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Job Safety Analysis <br /> Side Shields <br /> ❑ <br /> Danger/Red ❑ Welding hood <br /> ❑ Taken down at the ❑ Burning Goggles <br /> end of shift Other <br /> Pre-Job Preparation Safety Access/Location Employee Authorization to STOP Work <br /> 1. Get Permit for Job Mobilization/Demobilization: I have been given authorization,without fear of reprimand or retaliation,to immediately <br /> 2. Fill out JSA STOP any work activity that presents a danger to me,my co-worker or the public;get <br /> 3. Review JSA(EVERYONE) Wind Direction: involved,question and rectify any situation that is identified as not being in compliance <br /> 4. Sign JSA(EVERYONE) with our safety and health policies;to report any unsafe conditions or acts to supervision <br /> Evacuation Route: and question any activity that involves violation of established Safety and Health policies. <br /> Assembly Point: <br /> Job Tasks: (What are you doing?) Potential Hazards: Recommended Action or Procedure to <br /> eliminate/mitigate Hazards <br /> Mobilization/Demobilization Slips,Trips, Falls . Clear walkways,work areas of equipment,tools,debris, <br /> excavated material <br /> • Mark, identify,or barricade other obstructions <br /> Mobilization/Demobilization Struck by/Against Heavy Equipment, Flying Debris, . Isolate equipment swing areas and lift zones <br /> Protruding Objects . Make eye contact with operators before approaching <br /> equipment <br /> • Barricade or enclose the work area <br /> • Restrict entry to the work area to authorized personnel <br /> during paving activities <br /> • Wear hard hats,safety glasses with side shields and <br /> steel-toe safety boots at all times <br /> • Understand and review hand signals <br /> Mobilization/Demobilization Eye Injuries • Wear face shield, goggles when operating powered <br /> clearing grubbing equipment <br />