Job Hazard Analysis: Step - Description

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Job Hazard Analysis Date: ____________ JHA Number: _________ Steps: ____ to ____

Location of Job/Task: ___________________________________________________________________________________________

Job/Task Title: ________________________________________________________________________________________________

Step __ Description: _______________________________________________________________________________________

Hazards Preventive Measure(s) Required


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Step __ Description: _______________________________________________________________________________________


Hazards Preventive Measure(s) Required
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Step __ Description: _______________________________________________________________________________________


Hazards Preventive Measure(s) Required
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Step __ Description: _______________________________________________________________________________________


Hazards Preventive Measure(s) Required
_________________________________ __________________________________________________________________
_________________________________ __________________________________________________________________
Safe Job Procedure (SJP)
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REVIEWED BY _____________________________________________________ DATE:: _______________________


S&H REPRESENTATIVE:

APPROVED BY _______________________________________________ DATE: ________________________


Exercises: Perform each step only with directed from the instructor ;-)
1. Each team member describe a hazardous task at work. From the team discussion, write a
list of six hazardous tasks in Column 1.
2. In Column 2, prioritize each task based on your team’s discussion (1=highest, 6=lowest).
3. Using the information from the Probability and Severity Tables in the workbook, enter the
rating for each task in Columns 3 and 4.
4. Multiply the Probability and Severity ratings to calculate the Risk Score. Enter the Risk
Score in Column 5.
5. Determine and enter the new priorities for each task in Column 6.

1 2 3 4 5 6
Task Priority Probability Severity Risk Priority

1. ________________________________________ ______ _________ ________ _____ ______

2. ________________________________________ ______ _________ ________ _____ ______

3. ________________________________________ ______ _________ ________ _____ ______

4. ________________________________________ ______ _________ ________ _____ ______

5. ________________________________________ ______ _________ ________ _____ ______

6. _______________________________________ ______ _________ ________ _____ ______

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