JOB HAZARD ANALYSIS

HOW TO USE THIS FORM :

1) Crew performing task reviews ALL generic JHA considerations.
2) Review previous JHA update(s) for useful information which will help this task.
3) Create new JHA update with generic form and ALL considerations for this task.
4) Carry out task as per plan. If any conditions change ---STOP & RE-ASSESS.
5) File JHA update for future reference.

Installation/Facility
Location
Associated Work Permit Type
Associated Work Permit Number
Electrical Isolation Certificate Number
Physical Isolation Certificate Number

WORK ACTIVITY

JHA Cross-Reference Number

ALIGNMENT PUMP

Potential
Impact

Control
Measures

Result

Obstruction

Trip, Pinch

Housekeeping and wear hand

glove

Acceptable

Falling object

Personnel injury and

damage to equipment

Proper lifting technique

Tolerable

Pinch point

Personnel injury

Use hand glove

Acceptable

Personnel injury

Apply loto at power feeder

Tolerable

Acceptable

Job
Step

Description of
Job Step

Potential
Hazards

Remove motor from base

Alignment pump / motor

Accidental switching

Re-couple back pump

and motor

Housekeeping

NA
NA
NA
NA

Falling object

Personnel injury

Housekeeping and secure all

material from falling

Pinch point

Cut to hand

Wear hand glove

Acceptable

Accidental switching

Personnel injury

Apply loto at power feeder

Tolerable

Obstruction

Slip trip and fall

Ensure all equipment are place

correctly at proper storage area

Acceptable

Pinch point

Wear hand glove

Acceptable

JOB HAZARD ANALYSIS

L - LIKELIHOOD
CATEGORY

DEFINITION

CATEGORY

LOW

Remote

LOW

MEDIUM

Possible

MEDIU
M

HIGH

Probable

HIGH

IS THERE A SAFER WAY TO COMPLETE THE JOB?

ARE THERE ALTERNATIVES WITH LESS RISK?

RESULT

R - RATING

S - SEVERITY
DEFINITIONS
No Injury

No Damage

No Pollution

First Aid
Injury
Lost Time
Injury

Minor
Damage
Major
Damage

Minor
Pollution
Major
Pollution

6-9

UNACCEPTABLE

3-4

TOLERABLE

1-2

ACCEPTABLE

LIKELIHOOD