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Appendix A: Example of a Job Safety Analysis Form and an Example Table of Contents for an HSEP

Safety and Health Management System
Project Health and Safety Plans – Job Safety Analysis (JSA)
Hazard/risk Potential harm Eliminate Isolate Minimise Action(s) proposed / relevant procedure
(Please state action and when applicable refer to relevant procedure)
Person(s) responsible
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             

 

Safety and Health Management System
Project Health and Safety Plan Table of Contents

Table of contents

  1. General project and site information
  2. Emergency response information
  3. Personal protective equipment to be used, or to be available, on site
  4. Permits required for site
  5. Monitoring requirements
  6. Training and supervision requirements
  7. Contractors and sub-contractors
  8. Toolbox health and safety meetings
  9. Additional information