JSA-工作安全分析模板

1、conductivity工作安全分析Job Safety Analysis (JSA)工作区域：Work Location: 公司：Company: 日期：Date: 工作/任务： Job/Task to Be Completed: 工作安全分析填写人：JSA Completed By: 工作安全分析审核人：JSA Reviewed By: 工作的主要步骤Sequence ofBasic Steps造成风险的能量源Identify Energy Source(s)潜在事故或风险Potential Accidentsor Hazards消除/减小风险的方法Recommendation to El

2、iminate/Reduce Hazards1、工作计划和安全会议Job planning& Tool box meeting.运动Motion不清楚现场程序（如：JSA，方法说明）会导致团队处于危险状态之中。Unaware of CDB site procedures (i.e JSA,) may put the group in danger.1、CDB所有员工必须参加安全介绍，操作此项工作的人员必须参加相应的培训；2、随时随地随身细带安全手册；3、对指定的工作进行具体详细的工作安全分析；4、开关前必须获得该项工作的工作许可；5、开始任何新工作前，讨论并填写工作安全分析。6、开工前

3、对环境因素再次进行识别，并与团队进行分享。-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.工器具准备Prepare tools 运动Motion滑倒、绊倒Slips/ Trips注意观察路面，相互提醒。Watch out the roads, and remind each other to be careful.潜在危险或者相关危险 Potential or Associated Hazards湿滑的

5、工作或走道表面Slippery Working or Walking Surfaces 滑倒/绊倒/跌倒Slips/Trips/Falls 没有覆盖的坑洞Open Hole人工搬运Manual Handling手/手指受伤Hand/Finger injuries 夹伤Pinch Points电动/手动工具Power/Hand Tools碎片/微粒Chips / Particles有害物质Hazardous Substances化学品接触Chemical Exposure硫化氢 Hydrogen Sulfide (H2S)砷Arsenic 苯Benzene水银 Mercury (Hg) 有辐射性

6、的工作Radiation Work 环境影响Environmental Impact 围堰损坏（溢漏/排放）Loss of Containment (spill/release)点火源Ignition Source火灾/爆炸Fire/Explosion电弧光/闪光Arc/Flash 机械/转动物件Machinery/Moving Objects 高空危险Overhead Hazards起重方案Lifting Plan Required压力 Pressure旁通关键的保护Critical protection bypass噪音区域Noisy Area 挖掘Excavations 有害气体Haza

7、rdous Atmosphere受限空间Confined Space中暑 Heat Stress 热表面Hot Surfaces冷表面 Cold Surfaces 昆虫/动物攻击Insect / Animal Attack 光线不足Inadequate Lighting交叉作业 Simultaneous Operations (SIMOPS)高空作业Working at Height 单独作业Working Alone 恶劣天气Adverse Weather 额外的工人Additional Workers临边作业Over-the-Side Work 潜水作业Diving Operations

8、其它（特定）Others (specify)_危险控制和应急方案Hazard Controls & Emergency Plans工作许可 Work Permit 人工搬运评估Manual Handling Assessment脚手架 Scaffolding个人保护设备PPE路障 Physical Barriers化学安全数据表MSDS 洗眼器Eyewash紧急喷淋Emergency Shower 溢漏控制计划Spill Control Plan 通风Ventilation 上锁/挂牌Lockout/Tagout火源控制 Ignition Source Controls无火花工具 No

9、n Sparking Tool 索具审查Rigging Assessment 消防/应急小组待命Fire Fighting/ERT Standby 连续性气体测试Continuous Gas Testing紧急撤离计划Emergency Evacuation Plan 临时照明Temporary Lighting 工作程序Work Procedure 螺栓松开程序 Hot Bolting Procedure伙伴机制Buddy System 其它（特定）Others _ 其它（特定）Others _所需安全设备PPE & Safety Equipment Required安全帽Hard

10、Hats安全鞋Safety Shoes安全眼镜 Safety Glasses 防护面罩Face Shield 护目镜 Goggles听力保护Hearing Protection合适的工具Proper Tools个人气体检测器 Personal Gas Monitor棉手套Cotton Gloves皮手套Leather Gloves 橡胶/化学品手套Rubber/Chemical Gloves警示带Caution Tape 安全路障Safety Barricade无线电通信Radio Communication 防尘口罩Dust Mask 呼吸器 （过滤芯） Respirator (cartri

11、dge)供给式呼吸器 Airline BA自给式呼吸器 SCBA 化学围裙Chemical Apron 聚乙烯外套Tyvek Suit 化学防护服Chemical Suit灭火器/消防软管Fire Extinguisher / Fire Hose消防毯/阻燃布Fire Blankets / Retardant Tarps 全身式安全带Full Body Harness 缓冲式双系索Double Lanyard with Shock Absorber救生索 Life Line 安全电缆Safety Cable上锁/挂牌装置Lock Out / Tag Out Devices 防漏盘 Contai

12、nment Pans 吸附垫Adsorbent Pads 溢漏装置Spill Kit 管塞Pipe Plug个人浮动装置 PFD 其它 other_评估小组成员（为实施这项工作，本人参与了工作安全分析，同意并确认对所开展工作采取的危险控制方案是足够的）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/职位Name / Position签字 /Signature日期/Date1)2) 3) 4) 工作主管和团队成员（我理解这项工作的要求，存在的危险以及相关控制措施）Work Supervisor and Team Members(I understand the work required, the hazard and controls identified)名字/职位Name / Position签字 /Signature日期/Date1) 2) 3) 4)