Job Hazard Analysis and Mitigation Form
Task or Employee:
For instructions on filling out this form, please see the webpage at http://www-group.slac.stanford.edu/esh/general/hazanalysis/ . Routine JHAMs are kept
by the employee and supervisor. Non-routine JHAMs are kept until the task is fully closed out (however, in case of an incident, the form is to be kept for use
by the review team). All participants should sign in the Acknowledgement section on the last page.
Basic Job Steps
General Occupant Issues
General cleaning activities
around machine shop
including:
- Sweeping inside and
outside
- General cleaning and
straightening up of shop
including walls, floors,
cabinets, drawers, and
<name of Student under 18> ⌧ Routine Non-routine
Potential Hazards Controls & Recommended Actions Training Associated
1. egress 1. Discuss with your supervisor the path Depending on
2. enter hazardous area of egress and where the emergency length of work –
3. fire assembly point is located. Describe Safety Orientation
4. conserve natural resources what the evacuation alarm for the (under 60 days) or
building sounds like. Employee
2. Discuss with your supervisor the many Orientation to ESH
areas within a building that have entry (EOESH) (over 60
days)
requirements posted. Look for and
comply with these requirements. If working in RCA
Examples include safety glasses and area, General
Employee
closed-toed shoes when in the machine
Radiological
shop, dosimeter required when entering Training required.
a radiologically controlled area (RCA).
3. In the event of fire, immediately
contact 911 or 9-911 from a SLAC
phone.
4. Conserve natural resources whenever
possible including but not limited to
energy, water, paper, fuel.
1. Dust when sweeping 1. Keep dust to a minimum with sweeping
2. Objects in eyes when in shop. technique. Allow dust to settle
3. Metal objects/chips caught on periodically.
feet. 2. Wear safety glasses and closed toed
4. Paint chips in eyes shoes whenever in the machine shop.
5. exposure to lead containing paint 3. Wear closed-toed shoes whenever in
6. exposure to paint the machine shop.
7. Disposal of hazardous materials. 4. Wear safety glasses when scraping
paint.
SLAC-I-730-0A06R-002-R001 Form Revision 6/29/2006
Job Hazard Analysis and Mitigation Form
Basic Job Steps
storage lockers.
- Painting (and prep for
paint) of areas
including walls,
cabinets, lockers, floor,
and storage containers.
Excludes any work on
a metalworking
machine.
Inventory of shop materials 1. Drop material on feet
Light Mechanical
Inspection
- use of calipers
- use of micrometers
- data entry
- clean parts with solvent
(alcohol)
- clean parts with
compressed air (usually
canned air)
- work area is located
within a “radiologiacally
Potential Hazards
1. pinch fingers with tool or material
2. carpel tunnel
3. exposure to chemical (alcohol)
4. flying objects in eye from
compressed air
5. disposal of alcohol contaminated
wipes/rags
6. work around radiological materials
SLAC-I-730-0A06R-002-R001
page 2 of 3
Controls & Recommended Actions Training Associated
5. Any paint that potentially contains lead
must be tested prior to sanding or
scraping.
6. For any chemical used by the student,
review the MSDS with supervisor, and
discuss with them how to obtain a copy
on-line. Discuss with your supervisor
what MSDS’s are, why they are
written, and how to read them. Ensure
that you are fully aware of the health
hazards of all materials being used.
7. Discuss with your supervisor the proper
disposal of paint and other potentially
hazardous waste (oily rags, used
brushes, and empty or partly empty
chemical and paint cans). If solvent
based/epoxy type paint then they must
go in a “solvent solids debris” waste
container.
1. Wear closed toed shoes when risk of
dropping heavy or sharp item on feet
exists.
1. Obtain training from supervisor on the On the Job Training of
proper use of tools including a any tools being used.
demonstration on how it can pinch.
2. Take periodic breaks from repetitions
activities
• For any chemical used by the
student, review the MSDS with
supervisor, and discuss with them
how to obtain a copy on-line.
Discuss with your supervisor what
MSDS’s are, why they are written,
and how to read them. Ensure you
Form Revision 6/29/2006
Job Hazard Analysis and Mitigation Form page 3 of 3
Basic Job Steps Potential Hazards Controls & Recommended Actions Training Associated
controlled area (RCA)” are fully aware of the health hazards
of all materials being used.
• Wear safety glasses when using
compressed air
• Ask supervisor where to dispose of
alcohol contaminated wipes/rags.
• Must wear dosimeter when in area.
(Add rows by placing cursor in the right box of the last row and entering a tab.)

Acknowledgements

Print Name Signature Date

Supervisor:

Participants:

SLAC-I-730-0A06R-002-R001 Form Revision 6/29/2006