Job or operation title: |
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Department/Division: |
Job location: |
Title of employee performing job: |
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Date performed: |
Performed by |
Verified by: |
||||
Special or primary hazards: |
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Biosafety level: |
||||||
Minimum personal protective equipment required: |
||||||
Task or activity: |
Hazards and recommended controls |
|||||
Potential hazard |
Engineering controls |
Administrative/work practices |
PPE |
|||
Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: mmwrq@cdc.gov. Type 508 Accommodation and the title of the report in the subject line of e-mail.
APPENDIX
Job safety analysis sample form
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