Risk Assessment (Job Hazard Analysis) JHA

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• 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:

  Date

• Contractor or Department:

• Plant:

• Supervisor:

• Name & Sign:

  Sign

• Site Supervisiour:

• Name & Sign:

  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.

  Sign

JHA Reviewed / Changes made & Approved

• Date & Time:

  Date
Job Step

• Job Step:

Description of Change

• Change:

• New Controls:

New Controls

• New Controls:

• Chance Approved

Change Approved

• Name $ Sign:

  Sign

• Date & Time:

  Date