JSA

Cedar Mountain Waterproofing

Safety is Critical Do It Right The First Time!

JSA – Job Safety Analysis – Should be completed for every job we do.

 

 

Please enable JavaScript in your browser to complete this form.
Crew Lead
Crewmen
Job Type
Hazard Risk Analysis
NASlightModerateElevatedSevere
Slip
NA
Slight
Moderate
Elevated
Severe
Trip
NA
Slight
Moderate
Elevated
Severe
Fall
NA
Slight
Moderate
Elevated
Severe
Cut/Laceration
NA
Slight
Moderate
Elevated
Severe
Puncture
NA
Slight
Moderate
Elevated
Severe
Silica/Dust
NA
Slight
Moderate
Elevated
Severe
Electrocution
NA
Slight
Moderate
Elevated
Severe
Eye Injury
NA
Slight
Moderate
Elevated
Severe
Hearing Loss
NA
Slight
Moderate
Elevated
Severe
Flying/Falling Debris
NA
Slight
Moderate
Elevated
Severe
Suffocation
NA
Slight
Moderate
Elevated
Severe
Entrapment (Cave In)
NA
Slight
Moderate
Elevated
Severe
Explosion/Flame
NA
Slight
Moderate
Elevated
Severe
Corrosive Materials
NA
Slight
Moderate
Elevated
Severe
COVID-19
NA
Slight
Moderate
Elevated
Severe
Classify hazards for this project/job

Environmental Factors

Select all the applicable environmental factors

Weather
Terrain
Soil Classification
Please choose the classification of the soil type. Please contact Chris if you need further training related to Soil Classification

Required PPE

List the required Personal Protective Equiptment to be used on this project.

Personal Protective Equiptment
Personal Preventative Equiptment

Substance Hazards

Most of the materials we use are not hazardous, but some materials may, if used incorrectly or without proper training, have potential to cause harm to employees, the public, plants, and/or animals.

Materials Used Or Encountered (Danger)
Materials Used Or Encountered (Warning)
Materials Used Or Encountered (Other)

Fire Hazards

This will list some possible health hazards associated with products used or encountered.

Oxidizing (Danger)

View SDS for details

Flammable liquid or vapor (Warning)

View SDS for details

Oxidizing (Warning)

View SDS for details

Explosive (Warning)

View SDS for details

Contents under pressure (Warning)

View SDS for details

Corrosive to metals (warning)

View SDS for details

Health Hazards

This will list some possible health hazards associated with products used or encountered.

Skin Corrosion/Irritation (Danger)

View SDS for details

Serious eye damage/eye irritation (Danger)

View SDS for details

Respiratory or skin sensitization (Danger)

View SDS for details

Germ cell mutagenicity (Danger)

View SDS for details

Carcinogenicity (Danger)

View SDS for details

Reproductive toxicity (Danger)

View SDS for details

Specific target organ toxicity - single exposure (Danger)

View SDS for details

Specific target organ toxicity - repeat exposure (Danger)

View SDS for details

Aspiration hazard (Danger)

View SDS for details

Skin Corrosion/Irritation (Warning)

View SDS for details

Serious eye damage/eye irritation (Warning)

View SDS for details

Respiratory or skin sensitization (Warning)

View SDS for details

Carcinogenicity (Warning)

View SDS for details

Reproductive toxicity (Warning)

View SDS for details

Specific target organ toxicity - single exposure (Warning)

View SDS for details

Specific target organ toxicity - repeat exposure (Warning)

View SDS for details

Aspiration hazard (Warning)

View SDS for details

Drowsiness or dizziness (Warning)

View SDS for details

Environmental Hazards

This will list some possible Environmental Hazards associated with products used or encountered.

Hazardous to the aquatic environment

View SDS for details

Hazardous to the ozone layer

View SDS for details

Tool Safety and Usage

Most of the materials we use are not hazardous, but some materials may, if used incorrectly or without proper training, have potential to cause harm to employees, the public, plants, and/or animals.

Select All The Power Tools To Be Used
Select All the Simple Tools To Be Used
Select All the Mechanical Tools To Be Used
Stretch and Flex Session
Clear Signature