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Create a pre job hazard assessment form
Generated on: September 6, 2025

Pre-Job Hazard Analysis (PHA)

Assessment Date: [DATE]

Assessor: [ASSESSOR NAME]

Department/Area: [DEPARTMENT/AREA]

Review Date: [REVIEW DATE]

1. Assessment Scope

This pre-job hazard analysis (PHA) is designed to identify and evaluate potential hazards associated with specific job tasks before work begins. It includes an assessment of the work environment, equipment, materials, and personnel involved to ensure a safe and compliant work process. The scope covers all tasks performed by employees, contractors, and visitors within the designated work area. Exclusions include hazards related to activities outside the defined scope of the specific job task being analyzed.

2. Risk Assessment Methodology

The PHA methodology employs a systematic approach to hazard identification and risk assessment. It involves:

1. Task Breakdown: Dividing the job into sequential steps. 2. Hazard Identification: Identifying potential hazards associated with each step. 3. Risk Assessment: Evaluating the likelihood and severity of potential consequences. 4. Control Measures: Developing and implementing control measures based on the hierarchy of controls (Elimination, Substitution, Engineering Controls, Administrative Controls, and PPE). 5. Residual Risk Assessment: Re-evaluating the risk after implementing control measures.

This methodology uses a 5x5 risk matrix to determine risk ratings, where:

  • Likelihood: Rare, Unlikely, Possible, Likely, Almost Certain
  • Severity: Negligible, Minor, Moderate, Major, Catastrophic
  • Risk Rating: Low, Medium, High, Extreme

3. Risk Matrix Reference

The following matrix is used to evaluate risk levels based on likelihood and severity:

Likelihood
RareUnlikelyPossibleLikelyAlmost Certain
SeverityCatastrophicLowLowMediumMediumHigh
MajorLowLowMediumHighHigh
ModerateLowMediumMediumHighExtreme
MinorLowMediumHighExtremeExtreme
NegligibleMediumHighHighExtremeExtreme

4. Hazard Identification and Risk Evaluation

1. Working at heights without proper fall protection

Potential Consequences: Falls resulting in serious injury or fatality

Affected Persons: Workers, visitors

Initial Risk Assessment

LikelihoodSeverityRisk Rating
PossibleMajorHigh

Control Measures

  • Eliminate the need to work at heights where possible
  • Use aerial lifts or elevated platforms with guardrails
  • Provide fall arrest systems (harness, lanyard, anchor points)
  • Ensure proper training on fall protection equipment and procedures

Residual Risk Assessment

LikelihoodSeverityRisk Rating
UnlikelyModerateLow

2. Exposure to hazardous chemicals without adequate PPE

Potential Consequences: Skin irritation, respiratory problems, chemical burns, or long-term health effects

Affected Persons: Workers

Initial Risk Assessment

LikelihoodSeverityRisk Rating
LikelyModerateHigh

Control Measures

  • Substitute less hazardous chemicals where feasible
  • Provide adequate ventilation
  • Use appropriate PPE (gloves, eye protection, respirators)
  • Ensure proper training on chemical handling and SDS information

Residual Risk Assessment

LikelihoodSeverityRisk Rating
UnlikelyMinorLow

3. Operating machinery with unguarded moving parts

Potential Consequences: Entrapment, cuts, fractures, or amputations

Affected Persons: Workers

Initial Risk Assessment

LikelihoodSeverityRisk Rating
PossibleMajorHigh

Control Measures

  • Install and maintain machine guards
  • Implement lockout/tagout procedures during maintenance
  • Provide training on safe operating procedures
  • Conduct regular inspections of machinery and guards

Residual Risk Assessment

LikelihoodSeverityRisk Rating
UnlikelyModerateLow

4. Slips, trips, and falls due to poor housekeeping

Potential Consequences: Sprains, fractures, bruises, or head injuries

Affected Persons: Workers, visitors

Initial Risk Assessment

LikelihoodSeverityRisk Rating
LikelyModerateHigh

Control Measures

  • Maintain clean and orderly work areas
  • Provide adequate lighting
  • Use slip-resistant flooring or mats
  • Clean up spills immediately
  • Ensure proper signage for hazards

Residual Risk Assessment

LikelihoodSeverityRisk Rating
PossibleMinorLow

5. Ergonomic hazards due to repetitive motions or awkward postures

Potential Consequences: Musculoskeletal disorders (MSDs) such as carpal tunnel syndrome or back pain

Affected Persons: Workers

Initial Risk Assessment

LikelihoodSeverityRisk Rating
LikelyModerateHigh

Control Measures

  • Design workstations to minimize reaching and bending
  • Provide adjustable chairs and equipment
  • Implement job rotation or task variation
  • Encourage regular breaks and stretching exercises
  • Provide training on proper lifting techniques

Residual Risk Assessment

LikelihoodSeverityRisk Rating
PossibleMinorLow

5. General Control Measures

  • Implement a comprehensive safety program

Develop and maintain a written safety program that includes policies, procedures, and training requirements.

  • Conduct regular safety meetings

Hold regular safety meetings to discuss hazards, incidents, and safety improvements.

  • Provide appropriate personal protective equipment (PPE)

Ensure that all employees have and use the necessary PPE for their job tasks.

  • Enforce strict adherence to safety rules and procedures

Consistently enforce safety rules and procedures to ensure compliance.

  • Maintain accurate records of training, inspections, and incidents

Keep detailed records of all safety-related activities.

6. Emergency Preparedness

  • In the event of a fire, activate the fire alarm, evacuate the area, and contact emergency services.
  • For chemical spills, contain the spill, use appropriate PPE, and follow the spill response plan.
  • In case of a medical emergency, provide first aid and contact emergency medical services.
  • For serious injuries, immediately call emergency services and provide necessary assistance.
  • In the event of a security threat, follow the site's security protocols and contact security personnel.

7. Training Requirements

  • Fall Protection Training: Employees working at heights must receive training on the proper use of fall protection equipment, including harnesses, lanyards, and anchor points. Training should cover inspection, maintenance, and safe usage procedures.
  • Hazardous Communication Training: Employees working with hazardous chemicals must be trained on the hazards of the chemicals, proper handling procedures, and the use of Safety Data Sheets (SDS).
  • Lockout/Tagout Training: Employees performing maintenance on machinery must be trained on lockout/tagout procedures to prevent accidental startup of equipment.
  • Ergonomics Training: Employees performing repetitive tasks must receive training on proper ergonomics to prevent musculoskeletal disorders.
  • Emergency Response Training: All employees must be trained on emergency response procedures, including evacuation routes, first aid, and spill response.

8. Monitoring and Review

Review Frequency: Annually, or after any incident

Monitoring TypeFrequencyResponsible PartyDescription
Regular InspectionWeeklySafety OfficerConduct weekly inspections of work areas to identify potential hazards and ensure compliance with safety procedures.
PPE InspectionDailyEmployeesEmployees must inspect their PPE daily before use to ensure it is in good condition.
Equipment MaintenanceMonthlyMaintenance TeamPerform regular maintenance on equipment to ensure it is operating safely.
Incident ReportingAs NeededSupervisorsSupervisors must report all incidents and near misses immediately to facilitate investigation and corrective action.
Training EvaluationAnnuallyTraining DepartmentEvaluate the effectiveness of safety training programs annually to identify areas for improvement.

9. Special Circumstances

  • During inclement weather (e.g., rain, snow, ice), increase monitoring for slip and fall hazards and provide appropriate traction devices.
  • For night work, ensure adequate lighting is provided and implement additional safety measures to address reduced visibility.
  • When lone work is necessary, implement a buddy system or regular check-in procedures to ensure worker safety.

Approval and Sign-off

This risk assessment has been reviewed and approved by:

Assessor: _________________________ Date: __________

Manager/Supervisor: _________________________ Date: __________

Safety Representative: _________________________ Date: __________

This risk assessment must be reviewed annually, or after any incident or when significant changes occur.

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Important Safety Note:

Always verify safety information with your organization's specific guidelines and local regulations.

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