MEMORANDUM FOR A1 - Air Force E-Publishing

AFI91-202 5 AUGUST 2011 129
Attachment 6
JOB SAFETY ANALYSIS (JSA)
A6.1. Sequence Of Basic Steps: Break the task down into its basic steps. For example, what is
done first, what is done next? You can do this by: (1) observing the task, (2) discussing it with
workers, (3) using your experience and knowledge of the task, or (4) a combination of all three.
Record the steps in the task in their normal order of occurrence. Describe what is done; not the
details or how it is done. Three or four words are normally enough to describe each task step.
A6.2. Potential Mishap Causes Or Hazards: For each task step, ask yourself what mishap
could happen to workers performing the task and what the probability would be of the mishap
occurring. Get the answers by: (1) observing the task, (2) discussing the task with workers
and/or (3) using ―lessons learned‖ from other mishaps. Ask the questions:
A6.2.1. Can workers be struck by or contacted by anything?
A6.2.2. Can they strike against or be exposed to any item that can cause injury?
A6.2.3. Can they be caught in or between anything?
A6.2.4. Can they fall?
A6.2.5. Can they overexert themselves?
A6.2.6. Are they required to do repetitive lifting or heavy lifting?
A6.2.7. Are there potential hazards such as chemical substances, physical agents (including
noise, ergonomic and thermal stress), ionizing and non-ionizing radiation or biological
exposures?
A6.3. Recommended Safe Task Procedure: For each potential mishap cause or hazard
identified, consider the following questions:
A6.3.1. How should workers perform the task step to avoid the mishap or eliminate the
potential hazard?
A6.3.2. What can be done to eliminate or mitigate the hazard by redesigning the work area
or equipment?
A6.3.3. How can the procedure be modified to eliminate the hazard? NOTE: Be sure to
describe in detail the precautions workers must take and ensure that these steps are placed in
the task procedure or checklist. Take special care to ensure important steps or details are not
inadvertently omitted from the task and that guidance is clear, specific and easily understood
by workers.
A6.1. JOB SAFETY ANALYSIS (Worksheet).
JOB: _________________________________________ DATE: ___________________
WORKCENTER: _______________________________ SUPERVISOR: _____________
TITLE OF WORKER WHO PERFORMS TASK: ________________________________
REQUIRED PERSONAL PROTECTIVE EQUIPMENT (PPE): _____________________
ANALYSIS BY: ______________________ REVIEWED BY: ______________________
1. SEQUENCE OF BASIC 2. POTENTIAL HAZARDS 3. RECOMMENDED