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    This document outlines a job hazard analysis and safety measures form for evaluating hazardous work operations and locations. It collects information on the branch location, type of hazardous operation, specific work area, location, date and time. It identifies the methodology of work, hazards, and recommends controls. The analysis is done by a competent person and approved by the branch manager, with a copy received by the supervisor.

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    This document outlines a job hazard analysis and safety measures form for evaluating hazardous work operations and locations. It collects information on the branch location, type of hazardous operation, specific work area, location, date and time. It identifies the methodology of work, hazards, and recommends controls. The analysis is done by a competent person and approved by the branch manager, with a copy received by the supervisor.

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    © All Rights Reserved
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    Download as pdf or txt
    6 views1 page

    Hazards Safety Measures

    Uploaded by

    safetyjulz14
    This document outlines a job hazard analysis and safety measures form for evaluating hazardous work operations and locations. It collects information on the branch location, type of hazardous operation, specific work area, location, date and time. It identifies the methodology of work, hazards, and recommends controls. The analysis is done by a competent person and approved by the branch manager, with a copy received by the supervisor.

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    JOB HAZARD ANALYSIS AND SAFETY MEASURES

    BRANCH LOCATION: JHA& SM Form No.


    TYPE OF HAZARDOUS OPERATION (Please Check)
    BLASTING DEEP EXCAVATION SCAFFOLDS ERECTION
    CHEMICAL USE ENERGIZED ELECTRICAL WORK WORKING AT HEIGTHS
    CONFINED SPACE HOT WORK OTHERS (Specify)
    DEMOLITION LIFTING AND RIGGING
    SPECIFIC WORK AREA:

    SPECIFIC LOCATION: DATE: TIME:

    METHOLOGY OF WORK HAZARDS IDENTIFIED RECOMMENDED CONTROL

    ANALYSIS DONE: APPROVED BY:

    COMPETENT PERSON BRANCH MANAGER/OPERATION MANAGER


    (Print Name & Sign/ position

    COPY RECEIVED BY:


    SUPERVISOR:
    DATE:

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