Job Safety Analysis

Prepared By :	[Your Name]
Company Name :	[Your Company Name]
Company Address:	[Your Company Address]
Date:	[Date]

I. Executive Summary

This Job Safety Analysis (JSA) Report aims to identify potential workplace hazards and propose mitigation strategies to ensure a safe working environment at [YOUR COMPANY NAME]. By systematically dissecting job tasks, we evaluate associated risks and implement effective controls to reduce the likelihood of accidents.

II. Task Description

A. Task Title: Operating Heavy Machinery

B. Task Description

The task being analyzed is operating heavy machinery, specifically using a forklift to move heavy loads around the warehouse.
Specific steps include inspecting the forklift, loading/unloading materials, and navigating through aisles.

III. Potential Hazards

Hazard Identification	Potential Impact	Severity (1-5)
Slippery surfaces due to spilled liquids	Minor to moderate injuries due to slips/falls	3
Collisions with other equipment or personnel	Moderate to severe injuries or equipment damage	4
Overturning of the forklift	Risk of serious injury or fatality	5

IV. Risk Control Measures

A. Engineering Controls

Installation of anti-slip mats in high-risk areas to reduce the risk of slips and falls.
Implementing traffic control measures such as designated pathways and signage to prevent collisions.

B. Administrative Controls

Conducting regular safety inspections of forklifts to identify and address potential issues.
Enforcing speed limits and safe driving practices through policies and training.

C. Personal Protective Equipment (PPE)

Providing hard hats and high-visibility vests to operators to increase visibility and protect against head injuries.
Issuing safety goggles to protect operators' eyes from debris and other hazards.

V. JSA Review and Approval

A. Review Team

Safety Officer: [Your Name]
Warehouse Manager: [Warehouse Manager]

B. Review Date

Review Date: May 25, 2055

C. Approval Signatures

Name	Role	Signature	Date
[Your Name]	Safety Officer	[Signature]	05/25/55
[Warehouse Manager]	Warehouse Manager	[Signature]	05/25/55

VI. JSA Implementation

A. Training

New operators must complete a forklift safety training course to learn proper operating procedures and hazard recognition.
Annual refresher training will be provided to all operators to reinforce safety protocols.

B. Communication

Safety meetings will be held monthly to discuss JSA findings and updates, providing an opportunity for feedback and discussion.
Posters illustrating safe forklift operation will be displayed in key areas as visual reminders of best practices.

C. Monitoring and Evaluation

Monthly inspections of forklifts will be conducted by supervisors to ensure equipment is well-maintained and safe to operate.
Incidents involving forklifts will be investigated and reported immediately to identify root causes and prevent future occurrences.

VII. Conclusion

This JSA aims to enhance safety awareness and minimize workplace hazards for [Your Company Name] employees. By following the outlined procedures and controls, we strive to create a safer work environment for all.