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Job Hazard Analysis (JHA) - Powered Mobile Plant

양식 · FORM-31104

151회 구매됨
버전 2
Earthmoving & Mobile Plant
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Undertaking a Job Hazard Analysis (JHA) prompts those working with powered mobile plant to consider their work environment carefully and assess hazards before starting work.

It can be used before commencing works on a new site and upon arrival to site each day to maintain an ongoing awareness of new and existing hazards.

It records the JHA details, the workers consulted and the emergency arrangements, with checklists for permits and safety measures, the critical risks, and site and environmental hazards. A risk matrix helps set the level of risk and the controls, and workers and the supervisor sign off.

Written by SafetyDocs safety experts, who have been writing safety documents since 2004.

Job Hazard Analysis (JHA) – Powered Mobile Plant

양식Version 2

JHA #: —
Date JHA completed: —
Time: —
Review Due Date: —
Business Name: —
Business Address: —

ABN: —
Business Contact: —
Position: —
Phone #: —
Person/s responsible for ensuring compliance with JHA: —

Workers consulted in the development, approval and communication of this JHA

Name	Job Title	Signature	Date

Primary contractor / workplace owner details

Business Name: —
Address: —
Business Contact: —

Email: —
Phone #: —

Workplace details

Name: —
Address: —

Location: —

Emergency management

Emergency Contact Numbers: —
First Aid Kit Location/s: —

Evacuation Point/Assembly Area: —
Safety Officer/s Name & Phone: —

Job description

Focus on critical risks – safety essentials

Identified site hazards

Identified environmental hazards

Determine the risk score

Likelihood ↑	InsignificantNo effect, or so minor that the effect is acceptable	MinorMinor first aid treatment, minimal business disruption, minimal environmental effect	ModerateSerious injuries, medium business interruption, medium environmental impact	MajorExtensive injuries or fatality, significant business interruption, environmental harm, prosecution	CatastrophicMultiple permanent disabilities or fatalities, business failure, substantial environmental harm, prosecution or imprisonment
	Consequence →
Almost certainExpected in most circumstances	2 Moderate	2 Moderate	3 High	4 Acute	4 Acute
LikelyWill probably occur in most circumstances	2 Moderate	2 Moderate	3 High	4 Acute	4 Acute
PossibleCould possibly occur at some time	1 Low	2 Moderate	2 Moderate	3 High	4 Acute
UnlikelyUnlikely but possible	1 Low	1 Low	2 Moderate	3 High	4 Acute
RareHighly unlikely to occur	1 Low	1 Low	2 Moderate	2 Moderate	3 High

1 LowRecord and monitor. Proceed with work, and review the risks regularly.
2 ModerateMaintain control measures. Be cautious when working, and monitor and review regularly.
3 HighReview before commencing work. Introduce new controls or maintain high-level controls to lower the risk level, and monitor the controls frequently.
4 AcuteDo not proceed until the risk level is reduced. Immediately introduce high-level controls, and re-assess before proceeding.

Score	Action

Hierarchy of controls

Other hazards

Hazard	Risk Rating	SWI / EI*	Control Measures

Person Responsible: —

Person Responsible: —

Worker Sign Off

I have read the above JHA, and I understand its contents. I confirm that I have the skills and training, including relevant certification, to conduct the tasks I have been allocated to complete. I agree to comply with safety requirements within this JHA, including identifying and monitoring hazards and adhering to risk control measures, relevant Risk Assessment, SWMS and permit requirements.