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  • Job Hazard Analysis Form

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    Joven Dala
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    This document provides a job hazards analysis for a construction project. It outlines a process to 1) break the job down into steps, 2) identify hazards associated with each step, and 3) recommend controls or safe work procedures to minimize risks. The analysis requires identifying permits and isolations that may be needed. It also specifies who will prepare, approve, and assess the analysis to ensure worker safety.

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    This document provides a job hazards analysis for a construction project. It outlines a process to 1) break the job down into steps, 2) identify hazards associated with each step, and 3) recommend controls or safe work procedures to minimize risks. The analysis requires identifying permits and isolations that may be needed. It also specifies who will prepare, approve, and assess the analysis to ensure worker safety.

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    © All Rights Reserved
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    19 views2 pages

    Job Hazard Analysis Form

    Uploaded by

    Joven Dala
    This document provides a job hazards analysis for a construction project. It outlines a process to 1) break the job down into steps, 2) identify hazards associated with each step, and 3) recommend controls or safe work procedures to minimize risks. The analysis requires identifying permits and isolations that may be needed. It also specifies who will prepare, approve, and assess the analysis to ensure worker safety.

    Copyright:

    © All Rights Reserved
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    of 2

    Doc.

    Code :
    Rev. No. :
    JOB HAZARDS ANALYSIS Eff. Date :
    Page : 1 of 2
    PROJECT NAME/LOCATION OF WORK

    To be filed up by Operations Supervisor/Head To be filed up by ESH Head/ Officer

    Date Prepared: JHA No.:


    Date to be Completed: Issued Date:
    Permit Required: Isolation Required:
    Type JHA: ( ) For Renewal ( / ) New Job/ New Work ( ) YES ( ) NO ( ) YES ( ) NO
    ( )Others: ____________________________ If Yes, indicate the Permits If Yes, indicate the Isolation
    Requirements below: Requirements below:

    WORK /JOB
    DESCRIPTION:

    WORK SEQUENCE / CONTROLS/RECOMMENDED SAFE


    HAZARDS
    JOB STEPS WORK PROCEDURE
    Take the job down into steps. Each of the Identify the hazards associated with each step. Using the first two columns as a guide, decide what
    steps should accomplish the major task and be Examine each hazard to find possibilities that could actions are necessary to eliminate or minimize the
    logical. lead to an incident. hazards that could lead to an incident.
    Doc. Code :
    Rev. No. :
    JOB HAZARDS ANALYSIS Eff. Date :
    Page : 2 of 2

    Approved by: Assessed By:


    Prepared By:

    Houston Hydrotech
    Construction Manager Safety Officer
    Products and System Inc.

    Remarks/General Comments from ESH Head/ Officer:

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