JOB SAFETY ANALYSIS
COMPANY/ PROJECT NAME or ID/ LOCATION ( City, State) DATE NEW
August 19, 2015 REVISED PAGE 1 of 2
WORK ACTIVITY (Description):
FALL PROTECTION
DEVELOPMENT TEAM POSITION / TITLE REVIEWED BY: POSITION / TITLE
Dave Ruzich Safety Coordinator
MINIMUM REQUIRED PERSONAL PROTECTIVE EQUIPMENT ( SEE CRITICAL ACTIONS FOR TASK-SPECIFIC REQUIREMENTS)
REFLECTIVE VEST GOGGLES AIR PURIFYING GLOVES Cut-resistant
HARD HAT FACE SHIELD RESPIRATOR OTHER Chaps
LIFELINE / HARNESS HEARING PROTECTION SUPPLIED RESPIRATOR
SAFETY GLASSES SAFETY SHOES PPE CLOTHING
¹JOB STEPS ²POTENTIAL HAZARDS ³CRITICAL ACTIONS TO MITIGATE HAZARDS
1. Access task / job Nil Plan the task, identifying the work area and ensure it
is clear of any obvious slip and trip hazards.
The person required to work at height must complete
a task based risk assessment prior to commencing
work. The risk assessment must consider all
alternative fall prevention hazard controls before
electing to use a fall arrest system. The use of a fall
arrest system should be the last preferred hazard
control.
Fall arrest systems must NOT be used unless there
are more than 2 people on site at all times when using
the system.
2. Inspect fall arrest Nil A thorough inspection of all equipment must be
equipment conducted prior to its use. Inspections should check
for;
General wear and tear
Cuts and tears to webbing
Signs of damage to stitching
Stretching of the lanyard.
Welding burns to webbing
3. Identify / Install an Falls from height Person responsible to identify / install an anchor point
anchor point must do so without risk of falling. Elevated work
platforms, ladders or scaffold must be used to access
the anchor point.
Only approved anchor points and slings can be used
as an anchor point or attachment to the anchor point.
The anchorage point of the fall arrest system should
be positioned to ensure that the static restraint line
does not allow the person wearing the system to free-
fall.
Fall prevention to be used when working under 6.4M,
rather than only fall arrest.
JOB SAFETY ANALYSIS
4. Install static line Falls from height Only approved static line material (rope, webbing,
cable), attachments and tensioners can be used for a
fall arrest static line.
Access to the static restraint line of the system must
be provided without the risk of falling.
5. Fit full body harness Nil The full body harness must be fitted as per the
manufacturers instructions.
6. Fit full body harness Nil The full body harness must be fitted as per the
manufacturers instructions.
7. Rescue of a fallen Falls from height Access equipment must be available to access a
worker fallen worker on site at all times when using a fall
arrest system.
Adequate means of access include, elevated work
platforms, forklift with approved man cage, and crane
with man box or mobile scaffold.
Adequately trained workers must also be available to
operate any access / rescue equipment.
¹ Each Job or Operation consists of a set of steps. Be sure to list all the steps in the sequence that they are performed. Specify the equipment or other details to set
the basis for the associated hazards in Column 2
² A hazard is a potential danger. What can go wrong? How can someone get hurt? Consider, but do not limit, the analysis to: Contact - victim is struck by or strikes
an object; Caught - victim is caught on, caught in or caught between objects; Fall - victim falls to ground or lower level (includes slips and trips); Exertion - excessive
strain or stress / ergonomics / lifting techniques; Exposure - inhalation/skin hazards. Specify the hazards and do not limit the description to a single word such as
"Caught"
³ Aligning with the first two columns, describe what actions or procedures are necessary to eliminate or minimize the hazards. Be clear, concise and specific. Use
objective, observable and quantified terms. Avoid subjective general statements such as, "be careful" or "use as appropriate".
