AWS

JOB SAFETY ANALYSIS

FACILITY: Your Facilities ANALYSIS BY: BOB THOMPSON DATE: 1998/09/09
DEPARTMENT: Department Names SUPERVISOR: TIM FRYE FREQUENCY: HOURLY
CATEGORY: Various Job Categories APPROVED BY: STEVE DONNING JSA NUMBER: JOB 14
JOB TITLE: SAMPLE 1 THE TRANSFER OF LIQUID NITROGEN INTO DEWAR JOB PERFORMED BY: RICK LEESE

Required Personal Protective Equipment: FACE SHIELD, THERMAL GLOVES, BOOTS, APRON

Job Safety Analysis:

Step Description Hazard Controls
1 Donning Personal Protective Equipment Incorrect PPE Training
2 Insert transfer line from bulk container ten inches into dewar flask Transfer line is not inserted correctly Training
3 Slowly, open valve to release liquid nitrogen into dewar Splashing of liquid nitrogen Face shield --Apron--Gloves--Training--
    Contact with liquid nitrogen Face shield--Apron--Gloves--
4 Close valve before dewar is full Spill Develop and implement a liquid nitrogen spill program(s)
    Oxygen deficiency from vaporizing liquid nitrogen Ventilation to dilute nitrogen gas--Leave the area
5 Remove transfer line from dewar and cap dewar with vented cap Contact with liquid nitrogen Face shield--Apron--Gloves

 

AUTHORIZED EMPLOYEE INFORMATION:

ID NUMBER: LAST NAME: FIRST NAME: REMARKS:
123 00 0001 Doe Jane Completed Lockout/Tagout procedure training
123 00 0001 Doe Tim Completed OSHA 40 hour Hazardous Materials Specialist Training
01-2 Donning Pete Completed lockout procedure training

JOB HISTORY INFORMATION:

DATE: REMARKS:
1998/11/20 Repair made to valve 01
1998/12/11 Tank valve 01 was reported as loose

 

Approval Signature:________________________Date:__________________________