JOB SAFETY ANALYSIS Work Activity (JOB):
Date:
Work Team (Contractor) for: Safety Equipment required to do this Job Hard Hats Barricades Safety Harness Safety Glasses Lock Out/Tag Out Goggles Lanyard–Self Retracting Rescue Equipment RF Protection Measures Other Equipment:
Sequence of Basic Job Steps
Potential Accidents or Hazards
Recommendation to Eliminate or Reduce Potential Hazards
Work Vests Safety Shoes Fire Extinguisher Face Shield Gloves Full Body Harness Split Lanyard Positioning Device System Work Permit Required