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Document Title: Job Hazard Analysis
JOB HAZARD
ANALYSIS
WORK TO BE ACCOMPLISHED
No.
1.
Potential Hazards
Misunderstand lead to accident in
working area.
2.
Slip or Fall.
Clearance of area.
Arrange all tool box and parts in
proper manner.
Barricade working area.
Note: If the sequence of the work plan cant be followed, Stop Work, contact FS Coordinator, FS EHS Department, FS Area Owner and / or FS System Owner to Revise the work plan.
The work plan should be always attached with SIPP.
Signature of Supervisor: _____________________________(I understand and agree that the above proposed work activities will be accomplished in a safe condition with control measures
agreed above without compromising the work sequence been stated here.) Name : _________________________ Date : __________________
WORK TO BE ACCOMPLISHED
No.
JOB HAZARD
ANALYSIS
Potential Hazards
Note: If the sequence of the work plan cant be followed, Stop Work, contact FS Coordinator, FS EHS Department, FS Area Owner and / or FS System Owner to Revise the work plan.
The work plan should be always attached with SIPP.
3.
Sharp objects
Injury to person using tools.
Power tools also can cause injury.
Signature of Supervisor: _____________________________(I understand and agree that the above proposed work activities will be accomplished in a safe condition with control measures
agreed above without compromising the work sequence been stated here.) Name : _________________________ Date : __________________
Note: If the sequence of the work plan cant be followed, Stop Work, contact FS Coordinator, FS EHS Department, FS Area Owner and / or FS System Owner to Revise the work plan.
The work plan should be always attached with SIPP.
WORK TO BE ACCOMPLISHED
No.
4.
Potential Hazards
Fall of object.
5.
Slip or Fall.
Signature of Supervisor: _____________________________(I understand and agree that the above proposed work activities will be accomplished in a safe condition with control measures
agreed above without compromising the work sequence been stated here.) Name : _________________________ Date : __________________
Note: If the sequence of the work plan cant be followed, Stop Work, contact FS Coordinator, FS EHS Department, FS Area Owner and / or FS System Owner to Revise the work plan.
The work plan should be always attached with SIPP.