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Job Safety Manual Form Example

The job safety analysis document outlines potential hazards and safety measures for locksmith maintenance work. It identifies risks such as slips, trips, falls, sunburn, electrocution, working at heights, noise, vibration, dust, and back strain. The contractor is responsible for taking precautions like wearing protective footwear and clothing, using ladders safely, guarding tools, and lifting properly. The contractor must also sign a safe work agreement.

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Umer Farooque Aligarhian
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154 views1 page

Job Safety Manual Form Example

The job safety analysis document outlines potential hazards and safety measures for locksmith maintenance work. It identifies risks such as slips, trips, falls, sunburn, electrocution, working at heights, noise, vibration, dust, and back strain. The contractor is responsible for taking precautions like wearing protective footwear and clothing, using ladders safely, guarding tools, and lifting properly. The contractor must also sign a safe work agreement.

Uploaded by

Umer Farooque Aligarhian
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

 

JOB SAFETY ANALYSIS WORK SHEET


LOCKSMITH MAINTENANCE

ACTIVITY HAZARDS RISK CONTROL MEASURES RESPONSIBLE


General repairs Slips / Trips / Wear appropriate non-slip footwear Contractor
Falls and inspect area for trip hazards
before commencing cleaning.
Working outdoors Sunburn Sunhat / glasses / sunscreen / Contractor
protective clothing.
Repairing Equipment Electrocution Ensure all tools are appropriately Contractor
guarded and electrical appliances
are protected by means of a residual
current device. Ensure all extension
leads are in a safe condition with
plugs and connections properly
wired.
Working at height Working at Do not use ladder over 2m high. Use Contractor
height. cherry picker or scaffold. Establish
Electrical perimeter around area that is no-go
hazards area. Ensure there are no electrical
cables in the vicinity of area.
Using power tools Noise / Wear appropriate personal Contractor
Vibration / protective equipment. Ensure all
Dust / tools are appropriately guarded and
Electrical electrical appliances are protected
hazards. by means of a residual current
device. Ensure all extension leads
are in a safe condition with plugs
and connections.
Lifting / Moving Back strain Avoid sharp twisting movements and Contractor
objects do not over reach when using tools.
 
 
NOTE: It is recommended that every Contractor complete and sign the Solutions in Engineering  
“Contractors Safe Working Agreement” 

I have read the JSA Work Sheet and agree to comply with the guidelines as set out in the above
mentioned documentation.

Contractor:………………………………………………………………..

Signature:…………………………………….. Date:…………………...

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