The Job Briefing and Routine Job Hazard Analysis (JHA) Form serves as a comprehensive tool designed to guide work crews through a structured discussion before commencing work, focusing on identifying potential job hazards and establishing necessary controls. This document ensures that all involved personnel are well-informed about the job details, emergency procedures, task specifics, site exposures, hazard control measures, and the appropriate safety precautions needed. Ensure you and your team are prepared and protected by filling out the form through the button below.
A Job Briefing form serves as a critical tool before commencing work on a project, ensuring that all involved parties are well-informed, prepared for emergencies, and aware of the tasks for the day along with potential hazards. This document requires the inclusion of the company’s name and logo, project name and number, supplemented by a detailed Routine Job Hazard Analysis (JHA). Prior to starting any work, the form is to be completed in collaboration with the work crew during a job briefing. It incorporates significant details such as job information—covering everything from the job’s physical address to the supervising personnel—emergency procedures, which include a comprehensive list of contact numbers for emergency services and specific directions to the site, and a checklist identifying the types of work being carried out. The form further delves into jobsite exposures, classifying them into physical and health hazards, and specifies the necessary hazard control measures, equipment inspections, and safety systems required. For activities deemed to have higher risk, like those involving civil work or operating at heights, it sets out additional guidelines to ensure worker safety. Finally, the form concludes with a section for reviews and signatures from supervisors and an acknowledgment by all project personnel, emphasizing the collective responsibility towards maintaining a safe working environment.
INSERT COMPANY NAME & LOGO:
PROJECT NAME & NUMBER:
PAGE 1 OF 2
TIME:
JOB BRIEFING / ROUTINE JOB HAZARD ANALYSIS (JHA) FORM
Complete with work crew at job-briefing before beginning work; Have all affected personnel sign-off in Block 9 of this form.
(1) JOB INFORMATION
Date:
Job Number:
Job Name:
Physical Address:
Longitude:
Latitude:
Supervisor/Crew Lead:
(2)EMERGENCY PROCEDURES (LIST TELEPHONE NUMBERS AND ATTACH DIRECTIONS TO THE SITE.)
Are 911 systems functional with cell phone use?
Yes
No
Fall Protection Rescue Procedures to
Fire Department
In-House Crew (Crew must be properly trained in rescue)
Other: PLEASE DESCRIBE.
be used:
Ambulance:
Fire:
Police:
Local Hospital:
Telephone Co:
Utility (Water/Electric/Gas) Co:
Evacuation Point:
Host Construction Coordinator & Cell Phone:
Host Safety Coordinator & Cell Phone:
(3)JOB / TASKS FOR TODAY (Note: Any rigging with a payload weight of 10T - 50T = Medium Lift; or > 50T= Heavy Lift; or a Critical Lift requires the submittal of an Engineer approved lift plan as required per contract requirements.)
CHECK TYPE OF WORK BEING PERFORMED:
INCIDENTAL LIFT (<10T),
MEDIUM LIFT (10T - 50T),
HEAVY LIFT (>50T),
CRITICAL LIFT (SEE LIFT CLASSIFICATION FLOW CHART)
Working at Height > 6 feet
Plumbing Painting HVAC/Mech.
Electrical Welding
General Construction Heavy Equipment
Civil/Concrete/Masonry Decommissioning
Scaffolding
Other:
(4) JOBSITE EXPOSURES, NOTE: ELECTROMAGNETIC INTERFERENCE (EMI), RADIO FREQUENCY (RF)
HAZARD IDENTIFICATION: Items checked below relate to existing conditions or may be a result of site operations
Physical Hazards
Health Hazards
Confined Space
Permit Required
Struck by/Contact With
Chemical Exposure
Silica Exposure (Concrete/Stone
Electrical
Overhead Work
Cold Stress
Cutting)
Elevation / Site Terrain
Slips, Trip, or Falls
EMI/RF/Radiological/Laser
Biological Hazards: Animals, Avian,
Falls from Elevations
Underground Utilities
Heat Stress
Insects, Microbiological, etc.
Fire Hazards
Vehicle Traffic
High Noise (>85 dBA)
Asbestos, Lead
Heavy Equipment
Lifting Hazards
(5) HAZARD CONTROL MEASURES
PPE and Monitoring Equipment
Inspections
Safety Systems / Training
(Complete All Prior to Use)
Fall Protection
Tools/Equipment
Barricades, Pedestrian Shelters, Banner of Notices, PPE, and Warning Signs)
Gloves
Rigging
Excavation & Trenching Plan/Log
Hard Hat
Safety Shoes/Boots
Housekeeping
Lock-Out / Tag-Out (De-energize, Guard, Identify, Tag or Tag & Lock)
Hearing
Tag Lines
Job Briefing Meeting
RF / Radiological Monitors
Ground Fault Protection
Pre-Approved Plans (Critical Lifts, Roped-Access, Suspended Personnel Lift)
Hazmat Suits; Level: D, C, B, A
Gin Poles
Color Coded Inspection Schemes for Rigging, Equip., Electrical Cords & Tools;
Safety Glasses, Goggles, Face Shield
Hoists
Annotate Colors, Items, & Frequency.
Safety Vest: Class 1, 2, 3
Federal or Texas Manual on Uniform Traffic Control
Air Monitoring:
Permit Systems:
Oxygen Deficiency (< than 19.5%)
Confined Spaces: Is a Permit Required? Yes
Obtained
Oxygen Enrichment (> than 23.5%)
Electrical Work: Is a Permit, Outage, or Clearance Required? Yes
Flammable Gases/Vapors (> than 10% of LEL)
Fire, Smoke, Heat Alarms Deactivation: Are Permits Required? Yes
Obtained
Airborne Combustible Dust (> than LFL)
Welding/Hot/Burning: Is a Permit Required? Yes
Toxic Gases or Vapors (> than PEL)
Pressure/Chemical Pipe Opening: Is a Permit Required?
Yes
Laser Safety:
Egress Evacuation Routes Altered: Is a Permit Required?
Yes
X-Ray Monitoring:
Area Fire Alarm Disable,
Area Sprinkler Disable
Respirator:
APR
Supplied Air:
No Alarm, Smoke, Heat Detector and Sprinkle; Fire Watch Required
Half-Face
Full-Face
Smoke to Heat Detect,
Smoke or Heat Disable
Note Any Other Hazards or Safety Controls Here:
REV: 2, 02/02/10
PAGE 2 OF 2
(6)COMPLETE FOR CIVIL WORK (PLEASE NOTE: ENGINEER APPROVED TRENCHING PLAN REQUIRED FOR TRENCHES > 5’)
NOT APPLICABLE
NOTE: Notify and confirm proper procedures, mitigation and/or protective steps taken with your company’s designated Safety Representative & Site Manager before
entering: any trench or any general excavation that is greater than 5’ deep; or any Confined Space.
1. Describe type and depth of excavations
Type A Soil/Rock
Type B Soil/Rock
Type C Soil/Rock:
Dig-Tess / One Call
2. Cave-in / Engulfment control measures to be used if excavation will be greater than 5 feet and personnel are entering the trench.
Shoring
Trench
Shield/Box
Ladder in Trench > 5 Feet & Every 25’ Sump Pump LOTO:
3.Describe elevation/site terrain/environmental concerns or hazards:
4.Describe hazards with site/vehicle access (High Traffic, Heavy Haul, Boom Cranes, and Storage of Materials/HazMat:
5.Describe the type of electrical or gas concerns or hazards (e.g. Electrical/Gas/Fiber Optic Lines):
Sloping
Benching
(7) FALL PROTECTION & USING SUSPENDED PERSONNEL PLATFORM (Complete for Working at Heights and Roped-Access)
Type of Elevated Work & Height:
Type of Tower or Building:
Describe the fall protection system to be used when working aloft.
Lifeline
Personal Fall Arrest
Safety Monitor
Qualified Climber
Safety Net
Ladder Safety Device
Roped Access (Requires Roped Access JHA):
Fall protection to be used.
Full Body Harness
One Lanyard
Two Lanyards (100%)
Rope Grab
Cable Grab
Retractable Lifeline
Ascenders/Descenders
Anchorage Points, Belay, & Straps:
Ropes
Has each employee inspected his or her fall protection equipment?
Hoisting Equipment to be used: < 20’ Encroachment of Power Lines,
No; If yes, ID Voltage _______KV; De-energize/Test/Ground Lines
Suspended Personnel Platform/basket
Forklift Platform
Crane/Boom/Aerial Truck
Scissor/Snorkel Lift
Gin Pole
Roped Access
Suspended Personnel Platform Checklist and/or Critical Lift Plan Completed?
(8) REVIEWS AND SIGNATURES
GC Superintendent /Foreman
Lower-tier Subcontractor Supervisor
Name
Signature/Date
(9)PROJECT PERSONNEL ACKNOWLEDGEMENT (ALL AFFECTED PERSONNEL SIGN AFTER JOB BRIEFING)
Name:
Company:
CPR / First Aid
Filling out a Job Briefing/ Routine Job Hazard Analysis (JHA) form is a crucial step in ensuring the safety and preparedness of all personnel involved in a project. This document requires careful attention to detail and accuracy to effectively communicate the day's tasks, identify potential hazards, and outline the necessary emergency procedures. After successfully completing this form, you will proceed to ensure all safety measures are in place and confirm that every team member understands their roles and responsibilities for the day. Listed below are the detailed steps needed to accurately fill out the form.
Once the form is completely filled out and all necessary signatures have been obtained, ensure that a copy is accessible on site for reference throughout the workday. This will serve as a critical reference document to maintain safety and operational efficiency.
This form is designed to ensure that before starting work, all members of a work crew are informed and aware of the job details, potential hazards, and emergency procedures. Its primary purpose is to prompt discussion on site-specific hazards, emergency contact information, and protective measures among all affected personnel. Completing the form and having all affected personnel sign off ensures everyone's safety and preparedness for potential risks associated with the job.
The form must be completed by the supervisor or crew lead alongside the work crew before initiating any work activities. It's essential for ensuring that all crew members are informed about the job's specifics, including tasks, hazards, and safety controls. Every person affected by the job's activities must acknowledge the briefing by signing in Block 9 of the form, ensuring informed consensus and compliance with safety standards.
The Emergency Procedures section requires the following information:
These details are crucial for quick and effective response in the event of an emergency to ensure the safety and well-being of all personnel on site.
The form categorizes job/task information based on the nature and scale of the work being performed. Jobs are classified into different types, such as incidental lifts, medium and heavy lifts, and critical lifts, with specific criteria like weight limits. It also includes a checklist for common tasks like working at heights, plumbing, painting, electrical work, and others. This categorization helps in identifying the appropriate safety measures and preparations needed for the day's tasks.
Hazard Control Measures are strategies and equipment used to minimize or eliminate risks associated with job tasks. This section of the form includes:
These measures are vital for protecting workers from potential hazards they might encounter during their work, ensuring a safe working environment and compliance with safety regulations.
Not correctly inserting the company name and logo at the top of the form can lead to a lack of official identification, complicating the tracing back to the responsible entities if issues arise.
Failure to provide accurate project name and number details compromises the form’s specificity and can lead to confusion in distinguishing between multiple ongoing projects.
Overlooking the completion of emergency procedures, including relevant telephone numbers and evacuation points, can pose serious risks during a crisis, as it may delay the effective response and coordination with emergency services.
Not specifying the job tasks for the day with clarity, particularly details about lifting operations or work classification, may lead to inadequate preparation and hazardous situations, especially when specialized equipment or safety measures are necessary.
Ignoring or improperly detailing the jobsite exposures and not checking the right hazards, such as electromagnetic interference or confined space requirements, could result in unanticipated risks and inadequate preventive measures.
Skipping or incorrectly completing the hazard control measures section, especially regarding personal protective equipment (PPE) and safety system training, can lead directly to increased vulnerability to identified risks for all personnel involved.
Not ensuring all affected personnel sign-off in Block 9 after the job briefing overlooks a crucial step in confirming that all team members are informed, agree with, and are accountable for the established safety protocols and job tasks, potentially leading to communication breakdowns and non-compliance with safety requirements.
When preparing for a project, it's important to complement the Job Briefing / Routine Job Hazard Analysis (JHA) form with various other forms and documents. These additional materials help ensure safety, legal compliance, and efficient project management. Each form plays a unique role in contributing to a project’s success. Here's a look at some of these essential documents:
Incorporating these forms and documents alongside the Job Briefing/Routine JHA form is fundamental to ensuring a project’s completion is not only successful but also safe and compliant with regulatory standards. By meticulously preparing and maintaining these documents, companies can better protect their employees, the public, and the environment.
The Job Briefing / Routine Job Hazard Analysis (JHA) form is a critical document designed to ensure the safety and well-being of individuals on a project by outlining potential hazards, emergency procedures, and control measures before work begins. This form shares similarities with several other types of documents in various fields, highlighting the universal importance of preparation, safety, and clarity in project execution. Below are eight documents that bear resemblance to the Job Briefing form in one way or another:
Each of these documents, while serving distinct purposes, complements the goals of the Job Briefing / Routine Job Hazard Analysis form—enhancing communication, enforcing safety protocols, and ensuring a comprehensive understanding of the task at hand among all project participants.
Filling out a Job Briefing form is crucial for ensuring safety and compliance on a work site. Here are some dos and don'ts to guide you through the process:
By following these guidelines, you can ensure that your Job Briefing forms are thoroughly and accurately completed, leading to safer and more compliant job sites.
When it comes to the Job Briefing and Routine Job Hazard Analysis (JHA) Form, there are several misconceptions that can lead to misinterpretation and misuse of the document. Understanding these misconceptions is key to ensuring workplace safety and compliance.
Only for High-Risk Jobs: Many believe this form is only necessary for high-risk or unusual jobs. However, it’s designed for use before beginning any work, regardless of the perceived risk level, to identify and mitigate potential hazards.
One-Time Completion: There's a misconception that once filled out, the form doesn’t need to be revisited. The truth is, it should be completed with the work crew at every job briefing to account for any changes or new hazards.
Exclusively for Supervisors: Some think that only supervisors or crew leads need to be involved in the Job Briefing/JHA process. In reality, all affected personnel should participate and sign off in Block 9 to acknowledge understanding and acceptance of safety measures.
No Need for Detailed Emergency Procedures: Underestimating the importance of filling out Section 2, which covers emergency procedures, is common. Detailed, accessible emergency contacts and procedures are crucial for a swift response in case of an incident.
Job/Tasks Section is Just a Formality: Merely listing tasks in Section 3 without thorough consideration is a pitfall. Each task’s potential hazards require analysis to ensure proper safety controls are in place.
Hazard Controls are Common Sense: Assuming that the measures in Section 5 are generic or just “common sense” overlooks the necessity for specific, pre-approved plans and equipment inspections tailored to the identified hazards for the job at hand.
Clearing up these misconceptions reinforces the importance of meticulous and informed preparation. Proper use of the Job Briefing and Routine Job Hazard Analysis Form is a fundamental part of maintaining a safe work environment.
The Job Briefing and Routine Job Hazard Analysis (JHA) Form serve as essential tools for planning, executing, and documenting safety measures before commencing any job. Understanding how to properly fill out and use this form is crucial for maintaining a safe working environment. Below are key takeaways to ensure its effective application.
Adherence to these steps when using the Job Briefing/JHA Form not only facilitates compliance with safety regulations but also fosters a culture of safety within the team. Ensuring that every member is informed and prepared is paramount to mitigating risks and enhancing the overall workplace safety.
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