Job Hazard Analysis (JHA) Worksheet

Manual handling and using power tools Location: Date

Task Description: JHA No:
Created:
Equipment SWMS No: (if
Permit No: Asset No: applicable)

1) 2) 3) 4)
JHA 5) 6) 7) 8)
Participants:
9) 10) 11) 12)

Prepared By: Reviewed By: Al-ln Ried

List the MAP check(s) applicable to this Task:

Excavations and Structural Penetrations Land Transport – Mobile Plant, LV

Fire and Explosions Lifting Operations

Major Accident Prevention (MAP) Hazardous Substances Working At Heights

(Have you considered these Critical
Risks?) Stored Energy Confined Space

Indicate safe guards or additional controls that may be

High Risk Work Checklist: required during this task. Emergency Locations / Details (Also see final pages):
 Isolations Checked Noise Control / Signage Encapsulation Two-Way Comm Ch: Channel 1
 Spotter / Fire Watch Ventilation Barricading Muster Point Location: Pre-start Meeting Area
 Traffic Control Fall Arrest System Temp Monitoring First-Aid Kit Location: Temporary Clinic and Emergency Response Vehicle
 Rescue Plan Rescue Kit Respirators Spill Kit Location: Fuel Storage Area
 Other: Eye Wash Location: Fuel Storage Area
Risk with
Audit Check
Controls in Supervisor Approvals
S = Satisfactory - U = Unsatisfactory
Place
Name: Name: Outcome: S□ U□ Date: Name:
Low and / or Sign: Sign:
Moderate Date: Date: Signature: Company:
(for ANY Risk Ranking “with Controls of Low and Moderate“)

Comments:
Line Manager Name:
High
Sign:
(for ANY Risk Ranking “with Controls of High”)
 Hazards Identified Risk with Risk with
Standard Controls & Checks Additional Controls & Checks
Job Step (consider health, safety, security and Std Add
Required Controls Required Controls
environmental)
1. Pre-start  Personnel not present  Supervisor gather all  Ensure workers have
 Miscommunication personnel involved 6 completed appropriate 3
 basic training such as
 Personnel not paying attention Speak clearly, concisely
manual handling
and confirm task through
open-ended questioning –
establish roles,
responsibilities

 Heat Stress  Ensure to keep up the fluids  Always have water

and keep hydrated
 Have breaks between your job
3 available 1
tasks
 Do not overwork if weather is
too hot

2. Working with hand  Slips/trips/falls,  Inspect all tools before  Be hand aware/ be
tools  Pinch points / crush points use/ correct tool for the job 10 aware of possible pinch 4
 points / rotating parts/
 Miscommunication Appropriate eye wear for
crush points
 Cuts task to be worn i.e. double
 Good communication
 Electrocution eye protection for grinding, when using hammers,
 Tools slipping or breaking sanding etc. At a minimum consider use of finger
safety glass to be worn savers
 Striking hand with hammer
 Appropriate gloves shall  Electrical tools tagged &
 Excessive Noise
be worn when using hand tested
 Eye injuries  Route hoses and leads
tools, impact / welding /
 Line of fire out of walkways -
chemical (refer SDS)
maintain good
 Never remove safety housekeeping
guards from power tools  Hearing protection
 All tools and equipment required when using
shall be maintained in power tools
good condition
 Damage tools or
equipment shall be
 removed from service and
tagged “defective”

3. Preparing to move  Inclement weather  Always do a mental step-  Use PPE suitable for
materials  Wet or slippery conditions back 5x5 6 chemical material 2
 transportation (refer
 Overhead hazards Inspect equipment prior to
SDS)
 Traffic patterns/volume starting the job
 Be aware of trip hazards
 Slopes  Inspect hand tools prior to  Warm up body prior to
 Loose footing use lifting / moving material
 Elevations  Obtain or assess weight of  Good housekeeping
 Fatigue material  Use the right tool for the
 Incorrect weight assessment of  Use crane if possible job
 Use two or more people  Inspect travel path and
material remove trip slip hazards
 Injury from unserviceable for the task if necessary
equipment/ tools  Use gloves with good
 Trip Slip Falls from unclear path impact and grip when
handling material
 Wear Safety boots

4. Moving materials  Muscle strains, pulls and  Use mechanical aid where  All persons to have a full
repetitive motion injuries. possible 13 understanding of the task 6
 Pinch / Crush injuries to body  Obtain assistance from their role and intended
route
 Injuries resulting from lack of another person(s)
 Keep to designated clear
communication, or  Use of proper techniques path
miscommunication of bending, grasping,  Ongoing communication
 Damage to equipment moving, securing good when appropriate
footing throughout task
 Person / team members to  If required, take short
be physically capable of breaks to assist in
muscle recovery
conducting task
5. Repetitive use of tools  Physical stress or strain due to  Avoid performing repetitive  When performing
repetitive and / or awkward motions and assuming 10 repetitive tasks - take 3
motions awkward positions for long breaks as often as
necessary
periods of time

6. Working under Hot  Heat Stress  Ensure to keep up the  Always have water
Weather fluids and keep hydrated 10 available 3
 Have breaks between your
job tasks
 Do not overwork if weather
is too hot

7. Excavation near  Equipment Contacts Building  Cease Machinery when  Full time Supervision
Building near building 6  Do Take 5s 2
 Manual Handling or
Manual excavation using
hand tools are only to be
used.

8. Working with power  Slips / trips / falls  Inspect all tools before  Damage tools or
tools  Pinch points use/ correct tool for the job 13 equipment shall be 4
 Drill  removed from service
 Miscommunication Appropriate PPE, including
 Circular saw and tagged “defective”
 Cuts gloves shall be available

 Drop saw Be hand aware/ be
 Electrocution when using hand tools
 Nail gun aware of possible pinch
 Impact driver  Tools slipping or breaking  Never remove safety points
 Reciprocating saw  Excessive Noise guards from power tools  Good comms when using
 All tools and equipment hammers
shall be maintained in  Electrical tools tagged &
good condition tested
 Route hoses and leads
out of walkways.
Maintain good
housekeeping
  Hearing protection
required when using
power tools

9. De-mob and House  Leaving Hazards to injure  Ensure the work

Keeping others environment/site is free 3
 Environmental Contamination of hazards before
 Vehicle/Pedestrian leaving the site
interaction  Have continuous
housekeeping done
periodically
 Ensure spotters are in
place when and/or if
required

Refer to Appendix A: Project HSES/Q Risk Matrix to identify correct risk classifications

Most Effective Hazard Controls Least Effective Hazard Controls

1. Elimination  2. Substitution  3. Engineering Controls  4. Administration Controls  5. Personal Protective Equipment (PPE)
Daily JHA Sign On Register
By signing below, Work Party members acknowledge that they have reviewed and understand the JHA information (i.e. steps, hazards, control etc) and accept responsibility
for implementing any assigned controls. Please print name and then sign.
Print Name Signature Date Print Name Signature Date
Appendix A: HSE Risk Matrix (CORP-HSE-FO-G-0036)

CONSEQUENCE Risk Level

Descriptor Insignificant Minor Moderate Major Catastrophic
(5) (4) (3) (2) (1) Very Low 0 1
9 16 18 23 25 Low 2 8
Almost Certain
PROBABILITY

Likely 4 11 17 20 24 Moderate 9 15
Possible 3 10 13 19 22 High 16 22
Unlikely 2 6 12 14 21 Very High 23 25
Rare 1 5 7 8 15
Consequence Health & Safety Environmental Impact Security Business Risk Financial impact
Catastrophic Multiple fatalities. Release of pollutants capable of causing One or more fatalities Company prosecuted. Loss of future work. >$30 Million
Multiple serious disabling irreversible environmental harm requiring Terrorists attacks. Project shutdown. Violation of Company
injuries. national / international resources for Inability to conduct normal business. policy. Widespread dissatisfaction resulting
remediation. in legal action.
Major Single fatality. Release of pollutants to sensitive areas; Deliberate attacks on staff and family resulting in Adverse national media coverage. Significant $10M - $30M
Serious injury resulting in Immediate off-site contamination requiring severe injuries. Kidnapping. Severe delays to reduction in customer satisfaction. Threat to
permanent disability. state / regional external resource for business operations. Rape. project success with potential for legal
Multiple injured parties. remediation. action.
Long term impact (6-12 months).
Moderate Lost Time Injury. Environmental harm reportable to Threat and intimidation of staff. Assault resulting Local media coverage. $2M - $10M
Restricted Duties Injuries. Government authority. Breach of licence in minor/no injury. Theft /vandalism / sabotage of Failure causing customer dissatisfaction with
Injury reportable to conditions / lease. Onsite contamination equipment that cannot easily be replaced. Short moderate delay, rework or extra work
Regulatory body. with the potential to cause offsite delays or interruptions to operations. requiring additional resource. Client forced to
contamination. impose penalties.
Medium term impact (1-6 months).
Minor Medical Treatment. Minor onsite pollution not within confines Crime with minimal impact. Theft / Vandalism of Telephone or written complaints. Failure $50K – $2M
of protected area. No long term impact. nuisance value only. causing slight customer concern and
Clean up within 1 month. No lasting impact on business operations inconvenience, resolved with current levels
of resource.
Insignificant First Aid Treatment. Localised / Contained impact / Insignificant crime. Minimal or no impact to project delivery. Less than $50K
No treatment required. Immediate complete fix. Theft of insignificance. No impact on business
operations.
Probability Description Probability as an estimated %
Almost Certain This event is expected to occur or is known to have occurred frequently at Clough in similar situations. > 90 %
Likely This event may occur or is known to have occurred at Clough in similar circumstances. 50 – 89 %
Possible This event might occur or is known to have occurred at Clough in additional circumstances. 15 – 49 %
Unlikely This event could occur or is known to have occurred in the industry but not at Clough. 5 – 14 %
Rare This event may only occur in exceptional circumstances or is not known to have occurred in the industry. <5%
This is unacceptable level of risk. Immediate action is required to identify control measures to reduce the risk to ALARP. Risk must be added to Project Risk Register for
Very High
monitoring.
Immediate action is required to identify control measures to reduce the risk to ALARP. Risk must be added to Project Risk Register for monitoring. Work can only progress at this
High
residual risk level with approval of the Project Manager or Clough Senior Management.
Further action is required to identify control measures to reduce the risk to ALARP. Work can only progress at this residual risk level with approval of your Line Manager or
Moderate
Supervisor.
Low Ensure no further control measures are required to demonstrate the risk is ALARP. Responsible Supervisor to ensure all identified control measures are in place prior to the work
Very Low progressing.
 Identification of Changes to JHA – Amendment Sheet

Supervisor / Leading Hand Name Supervisor / Leading Hand Signature Designated Reviewer Name Designated Reviewer Signature

Step Changes / Additions to the work method Identified Potential Safety or Environmental Risk Control Measures to be implemented to reduce or eliminate Residual
Action by
No. identified Hazards Score identified Hazards Risk

Review the Risks - Do the above changes require higher level management approval? No Yes If Yes Approved By :

Date: CHANGE ACCEPTANCE – SIGN-ON

(I confirm that by signing below I have read and understood the method changes and the hazard controls adopted for this SWMS)
 Job Hazard Analysis (JHA) Worksheet

JHA WRITING – HAZARD PROMPTS

Locking on:
Incorrect isolation, isolation not checked, wrong lock box, wrong permit, permit not signed / approved,

Mobilise to / from job:

Manual handling, mobile equipment, ground conditions, vehicle interactions, stairs, other personal /
contractors, weather

Lifting:
Faulty equipment, incorrect rigging, suspended loads, unstable / uneven loads, other personal, uneven
ground, weather, cranes, drop zones, structures, power - electrocution

Hot works / welding / cutting / grinding:

Faulty tooling / leads, hot slag, sparks, broken disc’s, combustible material, other personal, noise, eye
damage, burns, weather – wet areas – electrocution, flashbacks fitted, spotter, fire extinguisher, charged
hose, fire blankets, drop zone, combustible materials, other personal, 240v equipment – can they get wet
if water hose turned on – electrocution, structure – rubber lined – ceramic – poly, emergency response /
assistance

Work area:
Workshop, chute, bin, conveyor, structure, ground conditions, weather, dry, wet, wildlife, remoteness,
communications, access / egress, barricading, dropped objects, lighting, housekeeping, working at
heights, scaffold, hook up points, combustible materials e.g. building / contents, dust, product hang-up,
confined space, live plant in area, traffic management

Weather / emergency / protection:

Wet, dry, heat, cold, lightening, storms, plans (rescue – evacuation), notification, shelter, communication,
available water – fire & hydration, PPE

Power:
Site, genset, leads, RCD boxes, positioning, do we need to run extension cords over a distance.

SEE YOUR JHA - DON’T JUST LET IT BE SEEN

S = safe - has your understanding of the task enabled you to identify all your hazards.
E = effective - is your understanding of the controls for the hazards workable.
E = efficient - does your understanding of the task, hazards and controls enable you to complete
the task without injury or lost time.

Remember that if the above fails it will be SEEN ….

N = negligent - injury/death...warning…loss of job... heavy fines… and having to live with the
consequences of your actions.
Walk the job and discuss with your crew, 2 heads or more are better, as collectively some people
will see what others don’t, and write your JHA as a team.

Hot Work Checklist

Are you Completing Hot Works?

Yes No

If Yes, Complete the below.

Date: Location:

Are you performing Hot Works in an area in which

flammable / combustible, solids, liquids, vapours or Yes (you are in a Hazardous Area and require a
gases, dust or fibres or other flammable or Hot Work Permit)
explosive substances may be impacted by hot
materials from your hot work activities? No (you are in a Non-Hazardous or controlled
Area) Complete the below checklist
Yes N/A Yes N/A

1. JHA completed and signed by all 9. Protect linatex / rubber lined

personnel structures & screen tiles
2. Ensure ventilation is adequate 10. Check, isolate and seal drains,
pits and depressions
3. Check and lay out fire equipment 11. Remove combustible materials
ready for use (if used – fire hose from around and below the work
must be charged) area or make safe (15m away)
4. Fire Watch in place (must remain in 12. Consider relevant hazards that
place for 30 minutes after hot works may exist outside the area
ceases) referred to above
5. Ensure wind direction is suitable 13. Has gas testing / monitoring
for Hot Work to be done been carried out if required?
6. Control risk of fuel tanks / 14. Isolate / barricade the Hot Work
batteries / vapours area, ensuring safe entry and
exits points as required
7. Welding environment is kept as 15. Put spark / flash screens in
dry as reasonably practicable place, consider the use of
matting on multi-level structures
(where required)
8. Check welding equipment / leads 16. Flash back arresters fitted to
have electrical test tag in date & regulator and hand piece,
in good condition inspected and tagged in the past
12 months