08b Supbook JSA

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YANSAB JOB SAFETY ANALYSIS

Company : __________________________________ ❑ General Work Permit ❑ MSDS

Date : __________________________________ ❑ Special Work Permit ❑ Lock-out Tag

Supervisor : __________________________________ ❑ Confined Space Entry ❑ Emergency Response Plan

Work Area __________________________________ ❑ Hole/Fire Watch

Recommended Safe Job


Work Description Craft(s) Involved Basic Job Steps Risk S.R. Procedure
❑ Civil ❑ Civil

❑ Electrical ❑ Equipment Operators

❑ Equipment Installation ❑ Electrical

❑ Excavations ❑ Instrumentation

❑ Chemicals ❑ Insulation

❑ Instrumentation ❑ Mechanical

❑ Insulation ❑ Painters

❑ Lifts ❑ Riggers

❑ Piping ❑ Scaffolding

❑ Rigging ❑ Welding

❑ Scaffolding ❑
❑ Welding ❑
Required Personal Protective Equipment
❑ Hard Hat ❑ Fall Protection

❑ Safety Glasses ❑ Gloves

❑ Ear Protection ❑ Safety Shoes

❑ Sniffer ❑ Air Packs


Severity Rating (S.R.)
➊ First Aid/Property Damage – Not Probable;

➋ First aid/Minor Property Damage;

➌ Recordable Accident/Property Damage;

➍ Lost time Accident/Major Property Damage;

➎ Catastrophic Accident;

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