Safety (JHA Review)

• Client / Site

• Prepared by

• Conducted on

  Date

• JHA Title

REVIEW ITEMS

• 1. JHA signed on before task commenced

  Yes

  No

  N/A

• 2. More than one person involved in writing the JHA

  Yes

  No

  N/A

• 3. JHA reviewed by the employees doing the task and signed off by management (supervisor, superintendent)

  Yes

  No

  N/A

• 4. JHA task steps consistent with work being carries out and apply to the area

  Yes

  No

  N/A

• 5. Hazards identified in JHA relate to the task being carried out

  Yes

  No

  N/A

• 6. Controls identified are implemented and adequate

  Yes

  No

  N/A

• 7. Residual risk is acceptable for works to proceed

  Yes

  No

  N/A

• 8. Are permits required for the task

  Yes

  No

  N/A

• 9. Is there a copy of the permit in the correct area and is it in date

  Yes

  No

  N/A

• 10. After review, do you believe the JHA is correct for the task and the works can be carried out

  Yes

  No

  N/A

• Positive Feedback

• Room for Improvement

• Safety Advisor/Supervisor/Senior Management Signature

  Sign