Job Safety Assessment Form

Job Safety Assessment Form Template for India

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Key Requirements PROMPT example:

"I need a Job Safety Assessment Form for a chemical manufacturing facility in Mumbai, focusing on handling hazardous materials in our new production line that's launching in March 2025."

Document background

The Job Safety Assessment Form is a crucial workplace safety document required under Indian occupational safety regulations, particularly the OSH Code 2020. This document should be completed before undertaking any new task, when processes change, or when reviewing existing workplace activities. It captures essential information about potential hazards, risk levels, control measures, and emergency procedures associated with specific work activities. The form helps organizations comply with legal requirements while demonstrating due diligence in protecting worker safety. It serves as both a risk assessment tool and a communication medium between different levels of the organization, from workers to management, ensuring all parties understand and agree to the safety measures in place.

Suggested Sections

1. Job/Task Information: Basic details about the job/task being assessed, including location, date, and department

2. Assessment Team: Details of personnel conducting the assessment, including safety officer, supervisor, and workers involved

3. Job/Task Description: Detailed breakdown of the work activities and steps involved

4. Hazard Identification: List and description of potential hazards associated with each step of the job

5. Risk Assessment: Evaluation of identified hazards using risk matrix (likelihood x severity)

6. Existing Control Measures: Current safety measures and controls already in place

7. Additional Control Measures Required: New or enhanced safety measures needed to reduce risks to acceptable levels

8. Personal Protective Equipment (PPE): Specific PPE requirements for the job/task

9. Emergency Procedures: Response procedures for potential emergency situations

10. Authorization: Sign-off section for relevant authorities and workers

Optional Sections

1. Environmental Impact Assessment: For tasks with potential environmental impacts, including waste management and pollution control

2. Specialized Equipment Requirements: For jobs requiring specific tools or machinery, including safety specifications

3. Permit Requirements: For high-risk activities requiring special permits (e.g., hot work, confined space entry)

4. Chemical Hazards Assessment: For tasks involving hazardous substances, including MSDS references

5. Height Work Assessment: For tasks performed at heights, including fall protection measures

6. Noise Assessment: For activities with significant noise exposure

7. Manual Handling Assessment: For tasks involving lifting, carrying, or awkward postures

Suggested Schedules

1. Risk Assessment Matrix: Standard risk evaluation matrix used for hazard assessment

2. PPE Selection Guide: Reference chart for selecting appropriate personal protective equipment

3. Emergency Contact Information: List of emergency numbers and key personnel contacts

4. Relevant Safety Procedures: Copy of specific safety procedures referenced in the assessment

5. Equipment Inspection Checklist: Pre-use inspection checklist for tools and equipment

6. Training Requirements Matrix: Matrix showing required training certifications for specific tasks

7. Incident Report Form: Template for reporting any incidents or near-misses during task execution

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Manufacturing

Construction

Mining

Oil and Gas

Chemical Processing

Pharmaceuticals

Logistics and Warehousing

Agriculture

Infrastructure

Power Generation

Heavy Industry

Automotive

Aerospace

Shipping and Maritime

Food Processing

Textile Industry

Steel and Metallurgy

Relevant Teams

Health, Safety and Environment

Operations

Production

Maintenance

Quality Control

Project Management

Risk Management

Compliance

Training and Development

Engineering

Facilities Management

Emergency Response

Industrial Relations

Process Safety

Occupational Health

Relevant Roles

Health and Safety Manager

Safety Officer

Risk Assessment Specialist

Operations Manager

Site Supervisor

Production Manager

Maintenance Supervisor

Quality Control Inspector

Plant Manager

Project Manager

Industrial Hygienist

Environmental Health Officer

Compliance Manager

Factory Manager

Construction Site Manager

Equipment Operator

Process Engineer

Safety Trainer

Department Head

Line Supervisor

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