Job Hazard Assessment and Prevention Profile Job Title: GROUNDS EMPLOYEE POTENTIAL HAZARD SOURCES: Sources of motion and rolling or pinching objects Sources of high temperature Exposure to weather Sources of chemical exposure Sources of harmful dust/fumes Sources of light radiation Sources of falling objects Sources of sharp objects Hazards in layout of workplace Sources of electrical hazards Objects routinely lifted Sources of bloodborne pathogen exposure JHA11-Grounds EXAMPLES: ladders, tractors, blowers, weed whackers, lawn mowers, power tools (tree trimming), chain saw, copier, file cabinet and desk drawers, tables and chairs, carts, gates, doors and windows, playground equipment, students, vehicles motors, exhaust pipes, heating equipment (steam radiators, space heaters), cooking appliances (coffee pot, microwave), copier extensive work out-of-doors oils, antifreeze, gas, diesel, parts cleaner, cleaning products, paints, glues, fertilizers, pesticides, herbicides, batteries, solvents, insect stings/bites, deicer athletic field lime, gas/diesel exhaust fumes (nuisance dust - blown dirt and yard debris) sunlight, copier stored materials, hoists, jacks, building materials, tools, transported materials, equipment on carts, thrown objects, rocks, limbs/branches, ceiling tiles, balls lawn mower blades, hand tools, needle sticks, box opener, pocket knives, saw blades, knives, metal edges of materials, scissors, needles, broken glass and can lids, cutting tools, nails and screws, engine parts, shovels, rakes, sharp edges of furniture and building trim, chippers, chain saws uneven walking surfaces outside, cluttered and crowded aisles, improperly stored chemicals, equipment clearances, proper exhaust ventilation, improperly guarded equipment, slippery walkways, working on roofs, tractors without rollover protection powered equipment, cords on power tools, missing ground plugs improperly used or sized extension cords, small appliances equipment, materials hypodermic needles, trash contaminated with body fluids, body fluids from student injury/illness 1 Job Hazard Assessment and Prevention Profile Job Title: GROUNDS EMPLOYEE POTENTIAL HAZARD SOURCES, CONT: Sources of noise (possible occupational exposure) Sources of workplace violence EXAMPLES: power tools, pneumatic equipment, saws, motordriven equipment, blowers, lawn mowers, tractors, chippers, chain saws student fights, upset parents or co-workers, inappropriate or uncontrolled student behavior, trespassers or intruders Ergonomics: Physical risk factors Awkward postures Frequency Occasional High hand force Highly repetitive motion Repeated impact Heavy, frequent or awkward lifting Moderate to high vibration Occasional Occasional Occasional Occasional Occasional Examples bending to do work, slippery footing (wet or icy surfaces) power tools, wood chipper shoveling power tools, gravel compactor lifting supplies, equipment, shoveling snow using power equipment, wood chipper RECOMMENDED JOB SAFETY TRAINING: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Accident Prevention Program Emergency Procedures, building specific Hazard Communication Program & MSDSs Exposure Control Plan (HBV) and HIV/AIDS Personal Protective Equipment Energy Control Program (Lockout/Tagout) Fall Protection (if working 10' off ground level) District & School Policies/Procedures Safe Use of Ladders Safe Lifting and Ergonomic Awareness De-escalation Practices Defensive Driving Course Orientation to Specialized Equipment & Equipment Proficiency Safe Pesticide Use JHA11-Grounds 2 Job Hazard Assessment and Prevention Profile Job Title: GROUNDS EMPLOYEE PERSONAL PROTECTIVE EQUIPMENT NEEDED FOR THE JOB: Hazard category Hazard sources Chemical exposure Bloodborne pathogen exposure Exposure to falling objects Exposure to noise Exposure to dust Personal Protective Equipment cleaners, solvents, gloves, goggles, pesticides apron, face shield student body fluids, gloves, goggles trash Required or Recommended** Required outside sites hard hats, work boots, work gloves ear plugs or muffs Required dust mask, goggles Recommended blowers, mowers blown dirt and yard debris Required Recommended ** - Required (by WISHA rule) or Recommended (best practice) Reviewed with employee on: ___________________________________________ Employee signature: _________________________________________________ Supervisor signature: _________________________________________________ JHA11-Grounds 3