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Instructions
Questions to Consider:
Describing the Hazard Scenarios
What can go wrong?
Where is it happening (environment)
What are the consequences?
Who or what it is happening to (exposure)
How could it arise?
What precipitates the hazard (trigger)
What are the other contributing factors
The outcome that would occur should it happen (consequence)
How likely is it that the hazard will occur?
Any other contributing factors (time of day, weather,)
Major Hazards
Hazard Controls
JSA Category Descriptions
Chemical (Toxic)
Engineering:
Sequence of Job Steps: Break the job down into steps. Each of the steps of a job should
Chemical (Flammable
• Eliminate/minimize or remove the
accomplish some major task. The task will consist of a set of movements. Look at the first
Chemical (Corrosive)
hazard
set of movements used to perform a task, and then determine the next logical set of
Chemical (Reaction)
movements. For example the job might be to move a box from a conveyor in the receiving
• Enclosure of the hazard
Explosion (Over
area to a shelf in the storage area. How does that break down into job steps? Picking up the
• Isolation of the hazards (guards,
Pressurization)
box from the conveyor and putting it on a hand-truck is one logical set of movements, so it
shields etc)
Electrical (Shock/ Short
is one job step. Everything related to that one logical set of movements is part of that job
• Removal or redirection of the hazard
Circuit)
step. Be sure to list all the steps in a job. Some steps might not be done each time but, that
Electrical (Fire)
task is a part of the job as a whole, and should be listed and analyzed.
Electrical (Static/ESD)
Administrative:
Potential Hazards: Identify the hazards associated with each step. Examine each step to find
Electrical (Loss of Power)
• Written operating procedures, work
and identify hazardous actions, conditions and possibilities that could lead to an accident.
Ergonomics (Strain)
It's also important to look at the entire environment and discover every conceivable hazard
permits and safe work practices
Ergonomics (Human Error)
• Exposure time limitations
that might exist. Be sure to list health hazards as well even though the harmful effect may
Excavation (Collapse)
not be immediate. It's important to distinguish between a hazard, an accident and an
(temperature/noise)
Fall (Slip, Trip)
injury. Each of these terms has a specific meaning: HAZARD-A potential danger. Oil on the
• Monitoring the use of highly
Fire/Heat
floor is a hazard. ACCIDENT-An unintended happening that may result in injury, loss or
hazardous materials
Mechanical/ Vibration
damage. Slipping on the oil is an accident. INJURY-The result of an accident. A sprained wrist
• Alarms signs and warnings
(Chaffing/Fatigue)
from the fall would be an injury. Some people find it easier to identify possible accidents
• Buddy system
Mechanical Failure
and illnesses and work back from them to the hazards. If you do that, you can list the
• Advance training
Mechanical (General)
accident and illness types in parentheses following the hazard. But be sure you focus on the
Noise
hazard for developing recommended actions and safe work procedures.
Radiation (Ionizing)
Personal Protective Equipment
Recommended Action or Procedure: Using ·the first two columns as a guide. Decide what
Radiation (Non-Ionizing)
actions are necessary to eliminate or minimize the hazards that could lead to an accident,
Struck By (Mass
injury, or occupational illness. Among the actions that can be taken are: 1) engineering the
Acceleration)
hazard out; 2) providing personal protective equipment; 3) job instruction training; 4) good
Struck Against
housekeeping; and 5) good ergonomics. List recommended safe operating procedures on
Temperature (Heat/Cold)
the form, and also list required or recommended personal protective equipment for each
Visibility
step of the job. Be specific.
Weather
Revision Date: 08/07/2014
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