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# DLA Official Forms

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Form Information
| Form Number:       | DLA7001                                                                                                                                                                                                                                                                                                                                                                                               |
|--------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | Job Hazard Analysis (JHA)                                                                                                                                                                                                                                                                                                                                                                             |
| Form Version:      | May 2018                                                                                                                                                                                                                                                                                                                                                                                              |
| Status:            | Active                                                                                                                                                                                                                                                                                                                                                                                                |
| Functional Area:   | Chief of Staff                                                                                                                                                                                                                                                                                                                                                                                        |
| Opr:               | CoS                                                                                                                                                                                                                                                                                                                                                                                                   |
| Safeguards:        | none                                                                                                                                                                                                                                                                                                                                                                                                  |
| Electronic:        | Yes                                                                                                                                                                                                                                                                                                                                                                                                   |
| Form Link:         | Documents/FormsSite/forms/DL7001.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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