Compliance Inspection Sheet - JHA

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation Criteria

• Has a JHA been developed for the task and readily accessible at the work face

  Yes

  No

  N/A

• Have all personnel engaged in the task signed onto the JHA

  Yes

  No

  N/A

• Has the JHA been reviewed and signed by the job supervisor

  Yes

  No

  N/A

• In the case of a lower tier subcontractor has the JHA been authorised by the principle contractor

  Yes

  No

  N/A

• Does the JHA identify Permit To Work requirements associated with the task

  Yes

  No

  N/A

• Does the JHA adequately reflect the task being performed

  Yes

  No

  N/A

• Does the JHA have an over riding Risk Assessment

  Yes

  No

  N/A

• Are the JHA task steps being followed

  Yes

  No

  N/A

• Have all potential hazards been identified (detail major hazards that have not been accounted for)

  Yes

  No

  N/A

• Does the JHA reflect any field modifications or other changes (traffic, environment etc.)

  Yes

  No

  N/A