hazard_analysis_sheet.docx

HAZARD ZONE JOBS CHECKLIST

For each "caution zone job" find any physical risk factors that apply. If a hazard exists, it must be reduced below the hazard level or to the degree technologically and economically feasible. Not all items on the checklist need to be noted only those you recognize.

Movements or postures that are a regular and foreseeable part of the job, occurring more than one day per week, and more frequently than one week per year.

Hazard Exists

Job Position evaluated: Office Assistant

Date 11/11/17

No. of employees in these jobs?

60 employees

Awkward Posture

Comments/Observations

ENGINEERS-B&W

1. Working with the hand(s) above the head, or the elbows above the shoulders

More than 4 hours total per day

APPLE PICKER-B&W

2. Repeatedly raising the hand(s) above the head, or the elbow(s) above the shoulder(s) more than once per minute

More than 4 hours total per day

NECK BENT-grinder-B&W

3. Working with the neck bent more than 45° (without support or the ability to vary posture)

More than 4 hours total per day

BLACKSMITH-B&W

4. Working with the back bent forward more than 30° (without support or the ability to vary posture)

More than 4 hours total per day

BENT DRILLING-B&W

5. Working with the back bent forward more than 45° (without support or the ability to vary posture)

More than 2 hours total per day

WELDER-B&W

6. Squatting

More than 4 hours total per day

KNEELING-B&W

7. Kneeling

More than 4 hours total per day

High Hand Force

Hazard Exists

check1

Comments/Observations

Pinching an unsupported object(s) weighing 2 lbs or more per hand, or pinching with a force of 4 lbs or more per hand (comparable to pinching a half a ream of paper)

8.

NAILS-B&W

+ Highly repetitive motion

+ More than 3 hours total per day

9.

TRANSDUCER-B&W

+ pinchflex

ulnar30

+ More than 3 hours total per day

10.

PINCHING FINGERS-B&W

No other risk factors

+ More than 4 hours total per day

Gripping an unsupported object(s) weighing 10 lbs or more per hand, or gripping with a force of 10 lbs or more per hand (comparable to clamping light duty automotive jumper cables onto a battery)

11.

BRANCH CLIPPINGb&w

+ Highly Repetitive motion

+ More than 3 hours total per day

12.

GRIPPING HAND-B&W

+ pinchflex

ulnar30

+ More than 3 hours total per day

13.

BATTERY CLAMP-B&W

No other risk factors

+ More than 4 hours total per day

Highly Repetitive Motion

Hazard Exists

check1

Comments/ Observations

Using the same motion with little or no variation every few seconds (excluding keying activities)

14.

TRANSDUCER-B&W

+ pinchflex

ulnar30

+ High, forceful exertions with the hand(s)

+ More than 2 hours total per day

15.

APPLE CHECKER

No other risk factors

+ More than 6 hours total per day

Intensive keying

16.

KEY BOARD

+ pinchflex

ulnar30

+ More than 4 hours total per day

17.

KEY BOARD

No other risk factors

+ More than 7 hours total per day

Repeated Impact

Comments/ Observations

18.

TIRE_HUB CAP

Using the hand (heel/base of palm) as a hammer more than once per minute

+ More than 2 hours total per day

19.

CARPET LAYER-B&W

Using the knee as a hammer more than once per minute

+ More than 2 hours total per day

Exposures

Comments/ Observations

20. Indoor Air Issue Questions

· Is the temperature in the workplace extremely hot or cold?

· Have you noticed any breathing issues?

· Have you noticed any mold?

· Have you noticed any drafts?

· Does a vent blow directly on you?

21. Process chemicals

· What chemicals are used on this site?

· Is there a MSDS for these chemicals

22. Physical Issues

· What is the dB level?

· Light level in lumens?

23. PPE Available

· Is there PPE available?

· If so, Is the PPE utilized?

Psychosocial Strain (Interview a worker and ask these questions, answers can be strongly agree, agree, disagree, strongly disagree)

Comments/ Observations

24. Demand:

· My job requires working very fast.

· My job requires working very hard.

· I am not asked to do an excessive amount of work.

· I have enough time to get the job done.

· I am free from conflicting demands that others make.

Strongly Agree

·

Agree

·

Disagree

check1

Strongly Disagree

·

check1Strongly Agree

Agree

·

Disagree

·

Strongly Disagree

·

Strongly Agree

·

check1Agree

Disagree

·

Strongly Disagree

·

Strongly Agree

·

Agree

check1

Disagree

·

Strongly Disagree

·

Strongly Agree

·

Agree

check1

Disagree

·

Strongly Disagree

·

25. Decision Authority:

· My job allows me to make a lot of decisions on my own.

· On my job, I have very little freedom to decide how to do my work.

· I have a lot of say about what happens on my job.

Strongly Agree

·

Agree

check1

Disagree

·

Strongly Disagree

·

Strongly Agree

·

Agree

·

Disagree

check1

Strongly Disagree

·

Strongly Agree

·

Agree

check1

Disagree

·

Strongly Disagree

·

26. Skill Discretion:

· My job requires that I learn new things.

· My job involves a lot of repetitive work.

· My job requires me to be creative.

· My job requires a high level of skill.

· I get to do a variety of different things on my job.

· I have an opportunity to develop my own special ability.

Strongly Agree

check1

Agree

·

Disagree

·

Strongly Disagree

·

Strongly Agree

·

Agree

check1

Disagree

·

Strongly Disagree

·

Strongly Agree

check1

Agree

·

Disagree

·

Strongly Disagree

·

check1Strongly Agree

Agree

·

Disagree

·

Strongly Disagree

·

Strongly Agree

·

Agree

check1

Disagree

·

Strongly Disagree

·

Strongly Agree

check1

Agree

·

Disagree

·

Strongly Disagree

·

Calculator for Hand-Arm Vibration

1. Find the vibration value for the tool. (Get it from the manufacturer look it up at this website http://wwwn.cdc.gov/niosh-sound-vibration/Results.aspx?tt=6 On the graph below mark the point on the left side shown as Vibration value.

Not Applicable

Vibration

m/s2

Not Applicable

Duration

Hrs.

2. Find out how many total hours per day the employee is using the tool and mark that point on the bottom of the chart below.

3. Trace a line into the graph from each of these two points until they cross. No vibration tool used

Vibration2

4. Interpretation

a. If that point lies in the crosshatched “Hazard” area above the upper curve, then the vibration hazard must be reduced below the hazard level or to the degree technologically and economically feasible.

b. If the point lies between the two curves in the “Caution” area, then the job remains as a “Caution Zone Job.”

c. If the point falls in the “OK” area below the bottom curve, then no further steps are required.

Note: The caution limit curve (bottom) is based on an 8-hour energy-equivalent frequency- weighted acceleration value of 2.5 m/s2. The hazard limit curve (top) is based on an 8-hour energy-equivalent frequency- weighted acceleration value of 5 m/s2.