General
Pre-Job Preparation
Detailed Sequence of Job Steps
Potential Risks and Preventive
Measures
Job Execution
100
The purpose of this procedure is to provide guidance on implementing a ____ _________ _________ program that will allow employees to take an active approach in their own safety and health. This involves the completion of one by the Supervisor/Foreman, named on the this form, and each member of the work crew for every job task undertaken.
What is Job Safety Analysis (JSA).
100
The checklist on the front page of the JSA, including the date, must be filled out _______ to starting a work activity.
What is prior.
100
The employees who will be performing the task will take the form to the work area where they will discuss the job task to be completed. As the employees discuss this, they will complete the first section on the second page of the JSA, the Detailed Sequence of Job Steps. One of several of the job steps is: What is the _____ we are about to do?
What is job.
100
The next steps in the JSA process are to analyze the job’s procedure and to ________ the surrounding areas and other work groups in the area in order to identify any potential risks that may be involved in completing the job task.
What is inspect.
100
The supervisor/foreman will randomly review the work in progress to ensure that the crew is following the _________________ made during the JSA’s completion.
What is recommendations.
200
Completing the JSA is _____________ for all jobs, with the exception of administrative work and non-field work, unless the jobsite is given a deviation by a Company officer.
What is mandatory.
200
The supervisor/foreman will review the work to be performed in order to assess the entire scope of the work activity and any _________ that may be involved.
What is hazards.
200
Another one of several of the Detailed Sequence of Job Steps is: What is the ______ for executing the task?
What is plan.
200
After the work crew has identified the potential risks associated with the job, a plan of __________ measures designed to minimize or eliminate each of the hazards must be developed.
What is preventive.
200
If additional _______ are identified, such as a change in job scope, site conditions, or any occurrence of a near miss, incident, work stoppage, or employee concerns are raised, they must be documented on the form, reviewed, and discussed with the work crew.
What is risks.
300
The completed JSA is to be __________ at the work location at all times while the task it covers is in progress.
What is posted.
300
The ___________ will be used to indicate any specific details related to that work activity, including work location, and applicable permits.
What is worksheet.
300
Another Detailed Sequence of the Job Steps is: What are the ___________ in the job?
What is hazards.
300
A _______ briefing / tool box talk will be completed once all the potential risks and preventive measures have been discovered, identified, and listed.
What is pre-job.
300
The person performing the ________ will indicate the time and initial the Job Execution section of the JSA.
What is audit.
400
Once the task has been completed, the JSA must be turned in to the supervisor and maintained at the jobsite for ____ year.
What is one.
400
True or False: The supervisor/foreman does not need to indicate any additional information that may be necessary for the crew to complete their job assignments successfully.
What is False.
400
Another Detailed Sequence of Job Steps is: What _______, tools, equipment, and materials do we need?
What is PPE.
400
Each member of the work crew must _____ the JSA indicating that they have reviewed and understood all aspects of the job, and agree to abide by the preventive measures listed.
What is sign.
400
True or False: The work area does not need to be left cleaner than it was found.
What is False.
500
In the event of an incident or accident, the JSA must be maintained as part of the ___________________.
What is investigation.
500
The completed worksheet is then _________ with all employees who will be involved with the job.
What is reviewed.
500
As a basic rule, anyone reading the Detailed Sequence of Job Steps should be able to get a good _________ picture of the job being done without actually seeing the work.
What is mental.
500
Any additional personnel _________ to the crew must review, and sign on to the JSA before beginning work.
What is added.
500
The closeout involves returning the completed JSA with the permit signed off as complete to the ______________.
What is supervisor.
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