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Job Hazard Analysis Form Template

Streamline your safety procedures with our job hazard analysis template

Uncovering hidden risks in your workplace can feel daunting, but our Job Hazard Analysis Form template is here to simplify the process. Designed for safety managers and team leaders, this template helps you evaluate potential hazards and develop proactive strategies to eliminate them. With concrete benefits like improved compliance, increased employee safety, and streamlined communication, you can effectively manage workplace risks while enhancing your team's confidence. Start using the live template today to make your job safer.

Job or task title
Site or location
Date of analysis
Company or department
Primary contact phone
Permits needed for this job
Please Specify:
Describe the job objective
List the discrete job steps in order
Tools and equipment to be used
Hazards present (select all that apply)
Please Specify:
Existing controls in place
Please Specify:
Additional controls to implement before work
Please Specify:
Required PPE for this job
Please Specify:
Residual risk rating after controls
Very low
Low
Moderate
High
Very high
Not assessed
The selected controls reduce risk to an acceptable level
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Emergency equipment available nearby
The team knows the nearest exits, muster points, and emergency routes
Yes
No
Communication method on site
Two-way radios
Mobile phones
Hand signals
Public address or alarms
Not applicable
Potential environmental impacts to plan for
Please Specify:
All workers assigned are trained and competent for the tasks
Yes
No
Special certifications required for this job
Please Specify:
Pre-job briefing or toolbox talk completed
Yes
No
Stop work authority is understood by all team members
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Responsible worker name
Supervisor approval name
Approval date
Worker acknowledgment: I confirm this JHA is accurate and the listed controls and PPE will be applied
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration showing a Job Hazard Analysis form template for an article on FormCreatorAI.

When to use this form

Use this form before any non-routine, high-risk, or first-time task. It helps supervisors, crew leads, and contractors break a job into steps, spot hazards, and set controls everyone understands. Typical moments include replacing a rooftop HVAC unit, trenching near utilities, hot work in a shop, or transferring chemicals in a lab. Run it when conditions change: new tools, weather, materials, or after a near miss. Pair it with the Job safety analysis form when you need a detailed task breakdown, and use insights to coach your team over time through the Safety culture survey form. The result: fewer surprises, clear PPE and permits, and a documented plan your team can follow.

Must Ask Job Hazard Analysis Questions

  1. What task steps will the crew perform, in order?

    A clear sequence exposes where people, tools, and equipment interact so you can place controls at the right moments. Without defined steps, you risk missing handoffs and creating gaps in protection.

  2. What hazards could cause harm at each step (people, equipment, energy, environment)?

    This prompts you to scan for electrical, fall, pinch, chemical, ergonomic, and traffic risks instead of generalizing. It improves the match between real exposures and the controls you choose.

  3. What controls and PPE will you use for each hazard, and who owns each action?

    Listing barriers, permits, isolation, ventilation, and PPE with a named owner turns intentions into accountable work. Role clarity boosts compliance and speeds field checks.

  4. What is the emergency plan for this task and location (alarms, routes, contacts)?

    Preplanning cuts reaction time during a fire, spill, or injury and tells the crew how to respond. Use the Emergency evacuation checklist form to align routes, muster points, and communication.

  5. Who reviewed and approved this analysis, and how will you verify it in the field?

    Sign-off and verification create accountability and ensure the plan matches site conditions. Tie follow-ups and coaching into the Employee safety performance review form to reinforce safe practices.

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