Job Hazard Analysis for Construction

• Audit Title

  Select Job Hazard Analysis - Construction Site Job Hazard Analysis - Service Site

  • Job Hazard Analysis - Construction Site
  • Job Hazard Analysis - Service Site

• Branch

  Select

• Region

  Select

• Customer Name

  Select

• Document No.

• Conducted on

  Date

• Inspection completed by

• Personnel on site

GENERAL

• Dispatch (Service) or Job Order (Construction) Number

• Customer / Site Location
  Address

• First and Last Name of Supervisor, Foreman, or Technician Onsite

• Select site weather conditions at time of this inspection (select all that apply)

  Select Clear Sky Cloudy Raining Windy Hazy Snow / Hail OTHER

  • Clear Sky
  • Cloudy
  • Raining
  • Windy
  • Hazy
  • Snow / Hail
  • OTHER

• Describe weather conditions on site today

• Minimum temperature today?

• Maximum temperature today?

• Current activities being undertaken onsite (select all that apply)

  Select General Demolition Formwork Reinforce Steel Steel Erection Mechanical Electrical Plumbing Drywall Painting Underground Work Cleanup OTHER Carpentry Refrigeration System install

  • General
  • Demolition
  • Formwork
  • Reinforce Steel
  • Steel Erection
  • Mechanical
  • Electrical
  • Plumbing
  • Drywall
  • Painting
  • Underground Work
  • Cleanup
  • OTHER
  • Carpentry
  • Refrigeration System install

THE PROJECT OR TASK

• Briefly describe the project or task to be performed.

CONSTRUCTION

• Will construction be performed on any customer-owned or leased property, including buildings, racking, storage facilities, docks, or trailer yards?

  Yes

  No

• Yes

  No

  N/A

OPERATIONAL DISRUPTION

• Will the customer's operations be disrupted, such as by closing an area, rerouting walkways, etc?

  Yes

  No

• Describe the operational disruption to take place as a result of the project or task to be perfomed.

EMERGENCY EGRESS

• Will this project or task cause a change in evacuation routes or emergency exits?

  Yes

  No

• Where will the evacuation routes or emergency exits be changed?

• How long will the change last?

FIRE SYSTEM IMPAIRMENT

• Will the project or task impair the fire prevention system (including alarms, smoke detectors and sprinkler heads) or other alarm systems?

  Yes

  No

• How does the Contractor plan to communicate such impairments to the Project Manager?

• How often does the Contractor plan to communicate such impairments to the Project Manager?

PHYSICAL NUISANCES

• Will the project or task generate physical nuisances (e.g., excessive dust, odors, noise, or vibration)?

  Yes

  No

• What physical nuisances (e.g., excessive dust, odors, noise, or vibration) will the project generate?

• How prevalent will those nuisances be?

  Low

  Medium

  High

ENVIRONMENTAL

• Will work performed cause any environmental concerns, such as poor air quality, water or air contamination, hazardous waste storage, or disposal?

  Yes

  No

• How will these concerns be mitigated?

DISPOSAL OF REGULATED/ HAZARDOUS WASTE

• Will the project result in waste that is either regulated or governed by specific handling or disposal regulations (i.e., asbestos, lighting, lead, electronics, or chemicals)?

  Yes

  No

• What are the plans to dispose of such waste?

HAZARDOUS BUILDING MATERIALS

• Will Contractor bring to the site or disturb any hazardous building materials that contain asbestos, lead, mercury, PCBs or other hazardous chemicals?

  Yes

  No

• Why and where in the facility will they be used?

JOB HAZARD ANALYSIS

SIGNAGE, BARRICADES, WORK ZONE ENCLOSURE

• Are safety signage, barricades, or other means of warning or enclosure needed to keep unauthorized personnel from entering the work area?

  Yes

  No

• Where will they be installed?

• How long will they be up?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Are proper signage, barricades, or other means of warning or enclosure available for use?

  Yes

  No

• Have personnel completed required safety training for using signs, barricades and work zone enclosures?

  Yes

  No

CHEMICAL PRODUCTS

• Will chemicals need to be stored at the customer site?

  Yes

  No

• What chemicals will be stored at the customer site?

• How long with the chemicals need to be stored at the customer site?

• How will the chemicals be stored at the customer site?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Have personnel completed required safety training for hazard communication and handling of chemical products?

  Yes

  No

CRANES, DERRICKS & HOISTS

• Will large, heavy loads be moved through the use of cranes, derricks and /or hoists

  Yes

  No

• Where and how often?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Has personnel completed required safety training for working with and / or around cranes, derricks, and / or hoists?

  Yes

  No

POWERED INDUSTRIAL TRUCKS (PIT)

• Will any PIT equipment be used for this project or task?

  Yes

  No

• What PIT equipment will be used for this project or task?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Is personnel safety certified to operate Powered Industrial Trucks?

  Yes

  No

AERIAL LIFTS

• Will any tasks require the use of aerial lifts?

  Yes

  No

• What tasks will require the use of aerial lifts?

• What are the potential hazards

• What are the recommended actions to address these hazards?

• Has personnel completed required safety training for the use of aerial lifts?

  Yes

  No

SCAFFOLDS

• Will any tasks require scaffolding?

  Yes

  No

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Are personnel who will be working on, or erecting, scaffolding specifically trained for those tasks?

  Yes

  No

LADDERS AND PORTABLE STAIRS

• Are there any tasks that will require access to areas through the use of ladders or portable stairs?

  Yes

  No

• What tasks require access to areas through the use of ladders or portable stairs?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Is the correct ladder or portable stair unit available for the project or task?

  Yes

  No

WORKING AT HEIGHTS

• Will any tasks be performed where there is the potential for a fall of greater than 6 feet?

  Yes

  No

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Is certified fall protection equipment available for performing the task?

  Yes

  No

• Are employees who will perform work at heights specifically trained for it?

  Yes

  No

FIRE PREVENTION/HOT WORK

• Will this project require hot work, such as grinding, welding, cutting, or burning, for which a hot work permit or fire watch is required?

  Yes

  No

• Yes

  No

  N/A

ELECTRICAL WORK

• Are there any tasks on this project that will include working in or around electrical panels?

  Yes

  No

• What tasks will include working in or around electrical panels?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Has personnel completed required safety training for working in or around electrical panels?

  Yes

  No

HAZARDOUS ENERGY CONTROL (LOCKOUT TAGOUT)

• Will this project result in modifications or additions to existing mechanical systems, pressurized systems, electrical conduits, breakers, or circuitry that will require the use of lockout?

  Yes

  No

• What tasks require lockout?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Have personnel completed required safety training for implementing Lockout Tagout procedures?

  Yes

  No

CONFINED SPACE ENTRY

• Will this project require entry into a confined space?

  Yes

  No

• Where will confined space entry take place?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Are all employees who will perform such work specifically trained for entering confined spaces?

  Yes

  No

LASERS OR RADIOACTIVE DEVICES

• Will ionizing radiation sources (radiation or X-rays) or non-ionizing sources (lasers) be utilized to perform the scope of work?

  Yes

  No

• Where and how often?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Have personnel completed required safety training for ionizing or non-ionizing radiation procedures?

  Yes

  No

POWER ACTUATED TOOLS

• Will any tasks require the use of tools that are powered through electric, pneumatic, liquid fuel, hydraulic, or powder-actuated means?

  Yes

  No

• What tasks require the use of power actuated tools?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Have personnel completed required safety training for using power actuated tools?

  Yes

  No

PERSONAL PROTECTIVE EQUIPMENT

• Will any tasks be performed that will require the use of personal protective equipment (PPE)?

  Yes

  No

• What tasks will require the use of PPE?

• What potential hazards are present?

• What are the recommended actions to address these hazards?

• Have all employees received the proper PPE for the tasks being performed?

  Yes

  No

HEALTH AND SAFETY TRAINING

• Have personnel received all safety training required for this project?

  Yes

  No

• Is there any additional specialized safety training needed for this project or task?

  Yes

  No

SIGN OFF

• Name of Technician Manager or Site Supervisor / Foreman

  Sign