Hazard Assessment Instructions

Prior to conducting a job hazard assessment it is recommended that you review the OSHA guide for an understanding of the process and required results.

Additional Instructions for Completion:

You may have some hazards that may or may not require the use of (PPE) Personal Protective Equipment. In any case, review the hazards found with your immediate supervisor and determine what can be done about the hazard(s). All hazards identified will be reviewed for engineering controls (Example: Hand rails, exhaust systems…) and/or administrative controls (Example: Safety cones, warehouse traffic patterns, signs…) to eliminate or reduce exposure to the hazard(s).


The CCSD Manager/Supervisor will select an experienced employee to be observed while correctly performing the job tasks.

• Brief the employee on the purpose of the analysis.

• Observe the person performing the job and break it down into recordable steps.

• Record each step using an action verb, e.g., pick up, lift, push, etc. to describe each step.

• Check the steps with the employee performing the job for verification.

Identify all actual or potential environmental safety and health hazards associated with each task without regard to any controls in place. Examples of questions that should be addressed:

• Can employee be caught in/or between moving objects?

• Can muscle strain result from pushing, pulling, lifting, bending, or twisting?

• Is there potential for a slip, trip, or fall?

• Is the environment unsafe due to darkness, dust, toxic gases, vapors, fumes, or poor housekeeping?

• Is there a danger of striking against or being struck by objects?

Determine and record the recommended action(s) or procedure(s) for performing each step that will eliminate or reduce the hazard, e.g., engineering change, job rotation, personal protective equipment (PPE), etc. The priorities in eliminating or reducing hazards that have been identified are:

• Find a new way or procedure to do the job.

• Change the physical conditions that create the hazard(s).

• Reduce the necessity or frequency of doing the job.

• Use PPE.

For assistance in completing either one of these forms please contact Salina Markez, Sr. Risk Control Analyst, at 799-6496 x5653 or email safety@nv.ccsd.net.