JSA-工作安全分析模板

conductivity?舊ISUVXKCWMKchuandongbeiGasProject工作安全分析JobSafetyAnalysis(JSA)工作區(qū)域： 公司： 日期：WorkLocation: Company: Date:工作/任務(wù)：Job/TasktoBeCompleted:工作安全分析填寫人：JSACompletedBy:工作安全分析審核人：JSAReviewedBy:工作的主要步驟SequenceofBasicSteps造成風(fēng)險(xiǎn)的能量源ldentifyEnergySource(s)潛在事故或風(fēng)險(xiǎn)PotentialAccidentsorHazards消除/減小風(fēng)險(xiǎn)的方法RecommendationtoEliminate/ReduceHazards1、工作計(jì)劃和安全會議Jobplanning&Toolboxmeeting.?運(yùn)動不清楚現(xiàn)場程序(如：JSA,方法說明)會導(dǎo)致團(tuán)隊(duì)處于危險(xiǎn)狀態(tài)之中。UnawareofCDBsiteprocedures(i.eJSA,)mayputthegroupindanger.1 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)；、隨時(shí)隨地隨身細(xì)帶安全手冊；3對指定的工作進(jìn)行具體詳細(xì)的工作安全分析；4開關(guān)前必須獲得該項(xiàng)工作的工作許可；、開始任何新工作前，討論并填寫工作安全分析。、開工前對環(huán)境因素再次進(jìn)行識別，并與團(tuán)隊(duì)進(jìn)行分享。

工器具準(zhǔn)備運(yùn)動滑倒、絆倒Slips/Trips注意觀察路面，相互提醒。Watchouttheroads,andremindeachothertobecareful.潛在危險(xiǎn)或者相關(guān)危險(xiǎn)PotentialorAssociatedHazards

□濕滑的工作或走道表面□有害物質(zhì)□點(diǎn)火源□挖掘□交叉作業(yè)SlipperyWorkingorWalkingSurfacesHazardousSubstancesIgnitionSourceExcavationsSimultaneousOperations(SIMOPS)區(qū)■滑倒/絆倒/跌倒□化學(xué)品接觸火災(zāi)/爆炸□有害氣體□高空作業(yè)Slips/Trips/FallsChemicalExposureFire/ExplosionHazardousAtmosphereWorkingatHeight□沒有覆蓋的坑洞□硫化氫□電弧光/閃光□受限空間□單獨(dú)作業(yè)OpenHoleHydrogenSulfide(H2S)Arc/FlashConfinedSpaceWorkingAlone□人工搬運(yùn)□砷□機(jī)械/轉(zhuǎn)動物件□中暑□惡劣天氣ManualHandlingArsenicMachinery/MovingObjectsHeatStressAdverseWeather□手/手指受傷苯□高空危險(xiǎn)□熱表面□額外的工人Hand/FingerinjuriesBenzeneOverheadHazardsHotSurfacesAdditionalWorkers□夾傷□水銀□起重方案□冷表面□臨邊作業(yè)PinchPointsMercury(Hg)LiftingPlanRequiredColdSurfacesOver-the-SideWork□電動/手動工具□有輻射性的工作□壓力□昆蟲/動物攻擊□潛水作業(yè)Power/HandToolsRadiationWorkPressureInsect/AnimalAttackDivingOperations□碎片/微粒□環(huán)境影響□旁通關(guān)鍵的保護(hù)□光線不足□其它（特定）Chips/ParticlesEnvironmentallmpact□圍堰損壞(溢漏/排放)LossofContainment(spill/release)Criticalprotectionbypass因噪音區(qū)域NoisyAreaInadequateLightingOthers(specify)危險(xiǎn)控制和應(yīng)急方案HazardControls&EmergencyPlans因工作許可因化學(xué)安全數(shù)據(jù)表□上鎖/掛牌 "□消防/應(yīng)急小組待命□工作程序WorkPermitMSDSLockout/TagoutFireFighting/ERTStandbyWorkProcedure□人工搬運(yùn)評估□洗眼器□火源控制□連續(xù)性氣體測試□螺栓松開程序ManualHandlingAssessmentEyewashIgpitionSourceControlsContinuousGasTestingHotBoltingProcedure□腳手架□緊急噴淋□無火花工具□緊急撤離計(jì)劃兇伙伴機(jī)制ScaffoldingEmergencyShowerNonSparkingToolEmergencyEvacuationPlanBuddySystem因個(gè)人保護(hù)設(shè)備□溢漏控制計(jì)劃□索具審查□臨時(shí)照明□其它（特定）PPESpillControlPlan□通風(fēng)VentilationRiggingAssessmentTemporaryLightingOthers□路障PhysicalBarriers□其它（特定）Others所需安全設(shè)備PPE&SafetyEquipmentRequired

因安全帽因個(gè)人氣體檢測器□防塵口罩□滅火器/消防軟管□上鎖/掛牌裝置HardHatsPersonalGasMonitorDustMaskFireExtinguisher/FireHoseLockOut/TagOutDevices図安全鞋□棉手套□呼吸器（過濾芯）□消防毯/阻燃布□防漏盤SafetyShoesCottonGlovesRespirator(cartridge)FireBlankets/RetardantTarpContainmentPans兇安全眼鏡□皮手套□供給式呼吸器s□吸附墊SafetyGlassesLeatherGlovesAirlineBA□全身式安全帶AdsorbentPads□防護(hù)面罩□橡膠/化學(xué)品手套□自給式呼吸器FullBodyHarness□溢漏裝置FaceShieldRubber/ChemicalGlovesSCBA□緩沖式雙系索SpillKit□護(hù)目鏡□警示帶□化學(xué)圍裙DoubleLanyardwithShockAb□管塞GogglesCautionTapeChemicalAprons°rberPipePlug兇聽力保護(hù)□安全路障□聚乙烯外套□救生索□個(gè)人浮動裝置HearingProtectionSafetyBarricadeTyvekSuitLifeLinePFD□合適的工具岡無線電通信□化學(xué)防護(hù)服□安全電纜□其它otherProperToolsRadioCommunicationChemicalSuitSafetyCable潛在溢漏來源PotentialSpillSources消除排放的措施/后備防漏措施RecommendationstoPreventDischarge/Back-upContainment需檢查的工具和設(shè)備ToolsandEquipmenttobeInspected零排放分析ZeroDischargeAnalysis工具和設(shè)備ToolAndEquipment評估小組成員(為實(shí)施這項(xiàng)工作，本人參與了工作安全分析，冋意并確認(rèn)對所開展工作采取的危險(xiǎn)控制方案是足夠的)AssessmentTeamMembers(IparticipatedintheJSAcarriedoutforthisworkandagree/confirmthehazardcontrolsaresufficientfortheproposedwork)名字/職位Name/Position簽字/Signature日期/Date1)2)3)4)工作主管和團(tuán)隊(duì)