Job Hazard Analysis and Mitigation Form

Task or Employee: <name of Student under 18>

Routine

Non-routine

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

Potential Hazards

Controls & Recommended Actions

Training Associated Depending on length of work Safety Orientation (under 60 days) or Employee Orientation to ESH (EOESH) (over 60 days) If working in RCA area, General Employee Radiological Training required.

General Occupant Issues

1. 2. 3. 4.

egress enter hazardous area fire conserve natural resources

General cleaning activities around machine shop including: - Sweeping inside and outside - General cleaning and straightening up of shop including walls, floors, cabinets, drawers, and

1. Dust when sweeping 2. Objects in eyes when in shop. 3. Metal objects/chips caught on feet. 4. Paint chips in eyes 5. exposure to lead containing paint 6. exposure to paint 7. Disposal of hazardous materials.

1. Discuss with your supervisor the path of egress and where the emergency assembly point is located. Describe what the evacuation alarm for the building sounds like. 2. Discuss with your supervisor the many areas within a building that have entry requirements posted. Look for and comply with these requirements. Examples include safety glasses and closed-toed shoes when in the machine shop, dosimeter required when entering 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. Keep dust to a minimum with sweeping technique. Allow dust to settle periodically. 2. Wear safety glasses and closed toed shoes whenever in the machine shop. 3. Wear closed-toed shoes whenever in the machine shop. 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 Potential Hazards Controls & Recommended Actions

page 2 of 3
Training Associated

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 1. 2. 3. 4. pinch fingers with tool or material carpel tunnel exposure to chemical (alcohol) flying objects in eye from compressed air 5. disposal of alcohol contaminated wipes/rags 6. work around radiological materials

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

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 MSDSs 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 MSDSs are, why they are written, and how to read them. Ensure you
Form Revision 6/29/2006

SLAC-I-730-0A06R-002-R001

Job Hazard Analysis and Mitigation Form

Basic Job Steps Potential Hazards Controls & Recommended Actions

page 3 of 3
Training Associated

controlled area (RCA)

(Add rows by placing cursor in the right box of the last row and entering a tab.)

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.

Acknowledgements
Print Name Supervisor: Participants: Signature Date

SLAC-I-730-0A06R-002-R001

Form Revision 6/29/2006