Job Briefing Form PDF Details

In today's fast-paced construction and industrial environments, ensuring the safety and streamlined operation of projects is paramount. The Job Briefing and Routine Job Hazard Analysis (JHA) form serves as a critical tool in this endeavor, providing a structured way to assess and mitigate risks before work begins. Embedded with comprehensive sections ranging from job information, which includes details such as the job name, location, and supervisor, to emergency procedures outlining essential contacts and safety measures, this form is meticulously designed to cover all bases. It prompts teams to review the day's tasks, identify potential job site exposures like physical and health hazards, and decide on hazard control measures, ensuring that all safety equipment and protocols are in place and correctly followed. Additionally, it addresses specific situations such as fall protection and civil work, requiring detailed analysis and preparation to manage risks effectively. The form also facilitates communication and accountability through reviews and signatures from supervisors and project personnel, ensuring everyone is on the same page regarding the day's objectives and safety measures. By capturing a broad spectrum of considerations—from emergency preparedness to task-specific safety protocols—the Job Briefing and Routine JHA form plays an indispensable role in fostering a culture of safety and efficiency on job sites.

QuestionAnswer
Form NameJob Briefing Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesfile s safety team forms nr forms 5 11 jha pdf, electric utility job briefing forms, job briefing form, tcia job briefing form

Form Preview Example

INSERT COMPANY NAME & LOGO:

PROJECT NAME & NUMBER:

PAGE 1 OF 2

TIME:

JOB BRIEFING / ROUTINE JOB HAZARD ANALYSIS (JHA) FORM

Complete with work crew at job-briefing before beginning work; Have all affected personnel sign-off in Block 9 of this form.

(1) JOB INFORMATION

Date:

Job Number:

Job Name:

 

 

 

Physical Address:

 

Longitude:

 

 

 

Latitude:

Supervisor/Crew Lead:

(2)EMERGENCY PROCEDURES (LIST TELEPHONE NUMBERS AND ATTACH DIRECTIONS TO THE SITE.)

Are 911 systems functional with cell phone use?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Fall Protection Rescue Procedures to

Fire Department

In-House Crew (Crew must be properly trained in rescue)

 

Other: PLEASE DESCRIBE.

be used:

 

 

 

 

 

 

 

Ambulance:

 

Fire:

 

 

Police:

 

 

 

 

 

 

 

Local Hospital:

 

Telephone Co:

 

Utility (Water/Electric/Gas) Co:

 

Evacuation Point:

Host Construction Coordinator & Cell Phone:

Host Safety Coordinator & Cell Phone:

(3)JOB / TASKS FOR TODAY (Note: Any rigging with a payload weight of 10T - 50T = Medium Lift; or > 50T= Heavy Lift; or a Critical Lift requires the submittal of an Engineer approved lift plan as required per contract requirements.)

CHECK TYPE OF WORK BEING PERFORMED:

INCIDENTAL LIFT (<10T),

MEDIUM LIFT (10T - 50T),

HEAVY LIFT (>50T),

CRITICAL LIFT (SEE LIFT CLASSIFICATION FLOW CHART)

Working at Height > 6 feet

Plumbing Painting HVAC/Mech.

Electrical Welding

General Construction Heavy Equipment

Civil/Concrete/Masonry Decommissioning

Scaffolding

Other:

(4) JOBSITE EXPOSURES, NOTE: ELECTROMAGNETIC INTERFERENCE (EMI), RADIO FREQUENCY (RF)

HAZARD IDENTIFICATION: Items checked below relate to existing conditions or may be a result of site operations

 

 

Physical Hazards

 

Health Hazards

 

 

 

 

 

 

 

 

Confined Space

Permit Required

Struck by/Contact With

Chemical Exposure

Silica Exposure (Concrete/Stone

 

Electrical

 

Overhead Work

Cold Stress

Cutting)

 

Elevation / Site Terrain

Slips, Trip, or Falls

EMI/RF/Radiological/Laser

Biological Hazards: Animals, Avian,

 

Falls from Elevations

Underground Utilities

Heat Stress

Insects, Microbiological, etc.

 

Fire Hazards

 

Vehicle Traffic

High Noise (>85 dBA)

Asbestos, Lead

 

Heavy Equipment

 

Other:

Lifting Hazards

Other:

 

 

 

 

 

 

 

(5) HAZARD CONTROL MEASURES

 

 

 

 

 

 

 

 

 

 

 

PPE and Monitoring Equipment

Inspections

Safety Systems / Training

 

 

 

 

 

(Complete All Prior to Use)

 

 

 

 

 

Fall Protection

 

Tools/Equipment

Barricades, Pedestrian Shelters, Banner of Notices, PPE, and Warning Signs)

Gloves

 

 

Rigging

Excavation & Trenching Plan/Log

 

 

 

Hard Hat

Safety Shoes/Boots

Housekeeping

Lock-Out / Tag-Out (De-energize, Guard, Identify, Tag or Tag & Lock)

 

Hearing

 

 

Tag Lines

Job Briefing Meeting

 

 

 

 

RF / Radiological Monitors

Ground Fault Protection

Pre-Approved Plans (Critical Lifts, Roped-Access, Suspended Personnel Lift)

Hazmat Suits; Level: D, C, B, A

Gin Poles

Color Coded Inspection Schemes for Rigging, Equip., Electrical Cords & Tools;

Safety Glasses, Goggles, Face Shield

Hoists

Annotate Colors, Items, & Frequency.

 

 

 

 

 

 

 

 

Safety Vest: Class 1, 2, 3

Other:

Federal or Texas Manual on Uniform Traffic Control

 

 

 

 

 

 

 

Air Monitoring:

 

 

Permit Systems:

 

 

 

 

 

 

 

 

 

 

 

Oxygen Deficiency (< than 19.5%)

 

Confined Spaces: Is a Permit Required? Yes

 

Obtained

Oxygen Enrichment (> than 23.5%)

 

Electrical Work: Is a Permit, Outage, or Clearance Required? Yes

Obtained

Flammable Gases/Vapors (> than 10% of LEL)

 

Fire, Smoke, Heat Alarms Deactivation: Are Permits Required? Yes

Obtained

Airborne Combustible Dust (> than LFL)

 

Welding/Hot/Burning: Is a Permit Required? Yes

 

Obtained

 

 

 

 

 

Toxic Gases or Vapors (> than PEL)

 

Pressure/Chemical Pipe Opening: Is a Permit Required?

Yes

Obtained

Laser Safety:

 

 

 

 

 

 

Egress Evacuation Routes Altered: Is a Permit Required?

Yes

Obtained

X-Ray Monitoring:

 

 

 

 

Area Fire Alarm Disable,

Area Sprinkler Disable

 

 

Respirator:

APR

Supplied Air:

 

 

 

 

No Alarm, Smoke, Heat Detector and Sprinkle; Fire Watch Required

 

 

Half-Face

Full-Face

 

 

 

 

Smoke to Heat Detect,

Smoke or Heat Disable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note Any Other Hazards or Safety Controls Here:

REV: 2, 02/02/10

INSERT COMPANY NAME & LOGO:

PROJECT NAME & NUMBER:

PAGE 2 OF 2

TIME:

JOB BRIEFING / ROUTINE JOB HAZARD ANALYSIS (JHA) FORM

(6)COMPLETE FOR CIVIL WORK (PLEASE NOTE: ENGINEER APPROVED TRENCHING PLAN REQUIRED FOR TRENCHES > 5’)

NOT APPLICABLE

NOTE: Notify and confirm proper procedures, mitigation and/or protective steps taken with your company’s designated Safety Representative & Site Manager before

entering: any trench or any general excavation that is greater than 5’ deep; or any Confined Space.

1. Describe type and depth of excavations

Type A Soil/Rock

Type B Soil/Rock

Type C Soil/Rock:

Dig-Tess / One Call

2. Cave-in / Engulfment control measures to be used if excavation will be greater than 5 feet and personnel are entering the trench.

Shoring

Trench

Shield/Box

Ladder in Trench > 5 Feet & Every 25’ Sump Pump LOTO:

3.Describe elevation/site terrain/environmental concerns or hazards:

4.Describe hazards with site/vehicle access (High Traffic, Heavy Haul, Boom Cranes, and Storage of Materials/HazMat:

5.Describe the type of electrical or gas concerns or hazards (e.g. Electrical/Gas/Fiber Optic Lines):

Sloping

Benching

(7) FALL PROTECTION & USING SUSPENDED PERSONNEL PLATFORM (Complete for Working at Heights and Roped-Access)

NOT APPLICABLE

Type of Elevated Work & Height:

 

 

Type of Tower or Building:

 

 

 

Describe the fall protection system to be used when working aloft.

Lifeline

Personal Fall Arrest

Safety Monitor

Qualified Climber

Safety Net

Ladder Safety Device

Roped Access (Requires Roped Access JHA):

 

 

 

 

 

Fall protection to be used.

Full Body Harness

One Lanyard

Two Lanyards (100%)

Rope Grab

Cable Grab

Retractable Lifeline

Ascenders/Descenders

Anchorage Points, Belay, & Straps:

 

 

 

 

 

 

Ropes

Has each employee inspected his or her fall protection equipment?

 

Yes

No

 

 

 

Hoisting Equipment to be used: < 20’ Encroachment of Power Lines,

Yes

No; If yes, ID Voltage _______KV; De-energize/Test/Ground Lines

Yes

Suspended Personnel Platform/basket

Forklift Platform

Crane/Boom/Aerial Truck

Scissor/Snorkel Lift

Gin Pole

Roped Access

Suspended Personnel Platform Checklist and/or Critical Lift Plan Completed?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

No

 

(8) REVIEWS AND SIGNATURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GC Superintendent /Foreman

 

 

Lower-tier Subcontractor Supervisor

 

 

 

 

 

 

 

 

 

 

Name

Signature/Date

 

Name

Signature/Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(9)PROJECT PERSONNEL ACKNOWLEDGEMENT (ALL AFFECTED PERSONNEL SIGN AFTER JOB BRIEFING)

Name:

Company:

CPR / First Aid

Name:

Company:

 

Yes

 

Yes

 

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

REV: 2, 02/02/10

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2. The third step would be to fill in these particular blanks: Working at Height feet Plumbing, Painting HVACMech, Electrical Welding, General Construction Heavy, CivilConcreteMasonry, Other, Scaffolding, JOBSITE EXPOSURES NOTE, Hazard Identification Items, Physical Hazards, Health Hazards, Permit Required, Confined Space Electrical, Struck byContact With Overhead, and Chemical Exposure Cold Stress.

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3. This next step will be focused on Fall Protection Gloves Hard Hat, HalfFace, APR, Supplied Air FullFace, Confined Spaces Is a Permit, Area Fire Alarm Disable No Alarm, Smoke or Heat Disable, Area Sprinkler Disable, Note Any Other Hazards or Safety, and REV - type in all of these empty form fields.

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5. This form has to be concluded by filling in this part. Further you can find a full set of form fields that need to be filled in with correct information to allow your form usage to be faultless: FALL PROTECTION USING SUSPENDED, NOT APPLICABLE, Type of Elevated Work Height, Type of Tower or Building, Describe the fall protection, Lifeline, Personal Fall Arrest, Safety Monitor, Qualified Climber, Safety Net, Ladder Safety Device, Roped Access Requires Roped Access, Fall protection to be used, Full Body Harness Anchorage Points, and One Lanyard.

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