Title Page
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Date
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Name of Person Conpleting JHA
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Site Location
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Contractor Name
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Primary Job Tasks
Job Hazzard Information
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Is there a SWMS for this job task
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If yes, have your team been toolboxed on the SWMS
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Are other locations effected by the job task
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If yes, involve them in discussion and toolbox
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Are there adequate PPE supplies for the Job Task
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If NO, no work is to commence until risk is reduced
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Enter the job steps and corresponding Risk and control levels
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Step
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Risk Level
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What are the potential Dangers involved
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How is this being controlled
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Risk Level After Control Measures
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Step
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Risk Level
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What are the potential Dangers involved
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How is this being controlled
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Risk Level After Control Measures
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Step
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Risk Level
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What are the potential Dangers involved
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How is this being controlled
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Risk Level After Control Measures
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Step
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Risk Level
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What are the potential Dangers involved
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How is this being controlled
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Risk Level After Control Measures
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Step
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Risk Level
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What are the potential Dangers involved
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How is this being controlled
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Risk Level After Control Measures
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Step
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Risk Level
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What are the potential Dangers involved
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How is this being controlled
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Risk Level After Control Measures
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