Job Hazard Analysis (JHA) Example by JSEAsy

1 Job Safety and Environmental Analysis (JSEA) /The Sample Company Pty LtdJob Hazard Analysis (JHA)Site:4800 Neponset Street, Denver CO 80202 Date:3 Date:Date:Rev:0 Rev. Date:12/10/2018 Description of Work to be Undertaken:Installation of underfloor plumbing and drainsPart 1: Project and Task IdentificationWork Locations/Areas:AllSupervisor ReviewManagement Review Contact NameScott LeBlancDirector+61 8 7070 616 +61 408 831 550 08 8261 9977 TitlePhoneMobileFAXE mailSample GuySample GuySample GuyProcessInitiators of JHAs are responsible for consulting the Project Supervisor, Quality OSH Manager or other persons directly in charge of the work and other personnel involved in the execution of the task (as appropriate) for input into the JHA.

2 Other persons may be consulted for technical advice or review of the JHA to see that proposed measures are effective and workable. The task is to be broken up into steps. For each step, the safety hazards are identified. For each of the hazards identified, corrective action, precautions, equipment are identified to reduce the Hazard . All involved in the task must review and sign this JHA Initiated ByJHA :TotalTrack Pty LtdPage 1 of 15 The Sample Company Pty LtdJSEAsyJHA - Installation of underfloor plumbing and drainsFriday, 12 October 2018 First, identify and assess the risks, then decide the best way to control them by applying the Hierarchy of Control as follows: LEVEL CONTROL DEFINITION Level 1 Elimination Controlling the Hazard at source Level 2 Substitution Replacing one substance or Activity with a less hazardous oneIsolation Engineering Level 3 Personal Protective Equipment Hierarchy of ControlsEliminate the hazardIsolate the hazardUse engineering controlsUse administrative controlsUse PPEA dministration Installing Guards on machineryImplementing policies and procedures for safe work practicesUse of safety glasses, hardhats, protective clothing.

3 The Hazard from the personSubstitute the hazardE f f e c t i v e n e s sPage 2 of 15 The Sample Company Pty LtdJSEAsyJHA - Installation of underfloor plumbing and drainsFriday, 12 October 2018 Part 2: Worker Qualifications and Induction RecordPersonal Qualifications and Experience Required To Carry Out the Works:Duties and Responsibilities of Personnel Completing the Task:Formal or Specialised Training or Licenses Required to Complete Work or Operate Specific Plant or Equipment:The Sample Company Pty LtdNo. Name Classification Employed BySignatureDateJHA Sign Off Your signature below indicates that you have been consulted in development of the JHA and accept and will implement the requirements of the JHA and control measuresPlumbing Certification (Preferred) or a competency level of working with copper, UPVC and allied materialsCertificate III in Civil Construction Plant Operations (Preferred) or a competency level of plant operationCompletion of White Card InductionThe ability to work unsupervised and part of a teamCertificate III in Plumbing (Preferred)

4 Or a competency level of working with UPVC and allied materialsReporting of any injuries / incidents to your Project SupervisorAdherence to company's and the site's WH&S policies and proceduresMaintain adequate house-keeping on siteOperate safely and perform daily pre-shift inspectionsTake reasonable care for the health and safety of othersTake reasonable care for your own health and safetyHeavy Vehicle Drivers licence with a class equal to or greater than the required for the mass of the truckExcavator Training & AssessmentCompetency in the Safe Operating Procedure of the selected power toolsHeavy Equipment Operator Training and AssessmentThe Sample Company Pty LtdPlumberSample Guy1234567 Page 3 of 15 The Sample Company Pty LtdJSEAsyJHA - Installation of underfloor plumbing and drainsFriday, 12 October 2018 Part 3.

5 Hazard Analysis , Control and Legislation WorksheetThe Sample Company Pty LtdJob Safety and Environmental Analysis (JSEA)Risk RatingStep StepsPotential Hazard (s) Hazard Control MeasuresNew Risk RatingAction ByList the steps needed to do the job in the sequence to be each step list potential hazards that could cause injury when the job is each Hazard , identify control measures to eliminate or minimise the risk of Hazard Analysis (JHA)1 Undertake Clients general all sites Undertake a site inductionUnfamiliarity with emergency procedures14 Listen and ensure you obtain information and site emergency and evacuation procedures1 AllUnawareness of site specific hazards14 Listen and ensure you obtain information about any and all site hazards1 AllUnawareness of restricted areas18 Listen and ensure you obtain information about any restricted areas1 AllUnawareness of other operations or hazardous activities being undertaken on site9 Listen and ensure you obtain information about any other activities being undertaken on site5 All2 Arrive at domestic site with truck and trailer and establish unloading Park truck on site of

6 RoadObstructing traffic2 Check for clearways and bike lanes1 DriverDo not block people s Set up unloading areaBeing hit by motor vehicles19 Watch for oncoming traffic3 AllAlways wear Hi visibility clothing1 AllSet up hi visibility temporary bollards or cones1 Driver3 Claim Work Access the siteBreaching minimum site PPE requirements13HI visibility clothing must be worn at all times whilst on site1 AllSteel toe safety boots must be worn at all times whilst on site1 AllSafety glasses must either be worn or carried at all times whilst on site1 AllBreaching site rules or requirements13NO SMOKING on site-designated smoking area will be available and ALL butts to be placed in bin1 AllProgressive housekeeping clean as you Establish safe perimeterPeople entering work area21 Controlled by Site Manager5 Site SupervisorBunting or Caution tape shall define the work area by providing a 3 meter barrier or denying access whichever is more skid steer excavator from trailer/ truck using aluminium Place ramps in positionMuscle strain - musculoskeletal disorders13 Ensure correct manual handling procedures3 InstallerPage 4 of 15 The Sample Company Pty LtdJSEAsyJHA - Installation of underfloor plumbing and drainsFriday, 12 October 2018 Job Safety and Environmental Analysis (JSEA)Risk RatingStep StepsPotential Hazard (s)

7 Hazard Control MeasuresNew Risk RatingAction ByList the steps needed to do the job in the sequence to be each step list potential hazards that could cause injury when the job is each Hazard , identify control measures to eliminate or minimise the risk of Hazard Analysis (JHA)Keep Load close to body5 AllDropping components17 Ensure a firm grip2 AllWear safety boots3 AllRamps may strike personnel7 Ensure locating pins are securely in Release machine restraintsMachine may move4 Ensure machine is stable before tie down tension is released1 DriverEnsure truck is parked on level hard surface1 DriverDue care by Board the MachineFalling from machine14 Gain access and egress from the manufactured entry/ exit opening only2 OperatorKeep three points of contact during access and Unload and drive machine to groundMachine can tip.

8 Slip or fall down ramps9 Ensure firm ground3 OperatorExperienced and competent operator with VOC to perform Moving or driving the machineInjury to people, damage to product or equipment from running into or over13 Only trained and authorised employees with VOC may operate this equipment3 Driver5 Acceptance of delivery to site for Establish area to accept deliveryOther trades and or persons wanting to use Direct vehicle to appropriate areaRunning into objects and or persons13 Place spotter to watch path of truck3 Site Untie load if securedLoad tipping or falling12 Release straps slowly to ensure load does not Receive goods manuallyMuscle strain - musculoskeletal disorders13If materials are of a considerable length or weight then ensure a 2 (or more)

9 Person lift and carry3 AllDo not over reach3 AllEnsure correct manual handling procedures3 All6 Marking Out Measure from datum pointOther trades entering work area2 Arrange clear access Flag off the work area to prevent entry, if necessary1 AllNotify persons entering the area your intentions to close off Set out string lineTripping hazard12 Use high visability string line4 AllPage 5 of 15 The Sample Company Pty LtdJSEAsyJHA - Installation of underfloor plumbing and drainsFriday, 12 October 2018 Job Safety and Environmental Analysis (JSEA)Risk RatingStep StepsPotential Hazard (s) Hazard Control MeasuresNew Risk RatingAction ByList the steps needed to do the job in the sequence to be each step list potential hazards that could cause injury when the job is each Hazard , identify control measures to eliminate or minimise the risk of Hazard Analysis (JHA)Striking hand or body part9 Concentrate on object2 OperatorHold pin at a lower point2 OperatorUse correct PPE - Gloves1 Operator7 Safety check and operation of Excavator for trenching and Safety check of unit.

10 Fill out Pre-trip/ Daily InspectionFaulty equipment machine failure14 Check for dents, cracks and faulty welds3 OperatorCheck all hydraulic rams and lines, controls for leaks3 DriverCheck all safety devices3 OperatorCheck for leaking Fuids1 OperatorCheck tracks for tightness and rollers, idlers, and sprockets for damage3 Plat Boarding the machineFalling from Ladder23 Ensure 3 points of Operating / traveling with or without a loadInjury to people, damage to product or equipment from running into or over13 Only trained and authorised employees with VOC may operate this equipment3 DriverThrown out of cab or against cab interior13 Always wear seatbelt1 Plat OperatorPersonal Injury20 Allow no one to ride outside of the cab1 Plant OperatorNever use the basket or other attachments as a staging platform for workers1 Plant OperatorTipping over19Be alert for trenches, open cuts.