Job Safety Plan (JSP) – Pfizer Kalamazoo Project Name: Description of Work: (List major tasks/steps) Your Company: Your Sub-Contractors: Signs CM Contractor Project Contacts Prime Contractor: PPE Requirements JSP Prepared by: Noise Building: Overhead Work Floor/Area: Fall Protection Estimated Start Date: Open Excavation Estimated End Date: Other: Field Supervisor: Project Perimeter Controls Phone: N/A Walk Down Completed by: Temp Walls Estimated # of workers: Flame Retardant poly Date Submitted: Rigid/Fixed Barricades Jersey Barricades Fence Other: N/A Type of Activity Hazards/Items to address Controls / Plan / Details Yes Pfizer chemical Solvents Reviewed SDSs hazards in work Corrosives Special PPE: location Cephalosporin Other Antibiotics (potential for sensitivities) Other: Other Area Hazards Area noise above 85 dBA Energy sources in area, but not being worked on (coal lorry) Exposed high voltage buss bars Walkable ceiling/Troffers Vehicle Traffic Working around other trades Existing trip hazards Other: Chemicals / Products Flammables SDSs provided used for project Corrosives Engineering Controls: Coatings/Paints Required – Describe ventilation: Compressed gas cylinders Other: Administrative Controls:
Job Safety Plan (JSP) – Pfizer Kalamazoo Project Name: Description of Work: (List major tasks/steps) Your Company: Your Sub-Contractors: Prime Contractor: JSP Prepared by: Building: Floor/Area: Estimated Start Date: Estimated End Date: Field Supervisor: Phone: Walk Down Completed by: Estimated # of workers: Date Submitted: Signs CM Contractor Project Contacts PPE Requirements Noise Overhead Work Fall Protection Open Excavation Other: Project Perimeter Controls N/A Temp Walls Flame Retardant poly Rigid/Fixed Barricades Jersey Barricades Fence Other: Yes N/A Type of Activity Hazards/Items to address Controls / Plan / Details Pfizer chemical hazards in work location Solvents Corrosives Cephalosporin Other Antibiotics (potential for sensitivities) Other: Reviewed SDSs Special PPE: Other Area Hazards Area noise above 85 dBA Energy sources in area, but not being worked on (coal lorry) Exposed high voltage buss bars Walkable ceiling/Troffers Vehicle Traffic Working around other trades Existing trip hazards Other: Chemicals / Products used for project Flammables Corrosives Coatings/Paints Compressed gas cylinders Other: SDSs provided Engineering Controls: Required – Describe ventilation: Administrative Controls:
FINAL%20JSP%20template%20Rev1%20June%2029.docx