Hazard Analysis
Using the format below, identify hazards and safety precautions/procedures to mitigate hazards. Use as many sheets as necessary.
Description of Work: _____________________________________________________
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Step/Phase of Job |
Safety Hazard |
Precautions/Safety Procedures |
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Accepted: _______________________________ Date: _____________
Supervisor/Task Manager
My supervisor has reviewed this hazard analysis with me and I understand the hazards and required precautionary actions. I will follow the requirements of this hazard analysis or notify my supervisor if I am unable to do so.
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Name (please print) |
Signature |
Date |