Industrial Health

Unit III BASIC JOB HAZARD ANALYSIS FORM

Directions: List the steps involved in performing the process, and identify the potential hazards associated with each step.

Steps to Perform the Work Process	Hazards/Potential Hazards
1.
2.
3.
4.
5.
6.

Write a paragraph below summarizing your health hazard analysis, and answer the following questions.

1. What are the health hazards associated with the operation?

2. What are the primary exposure routes associated with each health hazard?

3. Are there any potential acute or chronic health effects for any of the health hazards you identified?

4. Are there any special hazards associated with any of the health hazards?

You may use the Safety Data Sheets provided, information from the OSHA or NIOSH web sites, or any academic references from the Internet to answer the questions.

Your summary should be a minimum of 250 words in length.