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Job Safety Analysis Form Template

This OSHA form was created using Lumiform and can be used as a guide or protocol for security planning, listing the work processes performed. Identify the hazards associated with the task and work out the consequences or negative results if these risks are not addressed. Next, define preventive measures and controls to reduce, control or eliminate the hazards. Write a justification to justify better action plans to be taken. Use Lumiform to compile JSA protocols for better security planning.
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Job Safety Analysis Form Template

Audit

Job Title

Task, Hazards and Controls

Click "+" to add a task

Task description

Type of Hazard

Description of Hazard

Consequence

Hazard control

Further Comments?

Completion

Name and Signature of Inspector

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