Project Area Details

  • JHA Reference Number

  • Project Title / Code

  • Site conducted

  • Conducted on

  • Prepared by

  • What types of work might be happening during the inspection for a JHA?

  • What types of construction activities are happening during the inspection?

History of JHA in Project Area

  • How many times do employees encounter these hazards?

  • Is a Job Hazard Analysis (JHA) conducted for all tasks at the worksite?

  • Are there emergency procedures for dealing with problems related to these hazards?

  • Are employees trained on how to handle these hazards?

  • Have control measures been in place for identified hazards during the JHA before?

  • How many employees have received training on interpreting Job Hazard Analysis (JHA) reports?

Current Hazard Identification

  • What types of hazards are present in the work area?

  • If there are physical hazards present in the project area, please choose from these options:

  • If there are chemical hazards present in the project area, please choose from these options:

  • If there are biological hazards present in the project area, please choose from these options:

  • If there are ergonomic hazards present in the project area, please choose from these options:

  • State the specific hazard not included in the list or items stated

  • What is the severity of potential injuries from these hazards?

  • How are hazards communicated to employees?

  • How likely is it that something bad will happen because of these hazards?

  • What control measures are currently in place?

  • undefined

Controls Measures and Safety Protocols

  • Are all workers trained on safety protocols related to the identified hazards?

  • Is personal protective equipment (PPE) being used correctly by all employees on site?

  • Are regular safety inspections being conducted to identify potential hazards?

  • Are hazardous materials being stored and labeled with complete information provided by Safety Data Sheets (SDS) in accordance with safety regulations?

  • Is there a clear procedure for reporting safety incidents, near misses, or unsafe conditions, and are employees encouraged to report these without fear of retaliation (gantihan o balikan)?

  • Are warning signs and labels prominently displayed? How many?

  • State the control measures used to stop the identified hazard/s.

Monitoring and Review

  • Are the control measures currently in place effective in mitigating the identified hazards?

  • How frequently are the control measures reviewed and updated to ensure they remain relevant?

  • Are employees adequately trained and aware of the control measures they need to follow?

  • What feedback have employees provided regarding the effectiveness of the control measures and safety protocols?

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.