Job Hazard Analysis Template Instructions

A Job Hazard Analysis (JHA) is a technique for studying workplace hazards with a focus on finding the best ways of controlling them. First, a JHA analyzes work activities to identify the procedures, tools and materials necessary for accomplishing the task. Then the JHA process identifies strategies that will either eliminate or mitigate the hazards.

Below are instructions for filling out each section of the JHA template on pages 2-3.

Date: Enter the date the JHA is being done and check if this is a NEW JHA or a REVISION to an existing one.

Department: Enter the name of the department performing the Job Task for this JHA.

Reviewed By: The JHA needs to be reviewed and approved by department leadership (or other designee) with responsibility for providing a safe and healthful workplace environment.

Job Title: List the job titles of the workers who are assigned to the task/operation being analyzed.

Job Task: Enter a brief but detailed description of the task being analyzed in the JHA. Include details such as the purpose of the task, the tools and equipment being used, and the environment in which the task is performed.

Personal Protective Equipment (PPE): Provide information about all forms of PPE necessary for completing the Job Task being reviewed in this JHA.

Task/Step: Each step of the operation being examined should be written on the JHA worksheet in the order it is performed.

Note: Break the task/operation into a series of small steps, until you have a complete list of all the steps from start to finish. Taking photos or videos may help make it easier to complete the JHA process. It may also be useful to observe several workers performing the task to account for procedural differences.

Potential Hazards: List the potential hazards identified for each step of the task. A potential hazard is any unsafe condition or practice that could cause worker injury, illness or death. Examples include unguarded machinery, toxic chemical exposures, environmental stressors (such as noise), electrical hazards, ergonomic hazards (from lifting, pushing, pulling, or twisting), fire hazards, and many others not listed here.

Control Methods: These are the recommendations for how to eliminate or minimize the hazards that were identified during the JHA process.

Note: There are five distinct categories of controls (listed below in order of preference, called the hierarchy of controls):

Elimination – Removes the hazard entirely from the workplace and therefore the risk of exposure or harm.

Substitution – Involves replacing something that creates a hazard with a safer alternative.

Engineering – Reduces hazards by isolating the worker from them by modifying equipment, using protective barriers, or adding ventilation.

Administrative – Focuses on modifying behaviors and workplace practices to reduce risks associated with various tasks and environments.

Personal Protective Equipment (PPE) – The last line of defense against workplace hazards and includes items such as gloves, safety glasses, hearing protection, hard hats, and respirators.

PURPOSE: Review each Job Title or Job Task performed by employees to determine where work-related hazards exist; provide recommendations for hazard elimination/protection, identify appropriate personal protective equipment (PPE), and training to inform employees of appropriate safety standards and precautions.

Date:	Click or tap to enter a date.	☐New ☐Revised
Department:	Click or tap here to enter text.	Reviewed By:	Click or tap here to enter text.
Job Title:	Click or tap here to enter text.
Job Task(s):	Click or tap here to enter text.

REQUIRED PERSONAL PROTECTIVE EQUIPMENT (PPE) (Choose ALL that apply to this task. If additional information is needed, please specify.)
Body Protection	Hand Protection
Click or tap here to describe the specific protection needed.	☐Disposable Gloves ☐Leather Gloves ☐Cut Resistant Gloves	☐Insulated Gloves ☐Electrical Safety Gloves ☐Chemical Resistant Gloves
Eye Protection	Head Protection
☐Safety Glasses ☐Safety Goggles ☐Laser Eyewear ☐Face Shield	☐Optical Face Shield ☐Welder’s Goggles ☐Welder’s Helmet ☐Arc-Rated Face Shield	☐Bump Cap ☐Hard Hat ☐Other Please Describe: Click or tap here to enter text.
Fall Protection	Hearing Protection
Click or tap here to describe the specific equipment needed.	Click or tap here to describe the specific equipment needed.
Foot Protection	Respiratory Protection
☐Slip Resistant Shoes ☐Composite/Steel-Toed Shoes	Click or tap here to describe the specific equipment needed.

Task/Step	Potential Hazard(s)	Control Methods
INSTRUCTIONS: By Title: Provide an overview of tasks and potential hazards. By Task: Break the job into a sequence of steps. Each of the steps should accompany some major tasks.	Identify the hazard(s) associated with each step. Every possible source of energy must be identified. Look at the entire environment to determine every conceivable hazard.	Decide what actions are necessary to eliminate, control, or minimize hazards that could lead to accidents, injuries, environmental damage, or illness.
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