This generic template was This OSHA JHA Form was converted using SafetyCulture and can be used as safety planning guide or log. List the work processes being performed. Identify hazards associated with the task and elaborate the consequences or negative results if these risks are not dealt with. Next state preventive measures and controls to reduce, control or eliminate the hazards. Write a rationale to substantiate better action plans to be taken. Use SafetyCulture to compile JSA logs for better safety planning purposes.
About author
Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.
You might also like
Templateby SafetyCultureWorkplace Hazard Assessment Form
Hazards associated with job processes and workflows need to be examined and reviewed to determine if existing control measures are effective and sufficient. Start by listing a process and identify the category of hazard (physical, chemical, biological, etc.). Evaluate the severity, frequency, probability of loss, and significance of hazards observed based on the rating guide provided. Site some recommendations for safety planning and purposes.
428 downloadsGet- Templateby SafetyCulture
COSHH Risk Assessment Form
This Control of Substances Hazardous to Health (COSHH) form is used to control the exposure to hazardous substances to prevent serious illnesses and health problems. Identify the hazards associated with the activity or work process observed and list the control measures and personal protective equipment to be used when handling these substances. Also record first aid measures in case of an emergency. Next record means of disposing hazardous wastes and contaminated containers. Lastly, summarize the report by providing a risk rating after following the control measures. Use SafetyCulture to conduct better risk assessments to reduce or eliminate health hazards.
1089 downloadsGet - Templateby SafetyCulture
General Hazard Identification Form
This general hazard identification form aims to assess potential risks (e.g noise, manual handling, excavation, etc.) observed within the work premises. Describe the nature of work and select the protective equipment available and needed to protect the employees from harm. Proceed with identifying the hazards present. Capture photo evidences of the situation or object that may cause serious problems to workers. You can assign an action to a supervisor for review and immediate resolution. Add other hazards which are not listed on the template. Complete the audit by stating some observations and rate the overall assessment if the work site is safe or not. Use SafetyCulture's Analytics feature to track improvements on safety. Analyze these data to construct better safety plans and strategies for your organization.
3046 downloadsGet - Templateby SafetyCulture
Comprehensive Job Hazard Analysis Form
Use this template to conduct more detailed hazard analysis in your workplace. Explore the features of SafetyCulture and modify the checklist based on your workplace needs. Start by listing the names of the people who develops JSA procedures, and select the work permits, authorizations and PPE required for the activity. Next enumerate applicable trainings to carry out individual tasks. Also, take note of the equipment checks conducted. Proceed with the job safety analysis and risk assessment by adding steps, selecting hazards and identifying controls. Conduct an initial risk assessment, add controls (if needed), then rate the residual/revised risk analysis. Confirm whether the process is completed or not. If not, conduct a task review to serve as a basis for the continuity of the process. Finally, acknowledge by getting all people involved to sign off.
1272 downloadsGet