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Job Hazard Analysis (JHA) - SAMPLE - University of Virginia

Job Hazard Analysis (JHA) - SAMPLE General Operation (Task): Digging Trench for Sprinkler Line Supervisor: Jon Smith Location: Lawn in front of Pav III Department/Unit: Landscaping Indoor Outdoor Your Name: Bob Jones PPE required: Gloves, Safety Glasses, Safety Shoes, high-vis Vest Reviewed by: Jim Shanahan Training required: Competent-Person Excavation, Equipment Training Equipment used: Mini-excavator with 24 bucket Chemicals used: Additional comments: Sequence of basic activity steps Break the activities into their basic steps. List their normal sequence of occurrence. Describe the what and the how of each step. Check with employees experienced with the activity Potential hazards or accidents Question each step for the potential causes of accidents. Seek ideas from observing similar work being performed and discuss with employees.

For each potential hazard, discuss what employees should do or not to do to avoid an accident. Be specific and brief. Use simple do and don’t statements. Get ideas from observing work, and from discussions with employees. Never record useless generalities such as “be careful”, “use caution”, “be alert”, etc. Equipment to be used

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