JHA Audit Checklist

• Audit conducted by

• Date

  Date

• Project / Job

• Client

• Work Area

• Employee

• JHA Title and or number

• Supervisor

Title Page

• All titles, numbering, and signatures for the JHS complete?

  Yes

  No

  N/A

• Is the JHA hand written?

  Yes

  No

  N/A

• Is the JHA in good condition?

  Yes

  No

  N/A

• Are the required permits attached to the JHA?

  Yes

  No

  N/A

JHA

• Is the JHA specific to the task?

  Yes

  No

  N/A

• All work steps for the task are broken down sequentially and relevent?

  Yes

  No

  N/A

• All hazards are identified and consistent with the task / work area

  Yes

  No

  N/A

• All controls are adequate and implemented

  Yes

  No

  N/A

• Individual responsibility for the controls identified?

  Yes

  No

  N/A

• All inhernant / residual risks identified and adequate

  Yes

  No

  N/A

• Specific means of communication is identified

  Yes

  No

  N/A

• JHA signed onto by all personnel working on the job

  Yes

  No

  N/A

• JHA reviewed on a regular basis and review date noted on the JHA

  Yes

  No

  N/A

• Yes

  No

  N/A

General

• JHA is located in the work area

  Yes

  No

  N/A

• All personnel have completed take 5s for the task

  Yes

  No

  N/A

• Safe talk is practiced in the team and documented

  Yes

  No

  N/A

Item - Audit personnel on work site

• JHA location is known

  Yes

  No

  N/A

• Personnel have read and understood the JHA

  Yes

  No

  N/A

• Personnel are aware of the emergency procedures and first aid for the task

  Yes

  No

  N/A

• Personnel are familiar with the task

  Yes

  No

  N/A

• All personnel were involved in generating the JHA

  Yes

  No

  N/A

• Personnel are aware of any amendments made to the JHA

  Yes

  No

  N/A

• Take 5s completed are adequate

  Yes

  No

  N/A

• Personnel can name the muster point for the work area

  Yes

  No

  N/A

• emergency radio is available and on the correct channel

  Yes

  No

  N/A

• Employees have received JHA training

  Yes

  No

  N/A

JHA Amendments

• Amendment 1

• Amendment 2

• Amendment 3