2022年JSA-工作安全分析模板.pdf
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 Eliminate/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 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.-Discuss and write the JSA prior to operation.-Before start working again for 精品资料 - - - 欢迎下载 - - - - - - - - - - - 欢迎下载 名师归纳 - - - - - - - - - -第 1 页，共 5 页 - - - - - - - - - - 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.精品资料 - - - 欢迎下载 - - - - - - - - - - - 欢迎下载 名师归纳 - - - - - - - - - -第 2 页，共 5 页 - - - - - - - - - - 潜在危险或者相关危险Potential or Associated Hazards湿滑的工作或走道表面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Hazardous 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 Non 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精品资料 - - - 欢迎下载 - - - - - - - - - - - 欢迎下载 名师归纳 - - - - - - - - - -第 3 页，共 5 页 - - - - - - - - - - 安全帽Hard 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 (cartridge)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 Containment 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_精品资料 - - - 欢迎下载 - - - - - - - - - - - 欢迎下载 名师归纳 - - - - - - - - - -第 4 页，共 5 页 - - - - - - - - - - 零排放分析Zero Discharge Analysis 工具和设备 /Tool And Equipment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) 5) 6) 潜在溢漏来源PotentialSpill Sources消除排放的措施 /后备防漏措施Recommendations to Prevent Discharge/ Back-up Containment需检查的工具和设备Tools and Equipmentto be Inspected精品资料 - - - 欢迎下载 - - - - - - - - - - - 欢迎下载 名师归纳 - - - - - - - - - -第 5 页，共 5 页 - - - - - - - - - -
