Dry Ice Job Safety Analysis (JSA) Form

This app deals with procedures, regulations, and practices regarding the transport, use, and disposal of dry ice. It ensures risk is minimized and safe practices are followed.

Exposure to dry ice is no laughing matter. Skin exposure to dry ice can cause severe burns. That’s why JSA recommends companies institute a safety program with regular training for each employee. Personal protective equipment, such as insulating gloves, must be used when handling hazardous materials such as dry ice. In addition, JSA advises employees to use eye protection, tie back long hair, and wear a lab coat or long sleeves when working with dry ice.

Since dry ice gives off carbon dioxide gas, there is a risk of asphyxiation so it should never be used in a confined space. If not properly stored, the sublimation of gas can result in pressure build-up that may lead to an explosion.

Management should conduct an on-site safety inspection of equipment and correct unsafe work practices. When accidents occur, this app can be used to review situations to deter unsafe practices and determine corrective action.

This app will create paperless documents that will help you stay organized and save time. It can be easily edited to suit your unique business. For example, it may include the name of the company, date of inspection, and the name of the inspector. This app has the ability to take a picture of equipment or document work practices. When completed, the electronic documents can be transformed into a PDF that can be shared with others and stored.