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Job Hazard Analysis (JHA) - Powered Mobile Plant

फारम · FORM-31104

151 पटक किनिएको
संस्करण 2
Earthmoving & Mobile Plant
जुनसुकै फोनमा पढ्न मिल्छ

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

फारमVersion 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.

Worker’s name	Licences, competencies & qualificationsType / descriptionClassNumber	Date	Signature
-	-	-	-
-	-	-	-
-	-	-	-

Supervisor

Name: —
Signature: —

Date: —

यसको मार्गदर्शन र नमुना प्रविष्टिहरू लक गरिएका छन्

फारमको बनावट कस्तो छ तपाईं देख्न सक्नुहुन्छ। जुनसुकै डिभाइसमा भर्न, प्रिन्ट गर्न वा आफ्नो बनाउन यो लिनुहोस्।

एडिटर निःशुल्क चलाएर हेर्नुहोस्यो टेम्प्लेट लिनुहोस्

ब्राउजरमा यो कस्तो देखिन्छ

यो टेम्प्लेट लिनुहोस्

निःशुल्क साइन अप गर्नुहोस्, अनि कसरी लिने छान्नुहोस्। तपाईंको कम्पनीको विवरण आफैँ भरिन्छ।

सशुल्क प्लानहरूमा समावेश
आफ्नो प्लानका टेम्प्लेट क्रेडिट प्रयोग गर्नुहोस्। यसको मूल्य 1 हो।
प्लान र मूल्य तुलना गर्नुहोस्
एकपटक किन्नुहोस्
$89.95 एकपटक तिरेपछि सधैँ तपाईंकै। निःशुल्क प्लानमा पनि चल्छ।

एडिटर निःशुल्क चलाएर हेर्नुहोस्निःशुल्क साइन अप गर्नुहोस्

साइन अप गर्न कार्ड चाहिँदैन। प्रारम्भिक पहुँच सदस्यहरूले जुनसुकै प्लानमा 30% छुट पाउँछन्।

यसले के समेट्छ

29 फिल्ड

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
Name

र थप 17

समीक्षाहरू

अहिलेसम्म कुनै समीक्षा छैन।

यो कामका लागि गाइडहरू

सबै हेर्नुहोस्

Earthmoving Equipment

SWMS · SWMS-10533

कामका 23 चरण5.0(3)

पूर्वावलोकन चलाएर हेर्नुहोस्

Manual Handling

SWMS · SWMS-10168

कामका 18 चरण

पूर्वावलोकन चलाएर हेर्नुहोस्

Forklift

SWMS · SWMS-10536

कामका 13 चरण

पूर्वावलोकन चलाएर हेर्नुहोस्

Mobile Plant Working Near-Around

SWMS · SWMS-10307

कामका 8 चरण5.0(3)

पूर्वावलोकन चलाएर हेर्नुहोस्

टेम्प्लेटहरू कसरी काम गर्छन्

यसलाई पैसा तिर्नुअघि नै चलाएर हेर्नुहोस्।

निःशुल्क पूर्वावलोकन
हरेक टेम्प्लेटका कामका चरण, खतरा र पहिलो काम पढ्न खुला छन्। साइन अप चाहिँदैन।
एडिटर चलाएर हेर्नुहोस्
कम्प्युटर वा फोनमा, डेमो SWMS लाई आफ्नो कम्पनी, काम र साइटअनुसार मिलाउनुहोस्।
निःशुल्क साइन अप गर्नुहोस्
तपाईंको विवरण र लोगो सर्छन्। यो टेम्प्लेट विवरण भरिएरै खुल्छ।
क्रेडिट प्रयोग गर्नुहोस् वा एकपटक किन्नुहोस्
सशुल्क प्लानहरूमा हरेक महिना टेम्प्लेट क्रेडिट आउँछ। वा सधैँका लागि यो एउटा किन्नुहोस्।

Job Hazard Analysis (JHA) - Powered Mobile Plant