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# DLA Official Forms

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| Form Number:  DLA7001A                                                                                                                                                                                                                                                                                                                                                                                              |
|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  Job Hazard Analysis (JHA) Review                                                                                                                                                                                                                                                                                                                                                                       |
| Form Version:  May 2018                                                                                                                                                                                                                                                                                                                                                                                             |
| Status:  Active                                                                                                                                                                                                                                                                                                                                                                                                     |
| Functional Area:  Chief of Staff                                                                                                                                                                                                                                                                                                                                                                                    |
| Opr:  CoS                                                                                                                                                                                                                                                                                                                                                                                                           |
| Safeguards:  none                                                                                                                                                                                                                                                                                                                                                                                                   |
| Electronic:  Yes                                                                                                                                                                                                                                                                                                                                                                                                    |
| Form Link:  Documents/FormsSite/forms/DL7001A.PDF                                                                                                                                                                                                                                                                                                                                                                   |
| Type:  Primary                                                                                                                                                                                                                                                                                                                                                                                                      |
| Prescribed:  DLAI 6055.01 and DLAI 6055.14                                                                                                                                                                                                                                                                                                                                                                          |
| Description:  To document the analysis of a task performed in the workplace, document known and potential hazards and document required protective measures (i.e. personal protective equipment (PPE), engineering and administrative controls). Analysis information used to determine PPE and medical surveillance requirements and to train employees prior to performing a task with known or potential hazard. |
| Records Retention:  6000.1 Safety and Health Program/Program Files                                                                                                                                                                                                                                                                                                                                                  |
| Form Audience:                                                                                                                                                                                                                                                                                                                                                                                                      |

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