9.14: Job Hazard Analysis (JHA) Templates
- Page ID
- 57915
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)General Thermography JHA Template (Level I)
Project / Site: ____________________________
Date: ____________ Time: ____________
Location: _________________________________
Task Description: _________________________
Technician Name: __________________________
Certification Level: ☐ Level I
Supervisor / Lead: _________________________
|
Task Step |
Potential Hazards |
Risk Level (L/M/H) |
Controls / Mitigations |
PPE Required |
|
Camera setup |
Trip hazards, dropped equipment |
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Approach to inspection area |
Slips, electrical proximity |
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|
Image acquisition |
Arc flash, hot surfaces |
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Data review |
Distraction in hazardous area |
Environmental Conditions:
☐ Indoor ☐ Outdoor ☐ Wind ☐ Rain ☐ Heat ☐ Cold ☐ Poor lighting
Stop-Work Triggers (Check all that apply):
☐ Unexpected energized parts
☐ Inadequate PPE
☐ Weather deterioration
☐ Loss of situational awareness
☐ Unauthorized access required
Signatures:
Technician: _______________________ Date: ________
Supervisor: _______________________ Date: ________
Electrical Thermography JHA Template
Inspection Type: ☐ Switchgear ☐ Panel ☐ Transformer ☐ Bus Bars
System Status: ☐ Energized ☐ De-energized
Load Condition (if energized): __________________
|
Hazard |
Yes/No |
Control Measures |
|
Arc flash potential |
Arc-rated PPE, distance |
|
|
Shock exposure |
Insulated gloves, barriers |
|
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Limited access |
Authorized personnel only |
|
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Panel removal required |
Supervisor approval |
Required PPE (Check all):
☐ Arc-rated clothing (Rating: ________)
☐ Insulated gloves
☐ Face shield
☐ Safety glasses
☐ Hard hat
Approach Distance Verified: ☐ Yes ☐ No
NFPA 70E / Site Rules Reviewed: ☐ Yes ☐ No
Mechanical / Industrial Thermography JHA Template
Equipment Inspected: _______________________
Operating Condition: ☐ Normal ☐ Startup ☐ Shutdown
|
Hazard |
Present (Y/N) |
Controls |
|
Rotating components |
Guards, distance |
|
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Pinch points |
Barriers, awareness |
|
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Hot surfaces |
No-contact inspection |
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Noise |
Hearing protection |
Lockout/Tagout Required? ☐ Yes ☐ No
If Yes, Authorized by: _______________________
Working at Heights JHA Template
Work Location: ☐ Ladder ☐ Lift ☐ Roof ☐ Platform
Height: __________ ft / m
|
Hazard |
Control |
|
Fall exposure |
Harness / guardrails |
|
Ladder instability |
Proper ladder type |
|
Overreach |
Reposition equipment |
|
Weather exposure |
Delay inspection |
Fall Protection Used: ☐ Harness ☐ Guardrails ☐ Spotter
Access Equipment Inspected: ☐ Yes ☐ No
Outdoor / Environmental Thermography JHA Template
Weather Conditions:
☐ Clear ☐ Windy ☐ Hot ☐ Cold ☐ Rain ☐ Lightning Risk
|
Hazard |
Risk |
Controls |
|
Heat stress |
Breaks, hydration |
|
|
Cold exposure |
PPE, time limits |
|
|
Slips / uneven terrain |
Footwear, awareness |
|
|
Reduced visibility |
Delay inspection |
Inspection Proceed? ☐ Yes ☐ No
If delayed, reason: ____________________________
Drone-Based Thermography JHA Template (Level I Support Role)
For use by Level I personnel assisting or supporting UAS thermography under an authorized Remote Pilot in Command (RPIC).
Drone Platform: __________________________
Thermal Payload: _________________________
Altitude (AGL): __________________________
Visual Line of Sight Maintained: ☐ Yes ☐ No
|
Hazard |
Present (Y/N) |
Controls |
|
People in area |
Establish safety buffer |
|
|
Power lines |
Standoff distance |
|
|
Wind / gusts |
Adjust flight / abort |
|
|
GPS interference |
Manual control readiness |
Roles Defined:
☐ RPIC ☐ Visual Observer ☐ Sensor Operator (Level I)
Emergency Procedures Reviewed: ☐ Yes ☐ No
Pre-Task Safety Brief Checklist (Tailgate Brief)
☐ Task scope reviewed
☐ Hazards identified
☐ Controls discussed
☐ PPE verified
☐ Emergency procedures reviewed
☐ Stop-work authority confirmed
☐ Communication plan established
Instructor / Textbook Callout Box
Level I Reminder – Safety Authority
Level I thermographers are responsible for hazard recognition, PPE compliance, and stop-work authority.
Engineering controls, acceptance criteria, and procedural changes are the responsibility of Level II, Level III, or site management.