Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

JOB HAZARD ANALYSIS JHA's are valid for the duration of the task or shift.

  • "If you see it you own it"
    Spot the hazard
    Assess the risk
    Implement the control measures

  • Title of TASK:

  • Equipment NO #:

  • Date and Time:

  • Contractor or Department:

  • Plant:

  • Supervisor:

  • Name & Sign:

  • Site Supervisiour:

  • Name & Sign:

JOB HAZARD ANALYSIS

  • Job Step No / Hazards / Control Measures.

  • Job Step

  • Step
  • Add Job Steps

  • Hazards
  • Add Hazards

  • Control Measures

Team Members Name & Sign "Must read and agree to the JHA before signing onto it as it is a legal binding contract.

    Team Members
  • Name & Sign.

JHA Reviewed / Changes made & Approved

  • Date & Time:

  • Job Step
  • Job Step:

  • Description of Change
  • Change:

  • New Controls:

  • New Controls
  • New Controls:

  • Chance Approved

  • Change Approved
  • Name $ Sign:

  • Date & Time:

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.