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HTML Preview Job Task Analysis Form page number 1.
1
Job Task Analysis Form
For each hazard to which employees in your u
nit may be expose
d (identifie
d in the Work Process Hazard Assessment Form), please
list
and describe the job task, the associat
ed hazard (specific chem
ical
s/biological agents/physical hazards), any control measures
in
place, and
any personal protec
tive equipmen
t used or nee
ded in the tabl
e below.
Please consult the sa
fety data shee
t for produc
ts
used in the
workplace. If
you are unsure as
to the level of
ex
posure or if exposure monitoring
is desired, contact the Environm
ental &
Occupational Health U
nit at (608) 89
0-1992 or
[email protected]
.
edu
.
W
o
r
k
U
n
i
t
:
S
u
p
e
r
v
i
s
o
r
:
Employees Covered unde
r this A
sse
ssm
en
t:
Job Task
Task Description
Associated Hazards
and Locations
Control Measures in
Place
PPE
Comments
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