Job Safety Analysis Form Form Number: {form_number} Job Description:(Required)Date(Required) MM slash DD slash YYYY Location:(Required)Required PPEs/ Tools/ Equipment:(Required)STEP-01: Site visit at the work location for review work conditions. Employee Safety Consequences (ESC): 0=None 1=Minor 2= Moderate 3= High LOW = ESC -1 = Workers can work themselves in a team. MEDIUM= ESC -2 = Supervision is must at least by Technician HIGH = ESC -3 = Supervision is must at least by an Engineer or its equivalent level STEP-02, only if STEP-01 is completed ADD DETAILS S #(Required)Job steps(Required)Potential Hazards(Required)ESC(Required)Recommended Safety preventive measures(Required)
