Job Safety Analysis Form (Jsa)
ADVERTISEMENT
1
2Job Safety Analysis (JSA)
Name: ______________________________________ Date: __________________________________
Multiple Choice (circle the correct answer):
1.
Hazard analysis is:
a.
A system used for labeling hazardous chemicals
b. The analysis of risks present in a particular environment
c.
The analysis of causal factors involved with an incident
d. All of the above
2.
The goal of job safety analysis is to proactively ________________.
a.
Identify workplace hazards
b. Eliminate workplace hazards
c.
Reduce/control workplace hazards
d. All of the above
3.
Employees from ____________ should be involved in hazard/job safety analysis:
a.
Management
b. Front-line/operations
c.
Maintenance
d. All of the above
True or False:
4.
__________
Job safety analysis should focus on both routine and non-routine tasks.
5.
__________
Incident data (near miss, injuries, etc.) may be used to prioritize job safety analysis efforts.
6.
__________
An example of a “fall from the save level” hazard would be a missing railing on an overhead storage
platform.
7.
__________
The hierarchy of controls is a methodology for addressing workplace hazards/exposure.
8.
__________
The hierarchy of controls supports the use of personal protective equipment as the preferred method for
dealing with workplace hazards.
9.
__________
Completed Job safety analysis forms should be reviewed with employees on a consistent basis.
10. __________
When performing job safety analysis, persons with knowledge of the job being analyzed should not be
involved.
Progressive Safety Services LLC
Revised: 9/22/14
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business