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Job safety briefing form. The purpose of the pre job briefing is to ensure that the person in charge pic and potential workers understand the scope of the work to be performed by discussing the tasks involved. Not applicable hot line tag clearance individual control date name of persons leading tailboard name of crew members present hazards associated with the job focus on the gems gravity electrical mechanical kinetic otherenvironmental falling from a height falling objects falling structures climbing. A job safety analysis jsa is a procedure which helps integrate accepted safety and health principles and practices into a particular task or job operation. This will provide an understanding of the hazards and related safety security environmental controls and stimulate critical.
May 2014 revision date. Using a job safety briefing form will help your team to cover all the bases to complete tasks as safely as possible. Each etd partnership companys management shall establish a review process to ensure that the documented job briefing process is effective. Page 1 of 2 job safety briefing state form 54754 7 11 indiana department of transportation working safely is a responsibility and condition of employment for all indiana department of transportation indot.
The job briefing form shall have a provision for each employee to sign to verify they have participated in the job briefing. Pre job brief guide originally developed for los alamos national laboratory. Power city electric safety management system issue date.
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