every once in a while (go outside) Keep the turn signals on
Always use 3 points of support to climb or If necessary, install ventilation or artificial extraction systems In the case of cranes, crane trucks, forklift, alarm of
to lower (as appropriate) reverse in operation and beacon on
Check that the scaffolding is in good condition.
You must enter or exit the confined space with your hands free. Transit through places free of obstacles
state, with all its pieces
Maintain a designated work area (Tape of
danger and/or safety cones Before making any movement, identify the possible dangers.
Never go up or down by ladder and/or scaffolding with the on the way (Pedestrians, parked vehicles, in motion, etc)
busy hands Another:
Having the appropriate PPE and in good condition
Another:
Another:

ACKNOWLEDGMENT RECORD
NAME RUT SIGNATURE SIGNATURE SUPERVISOR RESPONSIBLE (Contractor)

PLANT MANAGER SIGNATURE

RISK PREVENTION FIRM


AST-02
SAFE WORK ANALYSIS ELAB: OCT-
2019
COMPANY: WORKPLACE:
DATE: TO RESPONSIBLE SUPERVISOR OF STAFF:

PERSONAL PROTECTIVE EQUIPMENT TO BE USED (Mark with an X if applicable)


Safety Helmet Welding gloves Hyflex gloves Clear Lenses Legionary Safety Harness
Shoes PVC gloves Earplugs Dark Glasses Work Clothes Arnes Tails
Kid Leather Gloves Nitrile Gloves Reflective Vest Sunscreen 3M mask
Another:
Welding Helmet Water Suit Boots Mask with Respiratory Protection Facial Mask

EQUIPMENT OR TOOL TO BE USED (Mark with an X, if applicable)


Welding Machine Hand Tools (wrenches, pliers, screwdriver, etc.) Pump Press
Angular Grinder Pipe Cutter Eyelash curler Crane Truck
Pedestal Grinder Folder Spot Welder Forklift
Manual Drill Guillotine Mechanical Lathe small basket
Pillar Drill Cylindrical grinder Cutting table (Plasma) Crane Hook and/or Bridge Crane
Stairs Scaffolding Rotosphere Another:

TASK DESCRIPTION

WORK TO BE DONE POTENTIAL OR EXISTING HAZARDS (Mark with an X, if applicable)


Hot Work Falls at the Same Level Tipping
Working at Heights Falls Different Level Particle Projection
Confined Space Work Material Fall Fires
Jobs with machines and/or tools with
Hits Contact with Chemicals
Moving Parts
Work on Energized Equipment Courts Asphyxia
Lifting Works Catching and/or Crushing Exposure to Noise
Electrical Contact Exposure to UV Radiation
Suspended Load
Another:
Runovers Others (Specify)
Shocks

PREVENTIVE MEASURES TO CONSIDER (Check with an X, if applicable)

WORK WITH MACHINES AND/OR TOOLS WITH PARTS IN


LIFTING WORKS Hot works
MOVEMENT
Keep the work area marked (Tape of
Use electrical plugs, cables, and/or extensions in good condition Keep PQS fire extinguisher in the workplace
hazards and/or safety cones
Do not place yourself under suspended load Machines and tools with their safety protections Use of screens to control the projection of particles
Check that the lifting accessories are present Do not wear jewelry, loose clothing, or loose hair when using machines and/or
Remove any combustible material from the workplace
in good condition power tools
Check that the lifting accessories are
suitable for the weight and material to be lifted Have the appropriate PPE and in good condition Have the appropriate PPE in good condition
Review the correct installation of the accessories of Do not manipulate immediately, freshly cut materials or
Verify the proper functioning of the machines and/or tools
lifting soldiers (Hot surfaces)
Be alert to any unfavorable movement Keep the work area marked (Danger tape and/or
Maintain distance from the critical point of the machines and/or tools
of the load during its lifting and final positioning safety cones
In case of carrying out repair work, do not perform
Never leave machines and/or tools running if you are not using them. no hot work, until verified with the client, that the
Do not place hands or feet under load
using the deposit is without any product that can
react with heat (Explosion)
Keep the work area marked (Hazard tape and/or cones)
security)
To carry out maintenance or checks on the functioning of machines,
Another: equipment and/or tools, disconnect from the power supply (place card of Another:
block
Do not work on wet surfaces or floors
Other:

WORK AT HEIGHT CONFINED SPACE WORK WORK WITH TRUCKS, VEHICLES AND/OR CRANES
Honk the horn every time you are about to reverse or move any vehicle.
Use of Safety Harness with 2 Lifelines Verify that the deposit is clean and ventilated
(As a warning for the rest of the staff)
Stay anchored to a point at all times.
Check the existing air intakes Respect established speed limits on site (20Km/H)
sure
Keep tools in buckets and machines Measure %O2 before entry (<19.5 >23.5 Not allowed) Never cross, pass in front of or behind a vehicle in
tied up. enter movement
Check that the scales and/or scaffolding are During the work, continuously monitor the % of Oxygen of
Always be visible to the driver and/or operator
find in good condition interior
Always position ladders and/or scaffolding on Trabajador debe ser vigilado en todo momento, por otra persona desde el
Use of Reflective Vest
leveled land exterior
Check the good condition of the scaffold wheels
Take work breaks every so often (go outside) Keep the turn signals on
mobile (put on locks)
Always use 3 points of support to ascend or If necessary, install ventilation or artificial extraction systems. In the case of cranes, tow trucks, forklifts, alarm of
download (as appropriate) reverse operation and beacon lit
Check that the scaffolding is in good condition.
You must enter or exit the confined space with your hands free. Transit through obstacle-free places
state, with all its pieces
Maintain a defined work area (Tape of
danger and/or security cones Before making any move, identify the potential dangers
Never go up or down a ladder and/or scaffold with the on the road (Pedestrians, parked vehicles, in motion, etc)
busy hands Another:
Having the appropriate PPE in good condition
Otro:
Another:

RECORD OF ACKNOWLEDGMENT
NAME RUT SIGNATURE SIGNATURE SUPERVISOR RESPONSIBLE (Contractor)

SIGNATURE OF PLANT MANAGER

RISK PREVENTION FIRM

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