Job Hazard Analysis (JHA) Example Form

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A Job Hazard Analysis (JHA) template example form typically includes the following sections:

1. Job Title: A brief description of the job or task being analyzed.
2. Hazards: A list of potential hazards associated with the job or task, including physical, chemical, biological, and ergonomic risks.
3. Risk Factors: A detailed analysis of each hazard identified, including:
   • Probability of occurrence
   • Severity of injury or illness
   • Frequency of exposure
4. Control Measures: A description of controls to be implemented to prevent or mitigate the hazards identified, such as:
   • Personal Protective Equipment (PPE)
   • Work procedures and guidelines
   • Safety devices and equipment
   • Engineering controls
5. Responsibilities: The personnel responsible for implementing and maintaining the control measures.
6. Training Requirements: Any training needs for employees working in the job or task, such as:
   • Initial training
   • Refresher training
   • Specialized training
7. Review and Revision Date: A date for reviewing and revising the JHA template to ensure it remains relevant and effective.

Here is an example of what a Job Hazard Analysis (JHA) template might look like:

Please note that this is a simplified example and actual JHA templates may vary depending on the organization, industry, or specific job requirements.

Implementing a Job Hazard Analysis (JHA) Template Example Form can benefit your organization in several ways:

• Improved workplace safety: A JHA helps identify potential hazards and take steps to mitigate them, reducing the risk of work-related injuries and illnesses.
• Increased productivity: By identifying and addressing potential hazards, organizations can reduce downtime and minimize the impact of accidents on productivity.
• Compliance with regulations: Conducting regular JHAs demonstrates a commitment to compliance with relevant safety and health regulations, which can help avoid fines and penalties.
• Reduced workers' compensation claims: A JHA can help identify potential hazards that may lead to worker injuries or illnesses, enabling proactive measures to prevent these incidents and reduce the number of workers' compensation claims.
• Enhanced employee engagement: By involving employees in the JHA process, organizations can foster a culture of safety awareness and encourage active participation in maintaining a safe work environment.

Here is the answer:

• Job Identification
• Job Steps/Breakdown
• Hazards and Risks
  • Physical Hazards
  • Chemical Hazards
  • Biological Hazards
  • Ergonomic Hazards
  • Other Hazards
• Control Measures
  • Administrative Controls
  • Personal Protective Equipment (PPE)
  • Engineering Controls
  • Work Practices
• Action Items and Responsibilities
• Review and Revision Schedule