Job Hazard Analysis

Think Safety First

Project:

A JHA is to be completed by the work team for every task and is to be reviewed and signed by all team members prior to commencing work and at the start of every shift. Any new team member must review and sign on before commencing work. JHA must be reviewed by a Supervisor and HSE Advisor.

Emergency No: Muster Point: First Aid Box: JHA No:

Location on Site: Completed By: Date:

Work Task Being Completed : Checklist Items for the Task Being Carried Out (Tick appropriate) Spotter Required Barricading / Flagging / Signage Machinery / Personnel Interface Safe Work Procedure Available

Machine / Machine Interface Fire Extinguisher

Machinery PreStart Check Other Workers in Area

Traffic Management Manual Handling

Work At Height Ladders / Scaffolding

Type of Work Permit Required (Tick appropriate) Confined Space Hot Work Excavation / Dig Permit High Voltage Work Near Powerlines Work at Height Isolation Other

List Other Permits Required: Type of Personal Protective Equipment (PPE) required (Tick appropriate) Safety Helmet Safety Glasses Hearing Protection Gloves Respiratory Protection / Dust Mask Safety Harness (Work at Height)

List other PPE Required: Special Tools or Equipment Required (i.e. gas detection, ventilation fans, eye wash station, lighting, high pressure water blaster, scaffolding, etc.)

Hazardous Materials (List any hazardous materials to be use & attach an MSDS for each chemical)

MSDS Available

Y N

MSDS Available

Y N

MSDS Available

Y N

MSDS Available

MSDS Available

MSDS Available

Potential Environmental Hazards (please indicate by ticking box) Air Pollution (dust, fumes) Spills to Ground Noise Pollution Soil Erosion Spills to Water Hazard to Flora or Fauna

DRAE20140225 Created by: John S

Revision: 0 Approved By: Adam E

Issue Date: 09/12/2013

Job Hazard Analysis

Think Safety First

A JHA is to be completed by the work team for every task and is to be reviewed and signed by all team members prior to commencing work and at the start of every shift. Any new team member must review and sign on before commencing work. JHA must be reviewed by a Supervisor and HSE Advisor.

Emergency No: Muster Point: First Aid Box: JHA No: RISK LEVEL RESIDUAL RISK

STEP #

JOB STEP

JOB STEP HAZARD

CONTROL MEASURES

DRAE20140225 Created by: John S

Revision: 0 Approved By: Adam E

Issue Date: 09/12/2013

Job Hazard Analysis

Think Safety First

A JHA is to be completed by the work team for every task and is to be reviewed and signed by all team members prior to commencing work and at the start of every shift. Any new team member must review and sign on before commencing work. JHA must be reviewed by a Supervisor and HSE Advisor.

Emergency No: Muster Point: First Aid Box: JHA No: RISK LEVEL RESIDUAL RISK

STEP #

JOB STEP

JOB STEP HAZARD

CONTROL MEASURES

DRAE20140225 Created by: John S

Revision: 0 Approved By: Adam E

Issue Date: 09/12/2013

Job Hazard Analysis

Think Safety First

A JHA is to be completed by the work team for every task and is to be reviewed and signed by all team members prior to commencing work and at the start of every shift. Any new team member must review and sign on before commencing work. JHA must be reviewed by a Supervisor and HSE Advisor.

Emergency No: Muster Point: First Aid Box: JHA No:

JHA Team Member Sign On Name Date Signature Name Date Signature

JHA to be Reviewed by the following personnel for JHA Authorisation

Dynamic Reinforcing Supervisor

Name: Sign: Date: Name: Sign:

Client Supervisor
Name: Date: Sign:

HSE Advisor

Date:

DRAE20140225 Created by: John S

Revision: 0 Approved By: Adam E

Issue Date: 09/12/2013

Job Hazard Analysis

Think Safety First JHA Risk Matrix

A JHA is to be completed by the work team for every task and is to be reviewed and signed by all team members prior to commencing work and at the start of every shift. Any new team member must review and sign on before commencing work. JHA must be reviewed by a Supervisor and HSE Advisor.

Emergency No: Muster Point: First Aid Box: JHA No:

Minor
FAI, <$5000

Moderate
MTI, $5K - $25K

CONSEQUENCE Serious
RWI, $25K 100K

Major
LTI, $100K - $250K

Catastrophic
Fatality/Disability, >$250K

LIKELIHOOD

Almost Certain (Daily) Likely (Monthly) Possible (Yearly) Unlikely (1-10 Years) Rare (>10 Years)

Moderate (11) Moderate (7) Low (4) Low (2) Low (1) Risk Extreme High Moderate Low Colour Red Orange Yellow Green Action

High (16) High (12) Moderate (8) Low (5) Low (3)

Extreme (20) High (17) High (13) Moderate (9) Low (6)

Extreme (23) Extreme (21) High (18) High (14) Moderate (10)

Extreme (25) Extreme (24) Extreme (22) High (19) High (15)

Number 20-25 12-19 7-11 1-6

Category 4 3 2 1

Task shall not commence. Contact Supervisor. Control measures to be implemented immediately. Management Attention Required. Responsibility must be specified. Manage by routine procedures.

Consequences (Further Information)

Consequence Minor Moderate Serious Major Environment Single event causing low environmental impact (<5L spill) Minor impact to non-threatened species or their habitat (<15L spill) Moderate impact to ecosystem or non-threatened species (<50L spill) Major impact on ecosystem or threatened species which cannot be immediately recovered (<200L spill) Cultural Minimal disturbance to heritage area / structure Minor repairable damage to heritage structure Moderate medium term damage to structures / items of local cultural significance Major long term damage to structures / items / locations of cultural significance Community Single community complaint handled locally Repeated community complaints requiring management response Regional or state media attention Local actions that threaten production

DRAE20140225 Created by: John S

Revision: 0 Approved By: Adam E

Issue Date: 09/12/2013