JOB HAZARD ANALYSIS
OHS PROGRAM – CONSTRUCTION SAFETY
FORM #JHA-01 | REV. 01
SECTION 1 – JHA / PROJECT INFORMATION
SECTION 2 – SCOPE OF WORK
SECTION 3 – SITE-SPECIFIC CONDITIONS
SECTION 4 – TASK HAZARD ANALYSIS
# Task / Step Hazards Identification Control Measures Initial Likelihood Initial Severity Initial Score Initial Risk Level
1
2
3
4
5
SECTION 5 – PPE REQUIREMENTS
SECTION 6 – TOOLS & EQUIPMENT
# Tool / Equipment Description Category / Type Pre-Use Inspected? Safe for Use?
1
2
3
4
SECTION 7 – SUPERVISOR / FOREMAN REVIEW & SIGN-OFF
Not selected