File name : EHS – 02 – 001 – B
Doc Type
: Form
Organizational sub-level:
SILICON VALLEY
Organizational level:
ASML – US – SV
Job Hazard Analysis
DOCUMENT CHANGE & HISTORY RECORD
Name
Last Update
Status
Version
Robert Eshelman
09/15/2020
2.0
Robert Eshelman
12/13/2019
1.0
Comment
Removed PPE assessment. Added High Hazards and Required
Training
Initial Release
Job Hazard Analysis
Area:
Conducted by:
Task:
Date:
Filename: EHS – 02 – 005 – B
High Hazards: check all that apply
High Voltage:
Volts:____
Amps: _____
Working at Heights
LOTO
Confined Space
Hoisting
Radiation
PIT
Heat Stress
Chemical use
Required Training:
Minimum:
EHS Fundamentals
HMI Safety Curriculum
Required PPE:
Additional:
Steel Toe
Shoes
Hair Net
Respiratory
Protection
Safety
Glasses
Body
Protection
Chemical
Goggles
Bump Cap
Gloves
Fall Protection
Hearing
Protection
Shoe Covers
Electrically
Rated Shoes
Face Shield
Dust
Protection
MAJOR JOB STEPS/ACTIVITY
TOOLS/
EQUIPMENT
USED
POTENTIAL HAZARDS
RISK
RATING
(RR)
REQUIRED CONTROLS
1
Job Hazard Analysis
Filename: EHS – 02 – 005 – B
RISK RANKING SYSTEM
Maximum Reasonable Consequence, C
Likelihood, L
1
2
3
4
5
Major Permanent. Could kill, permanently disable or cause v ery serious damage
Minor Permanent. Could cause serious injury (major lost time injury ), illness or major damage
A
B
ALMOST CERTAIN to happen
LIKELY to happen at some point
Major Temporary . Could cause injury /illness requiring doctor, lost time injury .
Minor Temporary . Could cause First Aid injury , minor illness or minor damage
No injury possible. Couldn’t cause injury , illness or damage
C
D
E
POSSIBLE, it might happen
UNLIKELY , not likely to happen
RARE, practically impossible
Likelihood, L?
A
B
Consequences, C?
1
2
3
4
5
C
1 2 4
3 5 8
6 9 13
10 14 18
15 19 22
D
E
7
12
17
21
24
11
16
20
23
25
Risk Rating, RR
1-3
4-10
11-15
16-25
CRITICAL
HIGH RISK
MODERATE
LOW RISK
C
H
M
L
Manger Approval: _____________________________________
Date: __________________
EH&S Approval: ______________________________________
Date: __________________
*All risk assessments are routinely reviewed, any changes to area or task s require a new risk assessment to be
completed.
2
Conf idential