JOB TITLE: Facility Maintenance JSA No. DATE: 3/8/16 NEW JOB SAFETY ANALYSIS ____________ REVISED Page 1 of 1 ORGANIZATION: Agency SUPERVISOR: ANALYSIS PERFOMED BY: Safety Manager Loading Dock DEPARTMENT: REVIEWED BY: Supervisor LOCATION: Maintenance SEQUENCE OF BASIC JOB POTENTIAL HAZARDS RECOMMENDED ACTION OR PROCEDURE STEPS Using the pallet jack, deliver All employees using pallet jacks formally trained. Lower back, arm, and shoulder pallet to storage room. Safe pallet jack handling techniques must be used. strain from pulling. Safety toed and slip resistant shoes must be worn while Pinched toes under pallet jack. operating pallet jack. Slip, trip, fall. Use cut resistant gloves when using a knife. Remove plastic wrapping from Cuts or punctures. pallets of paper boxes with a box Always keep guide hand placement away from motion of knife Lacerations. cutter. and cut away from your body. Utilize proper lifting technique. (Reference handout) Paper boxes are lifted onto cart Lower back, arm, and shoulder for transport. strain from lifting. Lift within power zone. (Reference handout) Slip, trip, fall. Use a rolling ladder to assess top layers. Team lift when help is available. Lower back, arm, and shoulder Carts are pushed into elevator Inspect and maintain carts. strain from pushing. and brought to each floors Always push and do not pull. supply closet. Slip, trip, fall. Maintain safe operating speed. Utilize a spotter to assist. Paper boxes are lifted from cart Utilize proper lifting technique. (Reference handout) Lower back, arm, and shoulder to the supply closet. strain. Lift within power zone. (Reference handout) Slip, trip, fall. Team lift when help is available.
JOB SAFETY ANALYSIS JOB TITLE: Facility Maintenance JSA No. ____________ Page 1 of 1 DATE: 3/8/16 NEW REVISED ORGANIZATION: Agency SUPERVISOR: ANALYSIS PERFOMED BY: Safety Manager LOCATION: Loading Dock DEPARTMENT: Maintenance REVIEWED BY: Supervisor SEQUENCE OF BASIC JOB STEPS POTENTIAL HAZARDS RECOMMENDED ACTION OR PROCEDURE Using the pallet jack, deliver pallet to storage room. Lower back, arm, and shoulder strain from pulling. Pinched toes under pallet jack. Slip, trip, fall. All employees using pallet jacks formally trained. Safe pallet jack handling techniques must be used. Safety toed and slip resistant shoes must be worn while operating pallet jack. Remove plastic wrapping from pallets of paper boxes with a box cutter. Cuts or punctures. Lacerations. Use cut resistant gloves when using a knife. Always keep guide hand placement away from motion of knife and cut away from your body. Paper boxes are lifted onto cart for transport. Lower back, arm, and shoulder strain from lifting. Slip, trip, fall. Utilize proper lifting technique. (Reference handout) Lift within power zone. (Reference handout) Use a rolling ladder to assess top layers. Team lift when help is available. Carts are pushed into elevator and brought to each floors supply closet. Lower back, arm, and shoulder strain from pushing. Slip, trip, fall. Inspect and maintain carts. Always push and do not pull. Maintain safe operating speed. Utilize a spotter to assist. Paper boxes are lifted from cart to the supply closet. Lower back, arm, and shoulder strain. Slip, trip, fall. Utilize proper lifting technique. (Reference handout) Lift within power zone. (Reference handout) Team lift when help is available.
Guide_for_a_Job_Safety_Analysis.docx