Encore Electric Executive Audit - JHA

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Specific Safety Plan/Job Hazard Analysis (JHA)

• Has a site specific safety plan/JHA been developed for this project?

  Yes

  No

  N/A

• Has the JHA been reviewed and signed by the appropriate levels of management?

  Yes

  No

  N/A

• Has the JHA been reviewed with all employees on site?

  Yes

  No

  N/A

• Does the JHA match the scope of work for this project?

  Yes

  No

  N/A

• Is there a copy of the JHA on site?

  Yes

  No

  N/A

• Has the JHA ever been updated to match changes in the scope of work?

  Yes

  No

  N/A