The Job Safety Assessment Form is a critical workplace safety document required under U.S. OSHA regulations to ensure systematic hazard identification and risk control. This document should be completed before undertaking any new or modified task that could present potential safety risks. It includes detailed analysis of task steps, potential hazards, risk levels, and control measures. The form serves as both a practical tool for preventing workplace accidents and as documentation of the organization's due diligence in maintaining workplace safety standards.
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1. Job and Task Information: Basic details about the job/task being assessed, including location, date, and task description
2. Hazard Identification: Systematic listing of all potential hazards associated with the task
3. Risk Assessment Matrix: Evaluation of likelihood and severity of identified hazards
4. Control Measures: Specific actions and precautions to mitigate identified risks
5. PPE Requirements: List of required personal protective equipment for the task
6. Authorization: Signatures of assessor and responsible supervisor
1. Environmental Considerations: Environmental impact assessment section, used when task involves potential environmental risks or outdoor work/tasks involving chemicals/pollutants
2. Special Equipment Requirements: Details of specialized equipment needed, included for tasks requiring non-standard equipment
3. Emergency Procedures: Specific emergency response procedures, included for high-risk tasks or remote locations
1. Risk Assessment Matrix Guide: Standard reference guide for risk evaluation
2. PPE Selection Guide: Reference chart for appropriate PPE selection
3. Emergency Contact List: List of relevant emergency contacts and procedures
4. Relevant OSHA Standards: Applicable OSHA regulations for the specific task
5. Equipment Certification Records: Copies of relevant equipment certifications and inspections
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