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    Company Name. - Site Supervisor

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    moses
    This JHA document provides a risk assessment for a proposed work day. It identifies various hazards like work at height, electricity, moving vehicles, and excavation. For each hazard, it lists possible consequences like falling, back injury, or damage to property. It also outlines barriers and controls to prevent or reduce risks, such as using the right tools/equipment, barricading work areas, and wearing appropriate PPE. The document requires listing team members and signatures to confirm the risk assessment was completed before starting work.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Company Name. - Site Supervisor

    Uploaded by

    moses
    41 views1 page
    This JHA document provides a risk assessment for a proposed work day. It identifies various hazards like work at height, electricity, moving vehicles, and excavation. For each hazard, it lists possible consequences like falling, back injury, or damage to property. It also outlines barriers and controls to prevent or reduce risks, such as using the right tools/equipment, barricading work areas, and wearing appropriate PPE. The document requires listing team members and signatures to confirm the risk assessment was completed before starting work.

    Original Title

    Daily JHA

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    This JHA document provides a risk assessment for a proposed work day. It identifies various hazards like work at height, electricity, moving vehicles, and excavation. For each hazard, it lists possible consequences like falling, back injury, or damage to property. It also outlines barriers and controls to prevent or reduce risks, such as using the right tools/equipment, barricading work areas, and wearing appropriate PPE. The document requires listing team members and signatures to confirm the risk assessment was completed before starting work.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views1 page

    Company Name. - Site Supervisor

    Uploaded by

    moses
    This JHA document provides a risk assessment for a proposed work day. It identifies various hazards like work at height, electricity, moving vehicles, and excavation. For each hazard, it lists possible consequences like falling, back injury, or damage to property. It also outlines barriers and controls to prevent or reduce risks, such as using the right tools/equipment, barricading work areas, and wearing appropriate PPE. The document requires listing team members and signatures to confirm the risk assessment was completed before starting work.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Job Hazard Analysis – JHA Version 1

    Company Name. ________________ Site Supervisor Date:


    __________________________
    Description of Proposed Work for the day:

    Site Risk Assessment Process


    Hazards- Anything that has  Consequences- What  Barriers / Controls- Activities you 
    potential to cause Harm could go wrong have identified to prevent, eliminate
    or reduce the occurrence of a
    hazard that you have identified.

    Work at Height Falling from height Adequate lighting provided


    Electricity Back Injury Safety talk before start of work
    Moving Vehicles Burns Competent personnel for high risk and
    specialised jobs
    Excavation Damage to Property Use of right tools and equipment
    Heavy Equipment Damage to Equipment Underground cable detector
    Dust Dropping Proper posture / position
    Noise Ear Damage Barricading e.g. Use of tape, cones
    Chemical hazards Electrocution Lock Out / Tag Out
    Poor Housekeeping Explosion Fire Extinguisher
    Poor Visibility Fire First Aid Box
    Rotating Equipment Injury
    Slippery surface- due to wet surface Injury to eyes Use appropriate PPEs. Name the PPEs
    from spilled substances below:
    Moving Vehicles Injury to hands
    Unsafe equipment / tooling Slipping
    Flammable substances-Fuels, Oils etc. Tripping
    Bad Weather- Rain or too much heat Being hit by a car
    from sun
    Working beyond physical capability Harm to 3rd party
    Lifting heavy items Cuts
    Heavy winds Road Traffic Accidents
    Cuts Hand injury
    Underground cables or pipe Damage to eyes Any other controls in place:
    Snakes, Pests, Bees Exposure to Fumes or
    irritants
    Open sewers Dizziness
    Overhead cables Falling into a
    trench/ditch
    Mechanical (Specify)e.g. generator, Air
    Conditioner
    Welding
    Fumes Name of Fire fighter:
    Faulty equipment/tools Name of First Aider:

    Please Note
    This form must be completed BEFORE you commence the job. All names of Team members to be listed below or
    over leaf.
    IF IN DOUBT, STOP WORK, ASK FOR HELP / CLARIFICATION.
    Name of Team Member Signature Name of Team Member Signature

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