Template

Job Hazard Analysis for Non Routine Work

by Chassity Jenkins, from the Community

10+

This Job Hazard Analysis template helps teams assess abnormal or non routine work before starting. It guides users through step based identification of hazards such as electrical, chemical, fall, entrapment, and noise, then documents controls including isolation, elimination, signage, ventilation, and safe work practices. The checklist also records required PPE like fall arrest, welding protection, face shields, respirators, and hearing protection, plus required training such as crane, forklift, arc flash, fall protection, and confined space. Sections for listing chemicals and collecting participant signatures support thorough documentation and accountability.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template
Job Hazard Analysis Checklist
Use this Job Hazard Analysis checklist to identify hazards and implement controls before and during work. Covers pre-job planning, SWMS, confined spaces, working at heights, asbestos, trenches, and hot work. Includes control checklists for PPE, isolation, permits, ventilation, fall protection, and housekeeping, plus a task analysis section to record steps, risks, and controls to keep the site safe.
by Leanne Teys, from the Community
Downloads: 40+
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Template
HMA JHA and PPE Assessment
This HMA Job Hazard Analysis and PPE Assessment template helps teams evaluate job tasks and identify hazards before work begins. Sections cover emergency response drills, specialty training such as lockout tagout, confined space, fall protection, respiratory protection, forklift and aerial equipment, and arc flash. It guides selection of specialty PPE, checks signage, and reviews pedestrian and traffic management. The checklist addresses fall hazards, noise, eye and face protection, machine guarding, foot protection, sharp materials, thermal and chemical hazards, and ergonomics. It also includes administrative controls, final review, certification, and photo attachments.
by Troy Schultzen, from the Community
Downloads: 10+
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Template
S and C Team Member Safety Review 2015
This field service safety review helps supervisors assess S and C team members against critical electrical and job site safety practices. It covers job specific documentation, emergency information, and site readiness. Inspect PPE availability and condition including arc rated clothing, face shields, rubber goods, and hearing protection. Verify electrical safety controls such as arc flash boundaries, barricades, testing equipment calibration, and lockout tagout for all energy sources. Check extension cords and insulated tools, fall protection, hot work permits and fire watch as required. Include ergonomics and lifting techniques, hydration, and housekeeping. Confirm current training for first aid, CPR, AED, blood borne pathogens, fall protection, PPE, LOTO, arc flash, confined space, basic electrical safety, fire extinguishers, and hazard communication. Record nonconformances, assign follow up actions, and capture required signatures.
by Joe Barrios, from the Community
Downloads: 20+
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Template
Branch 23 Job Safety Analysis (JSA) Form
This Job Safety Analysis (JSA) form helps teams document job steps, identify potential hazards, and define safety controls before work begins. It includes prompts for site information, job and department details, supervisor, and date. A hazard checklist covers chemicals, high-traffic areas, powered industrial trucks, welding and grinding, arc flash, pressure testing, and other risks. Critical procedures sections address work at heights, confined space entry, lockout/tagout of electrical or mechanical energy, heavy equipment lifting, and hot work in potentially explosive atmospheres. The form provides structured tables for sequencing job steps with corresponding hazards and controls, a tools and equipment list, and an additional PPE checklist (eye and hearing protection, fall protection, respirators, chemical-resistant gear, gloves, hard hat, gas monitor, and more). Includes approval sign-off for the site supervisor.
by Aaron Turner, from the Community
Downloads: 10+
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Job Hazard Analysis for Non Routine Work

About author

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Job Hazard Analysis Checklist

HMA JHA and PPE Assessment

S and C Team Member Safety Review 2015

Branch 23 Job Safety Analysis (JSA) Form

You might also like

Job Hazard Analysis Checklist

HMA JHA and PPE Assessment

S and C Team Member Safety Review 2015

Branch 23 Job Safety Analysis (JSA) Form