Job Hazard Analysis Assessment for PPE

The Job Hazard Analysis (JHA) approach to doing a hazard assessment for PPE is a more comprehensive method and may be more useful in larger businesses with many hazards and/or complex safety issues. It also helps you assign a Risk Priority Code to the hazard to determine the course of actions you need to take to control the hazard.

Name of your work place

Address of the work place where you are doing the hazard assessment

Name of person certifying that a workplace hazard assessment was done

Date the hazard assessment was done

Job Hazard Analysis Assessment for PPE:

Instructions

1. Conduct a walk through survey of your business.

For each job/task step, note the presence of any of the following hazard types (see table below), their sources, and the body parts at risk. Fill out the left side of the hazard assessment form (for help, see samples on p.29-30 in the guide). Gather all the information you can.

Look at all steps of a job and ask the employee if there are any variations in the job that are infrequently done and that you might have missed during your observation.
For purposes of the assessment, assume that no PPE is being worn by the affected employees even though they may actually be wearing what they need to do the job safely.
Note all observed hazards. This list does not cover all possible hazards that employees may face or for which personal protective equipment may be required. Noisy environments or those which may require respirators must be evaluated with appropriate test equipment to quantify the exposure level when overexposure is suspected.

2. Analyze the hazard.

For each job task with a hazard source identified, use the Job Hazard Analysis Matrix table and discuss the hazard with the affected employee and supervisor. Fill out the right side of the hazard assessment form:

Rate the SEVERITY of injury that would reasonably be expected to result from exposure to the hazard.
Rate the PROBABILITY of an accident actually happening.
Assign a RISK CODE based upon the intersection of the SEVERITY and PROBABILITY ratings on the matrix.

Option 2

Job Hazard Analysis Matrix

Risk Priority

3. Take action on the assessment.

Depending on the assigned Risk Level/Code (or Risk priority), take the corresponding action according to the table above:

If Risk priority is LOW (3) for a task step requires no further action. Note: If you assign a risk code of 3, be sure that there isn’t a WISHA standard that requires specific protection be provided. For example: WAC 296-24-65003 requires personal protective equipment when using compressed air for cleaning.
If Risk priority is MEDIUM (2) select and implement appropriate controls.
If Risk priority is HIGH (1) immediately stop the task step until appropriate controls can be implemented.

A high risk priority means that there is a reasonable to high probability that an employee will be killed or permanently disabled doing this task step and/or a high probability that the employee will suffer severe illness or injury!

4. Select PPE:

Try to reduce employee exposure to the hazard by first implementing engineering, work practice, and/or administrative controls. If PPE is supplied, it must be appropriately matched to the hazard to provide effective protection, durability, and proper fit to the worker. Note the control method to be implemented in the far right column.

5. Certify the hazard assessment:

Certify on the hazard assessment form that you have done the hazard assessment and implemented the needed controls.

Incorporate any new PPE requirements that you have developed into your written accident prevention program.

Name of your work place

Address of the work place where you are doing the hazard assessment

Name of person certifying that a workplace hazard assessment was done

Date the hazard assessment was done

Job Hazard Analysis Assessment for PPE:

Instructions

1. Conduct a walk through survey of your business.

For each job/task step, note the presence of any of the following hazard types (see table below), their sources, and the body parts at risk. Fill out the left side of the hazard assessment form (for help, see samples on p.29-30 in the guide). Gather all the information you can.

Look at all steps of a job and ask the employee if there are any variations in the job that are infrequently done and that you might have missed during your observation.

For purposes of the assessment, assume that no PPE is being worn by the affected employees even though they may actually be wearing what they need to do the job safely.

2. Analyze the hazard.

For each job task with a hazard source identified, use the Job Hazard Analysis Matrix table and discuss the hazard with the affected employee and supervisor. Fill out the right side of the hazard assessment form:

Rate the SEVERITY of injury that would reasonably be expected to result from exposure to the hazard.

Rate the PROBABILITY of an accident actually happening.

Assign a RISK CODE based upon the intersection of the SEVERITY and PROBABILITY ratings on the matrix.

Option 2

Job Hazard Analysis Matrix

Risk Priority

3. Take action on the assessment.

Depending on the assigned Risk Level/Code (or Risk priority), take the corresponding action according to the table above:

If Risk priority is MEDIUM (2) select and implement appropriate controls.

If Risk priority is HIGH (1) immediately stop the task step until appropriate controls can be implemented.

A high risk priority means that there is a reasonable to high probability that an employee will be killed or permanently disabled doing this task step and/or a high probability that the employee will suffer severe illness or injury!

4. Select PPE:

5. Certify the hazard assessment:

Certify on the hazard assessment form that you have done the hazard assessment and implemented the needed controls.

Incorporate any new PPE requirements that you have developed into your written accident prevention program.

Job Hazard Analysis for Personal Protective Equipment (PPE) Assessment

Assessment Template

Job/Task:

Location:

Job/Task Step:

Hazard Type:

Hazard Source:

Body Parts At:

Severity:

Probability:

Risk Code:

Control Method:

Certification of Assessment

Name of work place:

Address :

Assessment Conducted By:

Title:

Date of assessment:

Implementation of Controls Approved By:

Title:

Date: