Job Hazard Analysisworksheet

Job Hazard Analysisworksheet

Tool Type / FORM / Last Reviewed / 4/26/16
Geography / All / Source: / WCB of Nova Scotia

JOB HAZARD ANALYSISWORKSHEET

BENEFITS

Employers have a duty to protect workers from hazards they know or should know about in the workplace. To fulfill this duty, employers should assess the safety risks of the various jobs, tasks or activities performed in the workplace and ensure that appropriate measures are in place to address the identified hazards associated with each job, task or activity.

HOW TO USE THE TOOL

Use this worksheet to conduct a hazard analysis of jobs, tasks or activities that workers perform and ensure that the appropriate control methodsare put in place to protect workers from the identified hazards.

OTHER RESOURCES:

WCB of Nova Scotia Small Business Toolkit

Job Hazard Assessment Form

CSA Z1002 OHS Risk Assessment Application Questionnaire

JOB HAZARD ANALYSISWORKSHEET

Job to be analyzed: / Date:
Location/Site: / Completed by:
Basic Job Steps / Potential Significant Hazards / Hazard Control Methods
List the five to 10 steps required to complete the job. Make sure you identify the steps in the sequence they’re performed. / List the potential SIGNIFICANT hazards beside each step. Focus on what can cause harm and what could go wrong. / List the control methods required to eliminate, isolate or minimize the risk of injury arising from the identified hazard.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

To help identify hazards for each step, ask:

  • Can any body part get caught in or between objects?
  • Can I be struck by or against anything?
  • Can I slip, trip or fall?
  • Can I strain or sprain a muscle from lifting/pulling/pushing?
  • Is there possible exposure to extreme heat or cold?
  • Is excessive noise or vibration a problem?
  • Is there a danger from falling objects?
  • Is lighting a problem?
  • Can weather conditions affect safety?
  • Can I come in contact with an energy source?
  • Can I come in contact with a hazardous substance?
  • Are there dusts, fumes or vapours in the air?

This tool and hundreds more available in the OHS Toolbox at . Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures.