Information

  • MINI JHA

  • Foreman

  • Conducted on

  • Location
  • Today's Task

Plant / Equipment / Tools / Machinery required for task

  • Plant Id, name, number or registration

  • Pre-start completed?

  • Plant Id, name, number or registration

  • Pre-start completed?

  • Plant Id, name, number or registration

  • Pre-start completed?

  • Equipment

  • Tools

  • Machinery

TASK STEP / HAZARD / CONTROL

    Step
  • Task Step

  • Hazard

  • Control

  • Add media

TRAFFIC / PEDESTRIAN CONTROLS:

    Step
  • Traffic / Pedestrian Controls

  • Add media

FIRE PREVENTION CONTROLS

    Step
  • Fire Prevention Controls

  • Add media

Signatures

    Signature
  • Add signature

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.