Job Hazard Analysis (JHA) — Free Template

Job / task name

Concrete and specific. "Change 50-gal degreaser drum on parts washer" — not "Maintenance".

Location / area

Job typically performed by (role / position)

Frequency

JHA prepared by (name + role)

Date prepared

Reviewing an existing JHA (vs. creating a new one)?

Energized equipment, machinery, or stored energy involved (lockout/tagout)?

Includes electrical, hydraulic, pneumatic, gravitational, chemical, thermal energy.

Work at heights ≥4 ft (general industry) or ≥6 ft (construction)?

Permit-required confined space entry involved?

Limited entry/exit + hazardous atmosphere, engulfment risk, internal trap, or other recognized serious hazard. When in doubt, err on the side of Yes.

Exposure to hazardous chemicals (above OSHA PEL or with SDS hazard warnings)?

Eye protection (safety glasses / face shield) required?

Hearing protection (≥85 dBA exposure) required?

Respiratory protection required?

If Yes, ensure employees are in the company respiratory protection program (medical clearance, fit test, training).

Hand protection (cut-resistant, chemical, electrical, thermal)?

Foot protection (steel toe, slip-resistant, dielectric)?

Body protection (high-vis, FR clothing, chemical apron)?

Fall arrest harness + lanyard required?

Other PPE or specific requirements (glove material, respirator cartridge type, etc.)

All required PPE is supplied by the employer and available at the worksite?

Step 1 — hazards identified

Think pinch points, strikes, falls, exposures, ergonomic strain. List every potential hazard, even if mitigated.

Step 1 — controls (engineering, administrative, PPE)

Prefer elimination > engineering > administrative > PPE. State the actual control, not the goal.

All Step 1 hazards have at least one control assigned?

Step 2 — hazards identified

Step 2 — controls

All Step 2 hazards have at least one control assigned?

Is there a Step 3 in this job?

Step 3 — hazards identified

Step 3 — controls

All Step 3 hazards have at least one control assigned?

Is there a Step 4 in this job?

Step 4 — hazards identified

Step 4 — controls

All Step 4 hazards have at least one control assigned?

Is there a Step 5 in this job?

Step 5 — hazards identified

Step 5 — controls

All Step 5 hazards have at least one control assigned?

Is there a Step 6 in this job?

Step 6 — hazards identified

Step 6 — controls

All Step 6 hazards have at least one control assigned?

Additional steps beyond 6 (rare — describe each as: step / hazards / controls)

Energy-isolating devices to be used (breaker, valve, plug, blocking device)

Energy-isolation procedure documented and worker authorized to perform LOTO?

Stored / residual energy dissipation steps identified (capacitors, springs, suspended loads)?

Verification step (try-to-start, voltage test) included before work begins?

Anchor point(s) identified and rated (≥5,000 lb per worker, or engineered system)

Rescue plan in place for a fallen worker (suspension trauma prevention)?

Calling 911 is not a rescue plan — there must be a documented self-rescue or assisted-rescue procedure within 15 minutes.

Workers trained on the specific fall protection system in use here?

Entry permit will be completed before each entry?

Atmospheric testing planned (oxygen, flammables, toxics) before and during entry?

Ventilation and/or respiratory protection provisions defined?

Attendant (hole watch) assigned + rescue plan + retrieval equipment defined?

SDS for each chemical on file and accessible to workers?

Ventilation, respiratory protection, and skin/eye protection adequate for exposure?

Spill response procedure + emergency eyewash/shower within reach?

All currently-authorized workers have completed required training?

Authorization roster on file and reviewed in the past 12 months?

Preparer signature (typed full name)

Supervisor / reviewer signature (typed full name)

Next review due date

Annual review at minimum; sooner if process or equipment changes.