Safety (Job Hazard Analysis)

• Client / Site

• Prepared by

• Conducted on

  Date

• Document No.

• JHA Number and Title

• Task Leader:

• Select date

  Date
• Add location
  Address

• Task Description:

• Safe Work Procedure (SWP) Required?

  Yes

  No

  N/A

• Risk with controls:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Permit Required?

  Yes

  No

  N/A

Task

• Action/Step 1

• Description:

• Hazards:

• Risk Rating Before:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Controls/Procedure:

• Risk Rating After:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Action/Step 2

• Description:

• Hazards:

• Risk Rating Before:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Controls/Procedure:

• Risk Rating After:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Action/Step 3

• Description:

• Hazards:

• Risk Rating Before:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Hazards:

• Controls/Procedure:

• Risk Rating After:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Action/Step 4

• Description:

• Hazards:

• Risk Rating Before:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Controls/Procedure:

• Risk Rating After:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Action/Step 5

• Description:

• Hazards:

• Risk Rating Before:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Controls/Procedure:

• Risk Rating After:

  Select Low Medium High Critical

  • Low
  • Medium
  • High
  • Critical

• Employee Signature

  Sign

• Safety Advisor/Supervisor/Senior Management Signature

  Sign

Email copy to luke@innovativeas.com.au for storage in the OHSE registry