Job Hazard Analysis Form PDF Details

Job hazard analysis (JHA) is the process of identifying potential hazards in the workplace and determining the appropriate precautions to reduce or eliminate the risk of injury. The JHA form is a tool used to document the findings of the hazard assessment. It can be used as a training tool for employees and can help managers identify areas where corrective action is needed. The form should be tailored to meet the specific needs of your organization. The job hazard analysis form varies depending on what type of company it is being conducted for, but its key components are always safety inspections, near-misses, employee interviews, and walkthrough surveys. This data helps employers understand how best to protect their workers from potential injuries.

In the listing, there is some good information about the job hazard analysis form. You'll have the estimated time you may need to prepare the form as well as extra details.

Form NameJob Hazard Analysis Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesjha form, job hazard analysis forms, job hazard analysis, hazard job form analysis

Form Preview Example

Job Safety Analysis Worksheet

Date of Analysis:


Reviewed By:

















Company Name:
















New Job Safety Analysis


Revised Job Safety Analysis









Job Title:






















Analysis Done By:


























Step 1: Sequence of Basic Job


Break the job into a sequence of steps. Each of the steps should accompany some major task. That task will consist of a series of movements. Look at each series of movements within that basic task.

Step 2: Potential Hazards

To complete a JSA effectively, you must identify the hazards or potential hazards associated with each step. Every possible source of energy must be identified. It is very important to look at the entire environment to determine every conceivable hazard that might exist. Hazards contribute to accidents and injuries.

Step 3: Recommended Procedures

Using the Sequence of Basic Job Steps and Potential Hazards, decide what actions are necessary to eliminate, control, or minimize hazards that could lead to accidents, injuries, damage to the environment, or possible occupational illness. Each safe job procedure or action must correspond to the job steps and identified hazards.

Job Safety Analysis Worksheet

Step 1: Sequence of Basic Job Steps

Step 2: Potential Hazards

Step 3: Recommended Procedures







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