JOB SAFETY AND ENVIRONMENTAL ANALYSIS part1  
Area Location   Equipment Description  
   
  Work order #  
Task Description JSEA No  
     
Reviewed by Team Leader/Supervisor   Date  
 
Permit Required Tick Boxes Isolation Required  
     
Hot Work
Electrical
Chemicals
 
Confined Space
Mechanical
HighVoltage
 
Excvation/Penetration
Manual Valves
Hydraulic
 
Roof Or Chimney Access
 
Asbestos Removal
Waste Type If Waste Produced  
High Voltage
General
Liquid
 
Other
Prescribed
 
 
PPE Required Above Site Standard Equipment Required  
Oxy Cutting Goggles
Gloves
Barricading Signs
 
Chemical Goggles
Fall Arrest Equip
Electrical Leak Unit
 
Face Shield
Respirator
Fire Ext.
 
Dust Masks
Disposable Overalls
Lifting Equip
 
Heat Gear
Safety Glasses
Fans/Extract
 
Other:   Welding Screen
 
  Other  
 
Potential Environmental Hazards Manual Handling  
 
Air Pollution
There will be no manual handling of Hazardous material NONE
 
Hazard to Flora/Fauna
 
Noise Plant/Equip
 
Spills Drains/Waterways
May Involve High Forces MH1
 
Spills to Ground
Will Require Repetitve Forcefiul Movements  
Soil Erosion
MH2
 
  Likely to Cause Fatigue or Soreness Due to Duration  
  MH3
 
  EnvironmentalFactors Likely to Increase chance of Injury  
  MH4
 
  Awkward Posture or Movement  
  MH5
 
Hazardous Materials/Sustances