Title Page

  • Task/ Cargo/ Equipment

  • Conducted on

  • Location

JHSC Personel

  • Union:

  • Western:

  • Guests or Third party reps:

Pre-Analysis

  • This JHA is intended to be used in the development of:

  • The Risk Assessment portion of this analysis does NOT replace the risk assessment process agreed to by the JHSC.

  • The Risk Assessment portion of this analysis is only good for a temporary procedure does NOT replace the risk assessment process agreed to by the JHSC.

  • This is JHA is:

  • Previous JHA:

  • Do any of the following S.O.P's apply to this operation?

Job Hazard Analysis

    Add Step:
  • Identify Step:

  • Describe the work area, task being performed, or equipment being used, that create the hazards.

  • Hazard(s):

  • Hazard Type:

  • Pre-control Risk:

  • Current Control(s):

  • Post-control Risk:

  • Preposed new control:

  • Post-control Risk:

  • Notes:

  • Pictures:

Post-Analysis

  • Additional Recommendations:

  • Additional Notes:

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.