JSA-工作安全分析模板

1、conductivity工作安全分析Job Safety Analysis (JSA)工作區(qū)域：Work Location: 公司：Company: 日期：Date: 工作/任務(wù)： Job/Task to Be Completed: 工作安全分析填寫人：JSA Completed By: 工作安全分析審核人：JSA Reviewed By: 工作的主要步驟Sequence ofBasic Steps造成風(fēng)險(xiǎn)的能量源Identify Energy Source(s)潛在事故或風(fēng)險(xiǎn)Potential Accidentsor Hazards消除/減小風(fēng)險(xiǎn)的方法Recommendation to El

2、iminate/Reduce Hazards1、工作計(jì)劃和安全會(huì)議Job planning& Tool box meeting.運(yùn)動(dòng)Motion不清楚現(xiàn)場(chǎng)程序（如：JSA，方法說(shuō)明）會(huì)導(dǎo)致團(tuán)隊(duì)處于危險(xiǎn)狀態(tài)之中。Unaware of CDB site procedures (i.e JSA,) may put the group in danger.1、CDB所有員工必須參加安全介紹，操作此項(xiàng)工作的人員必須參加相應(yīng)的培訓(xùn)；2、隨時(shí)隨地隨身細(xì)帶安全手冊(cè)；3、對(duì)指定的工作進(jìn)行具體詳細(xì)的工作安全分析；4、開(kāi)關(guān)前必須獲得該項(xiàng)工作的工作許可；5、開(kāi)始任何新工作前，討論并填寫工作安全分析。6、開(kāi)工前

3、對(duì)環(huán)境因素再次進(jìn)行識(shí)別，并與團(tuán)隊(duì)進(jìn)行分享。-CDB safety introduction for all employees. Specific training must be attended by personnel who will perform the job.-Always bring training passport at all times or at work place.-Use the specific JSA for given task.-Appropriate work permit must be obtained prior to operation.-D

4、iscuss and write the JSA prior to operation.-Before start working again for environmental factors, which can identify and share with the team.工器具準(zhǔn)備Prepare tools 運(yùn)動(dòng)Motion滑倒、絆倒Slips/ Trips注意觀察路面，相互提醒。Watch out the roads, and remind each other to be careful.潛在危險(xiǎn)或者相關(guān)危險(xiǎn) Potential or Associated Hazards濕滑的

5、工作或走道表面Slippery Working or Walking Surfaces 滑倒/絆倒/跌倒Slips/Trips/Falls 沒(méi)有覆蓋的坑洞Open Hole人工搬運(yùn)Manual Handling手/手指受傷Hand/Finger injuries 夾傷Pinch Points電動(dòng)/手動(dòng)工具Power/Hand Tools碎片/微粒Chips / Particles有害物質(zhì)Hazardous Substances化學(xué)品接觸Chemical Exposure硫化氫 Hydrogen Sulfide (H2S)砷Arsenic 苯Benzene水銀 Mercury (Hg) 有輻射性

6、的工作Radiation Work 環(huán)境影響Environmental Impact 圍堰損壞（溢漏/排放）Loss of Containment (spill/release)點(diǎn)火源Ignition Source火災(zāi)/爆炸Fire/Explosion電弧光/閃光Arc/Flash 機(jī)械/轉(zhuǎn)動(dòng)物件Machinery/Moving Objects 高空危險(xiǎn)Overhead Hazards起重方案Lifting Plan Required壓力 Pressure旁通關(guān)鍵的保護(hù)Critical protection bypass噪音區(qū)域Noisy Area 挖掘Excavations 有害氣體Haza

7、rdous Atmosphere受限空間Confined Space中暑 Heat Stress 熱表面Hot Surfaces冷表面 Cold Surfaces 昆蟲(chóng)/動(dòng)物攻擊Insect / Animal Attack 光線不足Inadequate Lighting交叉作業(yè) Simultaneous Operations (SIMOPS)高空作業(yè)Working at Height 單獨(dú)作業(yè)Working Alone 惡劣天氣Adverse Weather 額外的工人Additional Workers臨邊作業(yè)Over-the-Side Work 潛水作業(yè)Diving Operations

8、其它（特定）Others (specify)_危險(xiǎn)控制和應(yīng)急方案Hazard Controls & Emergency Plans工作許可 Work Permit 人工搬運(yùn)評(píng)估Manual Handling Assessment腳手架 Scaffolding個(gè)人保護(hù)設(shè)備PPE路障 Physical Barriers化學(xué)安全數(shù)據(jù)表MSDS 洗眼器Eyewash緊急噴淋Emergency Shower 溢漏控制計(jì)劃Spill Control Plan 通風(fēng)Ventilation 上鎖/掛牌Lockout/Tagout火源控制 Ignition Source Controls無(wú)火花工具 No

9、n Sparking Tool 索具審查Rigging Assessment 消防/應(yīng)急小組待命Fire Fighting/ERT Standby 連續(xù)性氣體測(cè)試Continuous Gas Testing緊急撤離計(jì)劃Emergency Evacuation Plan 臨時(shí)照明Temporary Lighting 工作程序Work Procedure 螺栓松開(kāi)程序 Hot Bolting Procedure伙伴機(jī)制Buddy System 其它（特定）Others _ 其它（特定）Others _所需安全設(shè)備PPE & Safety Equipment Required安全帽Hard

10、Hats安全鞋Safety Shoes安全眼鏡 Safety Glasses 防護(hù)面罩Face Shield 護(hù)目鏡 Goggles聽(tīng)力保護(hù)Hearing Protection合適的工具Proper Tools個(gè)人氣體檢測(cè)器 Personal Gas Monitor棉手套Cotton Gloves皮手套Leather Gloves 橡膠/化學(xué)品手套R(shí)ubber/Chemical Gloves警示帶Caution Tape 安全路障Safety Barricade無(wú)線電通信Radio Communication 防塵口罩Dust Mask 呼吸器 （過(guò)濾芯） Respirator (cartri

11、dge)供給式呼吸器 Airline BA自給式呼吸器 SCBA 化學(xué)圍裙Chemical Apron 聚乙烯外套Tyvek Suit 化學(xué)防護(hù)服Chemical Suit滅火器/消防軟管Fire Extinguisher / Fire Hose消防毯/阻燃布Fire Blankets / Retardant Tarps 全身式安全帶Full Body Harness 緩沖式雙系索Double Lanyard with Shock Absorber救生索 Life Line 安全電纜Safety Cable上鎖/掛牌裝置Lock Out / Tag Out Devices 防漏盤 Contai

12、nment Pans 吸附墊Adsorbent Pads 溢漏裝置Spill Kit 管塞Pipe Plug個(gè)人浮動(dòng)裝置 PFD 其它 other_評(píng)估小組成員（為實(shí)施這項(xiàng)工作，本人參與了工作安全分析，同意并確認(rèn)對(duì)所開(kāi)展工作采取的危險(xiǎn)控制方案是足夠的）Assessment Team Members(I participated in the JSA carried out for this work and agree/confirm the hazard controls are sufficient for the proposed work)名字/職位Name / Position簽字 /Signature日期/Date1)2) 3) 4) 工作主管和團(tuán)隊(duì)成員（我理解這項(xiàng)工作的要求，存在的危險(xiǎn)以及相關(guān)控制措施）Work Supervisor and Team Members(I understand the work required, the hazard and controls identified)名字/職位Name / Position簽字 /Signature日期/Date1) 2) 3) 4)