Job Safety Analysis / Safe Work Procedure Development

This form is used to systematically break down a job into its component steps, identify potential hazards associated with each step, and develop safe procedures to eliminate or control these hazards. Completing this form helps ensure the safety of workers and volunteers by thoroughly analyzing tasks before they are performed.

When to Use This Form

Use this form:

• Before starting a new job or task

• When procedures for an existing job change

• After an accident or near-miss incident

• Periodically to review and improve safety procedures

Instructions for Completing the Form

1. Observe the job being performed.

2. Break the job down into a sequence of basic steps.

3. Identify potential hazards associated with each step.

4. Develop recommended safe procedures for each hazard.

5. Review the analysis with workers who perform the job.

Use one sheet for each job analysed.

Task: ______________________________________ Prepared by: ______________________________

Participants: ______________________________ Reviewed by: ______________________________

Date (dd/mm/yyyy): ____/____/____

List any Personal Protective Equipment required:

Remember:

• Be as specific as possible when describing job steps, hazards, and safe procedures.

• Involve workers who actually perform the job in the analysis process.

• Review and update this analysis periodically or when job procedures change.

• Use this completed form to train workers on safe job procedures.