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APPENDIX

Job safety analysis sample form
| JOB SAFETY ANALYSIS |
Job or operation title: |
| Department/Division: |
Job location: |
Title of employee performing job: |
| Date performed: |
Performed by |
Verified by: |
| Special or primary hazards: |
| Biosafety level: |
| Minimum personal protective equipment required: |
| Task or activity: |
Hazards and recommended controls |
| Potential hazard |
Engineering controls |
Administrative/work practices |
PPE |
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