Job Hazard Analysis (JHA) Form · EHS Academy
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Referenced to: OSHA Publication 3071 · ISO 45001:2018 §6.1.2.1
Job Hazard Analysis
Systematic task-level hazard identification and control
Job / Task Title
Department / Location
Date
Prepared by
Reviewed by
JHA Reference No.
1–4 · Low
Monitor, maintain controls
5–9 · Medium
Improve within 30 days
10–16 · High
Urgent — act within 7 days
17–25 · Critical
Stop work — immediate action
#
Job Step
Potential Hazard(s)
Hazard Type
Risk Score
L × S (before controls)
Controls (Hierarchy)
Residual Risk
Additional notes / PPE summary / emergency contacts
Authorisation & Sign-off
Supervisor name
Supervisor signature
Date authorised
Worker name(s)
Worker signature(s)
Review due date
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