Example of JHA Completed
Example of JHA Completed
Form
Task Name Plastering of a Four storey Building Date 21st September 2023
No evidence of
1 No injury or occupational No impact to reputation Acceptable: manage with
environmental change/no Minimal Cost (ie. <$10k) Petty crime/no aggression 1 2 3 4 5 Low
Insignificant illness and no media interest safeguards
impact identified
Major environmental
Damage to corporate Aggression with major
Lost time injury or change/impact timeframe =
4 reputation at national injury/civil disturbance/ Intolerable: immediate
occupational illness 6 months to 1 year/written $250k - $2M 14 15 18 22 23
Major level/raised in national instability in regional action required to
[recoverable] (formal) warning by
media government eliminate, reduce or
Government Regulator
Extreme transfer risk; monitor &
Extreme environmental review to confirm at
Damage to corporate Permanent disability or ALARP [as low as
Disabling injury or change/impact timeframe =
5 reputation at international loss of life/human rights reasonably practicable]
occupational illness [non- +1 year/legal action or >$2M 16 17 21 24 25
Catastrophic level/raised in transgression/instability in
recoverable]; Fatality fines by Government
international media national government
Regulator
Job Hazard Analysis: Hazard Identification, Risk Assessment and Control
Form
JHA WORKSHEET
To develop the worksheet, use the risk matrix provided on page 1 and code each task (1-25)
- Engage competent
- Incompetent
employees.
Decide and select the labour employee
1 4ACD18 - Ensure employees 2ACD7 The working team
required for the job - Selecting an unfit
go through medical
employee
checks
- Select the right
Select your Personal Protective - Poor quality PPE
2 3A9 quality and 2A7 The working team
equipment -
prescribed PPE
- Unlevelled ground
- Ensure the scaffold
- Inappropriate
is mounted on a
scaffold
3 Mount the scaffold 5AC22 level surface. 2AC6 The working team
- Unsuitable scaffold
- Ensure the scaffold
- Fall from height.
is well mounted
- Improper positioning
- Use the right quality
and approved
Check the stability of the
4 - Unstable scaffold 4A22 safety harness. 2A7 The working team
scaffold
- Stabilize the
scaffold
- Poor quality - Use the right quality
Prepare the aggregates materials 4CD13 of materials.
5 2A7 The working team
(materials) - Improper handling of 4ABD18a - Handle the material
materials the correct way.
- Ensure the right tool
- Wrong equipment and equipment are
Prepare all equipment and tools and tools selected.
6 3AC19 1A2 The working team
required for the plastering work - Selection of - Ensures tools
defective tools selected are in
good condition
Job Hazard Analysis: Hazard Identification, Risk Assessment and Control
Form
- Wrong proportion of
the mortar mixing
- Mix the right
7 Start mixing the mortar components 4AC22 3A9 The working team
proportion of mortar
-
12
Job Hazard Analysis: Hazard Identification, Risk Assessment and Control
Form
Mark
OVERALL RISK WEIGHTING – This is determined by the highest single residual risk weighting of all tasks (largest risk value once all controls are in place)
VALUE: 2ABCDE10 EXTREME HIGH MEDIUM LOW
PREPARED BY: The working team REVIEWED BY: Jenifer Nartey
APPROVED BY SUPERVISOR: Kelvin DATE: 23rd September 2023