creating the JHA component
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Task: |
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Date Completed: |
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Process |
Risks |
Control Measures |
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Step 1 |
Risk 1 |
Control 1 |
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Control 2 |
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Control 3 |
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Risk 2 |
Control 1 |
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Control 2 |
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Control 3 |
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Step 2 |
Risk 1 |
Control 1 |
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Control 2 |
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Control 3 |
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Risk 2 |
Control 1 |
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Control 2 |
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Control 3 |
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Step 3 |
Risk 1 |
Control 1 |
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Control 2 |
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Control 3 |
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Risk 2 |
Control 1 |
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Control 2 |
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Control 3 |
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Step 4 |
Risk 1 |
Control 1 |
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Control 2 |
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Control 3 |
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Risk 2 |
Control 1 |
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Control 2 |
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Control 3 |
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Step 5 |
Risk 1 |
Control 1 |
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Control 2 |
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Control 3 |
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Risk 2 |
Control 1 |
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Control 2 |
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Control 3 |
Completed by:
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Print: |
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Sign: |
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OSH 366 – JHA Template