Job Hazard Analysis (JHA) JHA #

Location of Task
Description of the
Person in charge Date task conducted
Task:
Laboratory
Blood Spill

Equipment Name: Equipment No: Work Order # P&ID No/Drawings:

Tools/Equipment: Isolations Required: Procedures/Instructions Required: Permits Required:

PPE Barrier to contain the area □ Energy Isolation
Blood Spill KIT □ High Voltage Electricity
□ Work at Height
□ Floor/Handrail Removal
□ Confined Space
□ Hot Work
□ Excavation/Penetration
□ Lifting/Craneage

Names of Persons developing JHA and Role

Name: Jam Role: Safety Officer Name: Role:
Name: Role: Name: Role:

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Job Hazard Analysis (JHA) JHA #
C
L
S o
i R
n
t s
k is
e Required Controls e k
Job / Task Step Existing / Potential Hazards e
p For each hazard identified list the control/s required l S
(List the tasks in the sequence they are (Against each step list the hazards from the q
to effectively manage the hazard. u
i c
carried out) energy source that could cause injury/damage) h o
Eliminate, Substitute, Engineer/Isolate, Admin, PPE e
N n
o r
o o e
c
d
e
Contain the area Someone might step on the spillage Put barrier sign on the spillage area

Took the blood spill kit N/A N/A

wear proper PPE Improper used of PPE Administrative:

training of the staff on donning and doffing of
3 PPE

Cover the spill with absorbent Inhalation of aerosol ADministrative

material Blood spill training for all the staff
3 wait for 5-10 mins) 3 2 6

Disinfect the the spillage Contamination of the face from aerosol PPE:
generating procedure Wear faceshield and gloves during the
4 procedure to avoid skin contamaniation 3 2 6

scoop the gel form blood Might contaminate the staff wear appropriate PPE
back strain
5 3 2 6

Put in the infectious waste plastic Might contaminate the staff Educate on proper waste disposal and
and discard handling of waste.
6 7. Replace the spill kit 3 2 6

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Job Hazard Analysis (JHA) JHA #
Manager review and authorisation required if risk rating greater than medium

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Job Hazard Analysis (JHA) JHA #
Monitoring and Review
Variances to JHA
Date: Variance Reason
n/a n/a

Close out and Review (by line management):

Reviewer: Signature:

Position: Date of review:

Was the JHA adequate for the job? Yes □ No □ If No, why?

Is a procedure or work instruction required to be developed or amended as a result of this JHA? Yes □ No □
Details:

Any other actions required for follow up from this task? Yes □ No □ If yes, please comment. Record all actions in INX.

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