Job Hazard Analysis

• Site conducted

  Select

• Document No.

• Conducted on

  Date
• Location
  Address

• Prepared by

• Summary Statement

• Number of Job Tasks Reviewed

Job Hazard Analysis

• Each individual hazard assessment is listed as "Elements" each assessment assumes engineering controls are in place first and PPE is recommended only when engineering and administrative controls cannot eliminate the hazards.

Job Task

• Task Pictures

  Media

• Task Description

• Task Location

• Hazards associated with the task

  Select Struck-By Caught Between Struck Against Caught-On Caught-In Fall Same Level Fall to Below Overexertion Exposure Contact-With

  • Struck-By
  • Caught Between
  • Struck Against
  • Caught-On
  • Caught-In
  • Fall Same Level
  • Fall to Below
  • Overexertion
  • Exposure
  • Contact-With

• undefined

• What is the likelihood of a injury, illness or property damage occurring?

  Likely Very Soon

  Probably in Time

  May Occur in Time

  Unlikely to Occur

• If an injury, illness, or Property Damage were to occur, how severe would it be?

  Select Catastrophic Critical Moderate Negligible

  • Catastrophic
  • Critical
  • Moderate
  • Negligible

• Select the type of control you will use to mitigate the risk and describe.

  Select

• Describe controls required or recommended