JOB HAZARD ANALYSIS (JHA)

1. WORK PROJECT OR ACTIVITY: 2. DATE: NEW

Lifting/Moving Heavy Loads REVISED
3. LOCATION OF JOB: 4. DIVISION: 5. BRANCH:
     
6. NAME OF EMPLOYEE(S) INVOLVED IN ANALYSIS: 7. SUPERVISOR: 8. DIVISION CHIEF:

9. REQUIRED PERSONAL PROTECTIVE EQUIPMENT:

Gloves, Safety Toe Shoes/Boots
10. REQUIRED TOOLS AND EQUIPMENT:

11. APPLICABLE STANDARDS:

     
12. TRAINING REQUIREMENTS:
     
13. SEQUENCE OF JOB STEPS 14. POTENTIAL HAZARD 15. HAZARD CONTROL
Check the intended route and point of placement Slips, Trips & Falls Inspect the area immediately around the load and
Crush Injury the route for clearance and tripping hazards.
Clear movable objects from the route. Check for
uneven terrain. Clean up spills that could affect
foot traction.
Fatigue If the load must be carried for a long distance,
find location(s) load can be placed to allow for a
rest break. If possible, keep load elevated to
avoid lifting the object to resume moving it.
Evaluate the Load Lacerations, Splinters Examine object for snags, burrs, splinters, sharp
edges, nails. Remove objects prior to lift and/or
wear gloves for hand protection.
      Crush Injury Check object for greasy/slippery surfaces.
Remove grease prior to lifting. Wear gloves to
improve grip. Wear safety toe shoes/boots.
JOB HAZARD ANALYSIS (JHA) CONTINUATION SHEET PAGE 2 OF 3
1. WORK PROJECT OR ACTIVITY:
Lifting/Moving Heavy Loads
13. SEQUENCE OF JOB STEPS 14. POTENTIAL HAZARD 15. HAZARD CONTROL
      Back Injury Size up the load before you lift. If load is too
big or awkward:
 Divide load up
 Ask for help
 Use mechanical assist device such as a
hand truck or dolly
      Trips, Falls If load will block your vision, get help.
Performing the Lift Crush Injury Grip the object firmly. Do not pinch object
between your thumb and forefinger. Wear
gloves to improve grip.
      Back Injury  Stand close to object, with feet solid and
shoulder-width apart. Do not reach over an
obstacle to lift the load. Move whatever is in
your way.
 Squat down, bending your knees. Keep your
back straight and upright.
 Grip the object firmly and pull it close to
you.
 Tighten your abdomen.
 Lift with your legs in a gradual and smooth
movement. Keep your back straight. Keep
the load close to your body.
 Do not twist your body while lifting.
 Do not lift objects over your head.
Moving the Load Back Injury  Do not twist. Use your feet to turn your
body.
 Carry the load as close to your body as
possible.
 Keep your back straight.
Crush Injury Take precautions to prevent bruising or crushing
hands or arms in narrow passage ways.
JOB HAZARD ANALYSIS (JHA) CONTINUATION SHEET PAGE 3 OF 3
2. WORK PROJECT OR ACTIVITY:
Lifting/Moving Heavy Loads
13. SEQUENCE OF JOB STEPS 14. POTENTIAL HAZARD 15. HAZARD CONTROL
Lowering the Load Back Injury  Keep your back straight.
 Tighten your abdomen.
 Bend at the knees.
 Keep the load close to your body.
      Crush Injury  Protect your fingers and hands from
pinching and scraping.
 In tight places, set the load down close
to the final location and slide it into
place.
Multiple Lifting/Moving Heavy Loads Fatigue Pace yourself. Take breaks
      Repetitive Motion Injury Perform a reverse stretch. That means stretch in
the opposite direction of the work you are
doing. Reverse stretches help the body to return
to neutral posture.
                 
 Emergency Evacuation Instructions

Work supervisors and crew members are responsible for developing and discussing field emergency evacuation procedures (EEP) and alternatives in the event a person(s)
become seriously ill or injured at the worksite.

Be prepared to provide the following information:

a. Nature of the accident or injury (avoid using the victim’s name).

b. Type of assistance needed, if any (ground, air, or water).
c. Location of accident or injury, best access route into the worksite (road name/number), identifiable ground/air landmarks.
d. Radio frequency(s).
e. Contact Person.
f. Local hazards to ground vehicles or aviation.
g. Weather conditions (wind speed and direction, visibility, temperature).
h. Topography.
i. Number of individuals to be transported.
j. Estimated weight of individuals for air/water evacuation.

The items listed above serve only as guidelines for the development of emergency evacuation procedures.
JHA and Emergency Evacuation Procedures Acknowledgement

We, the undersigned Supervisor and employees, acknowledge participation in the development of this JHA and accompanying emergency evacuation procedures. We have
thoroughly discussed and understand the provisions of each of these documents.
SUPERVISOR’S SIGNATURE DATE:

EMPLOYEE SIGNATURE EMPLOYEE SIGNATURE

EMPLOYEE SIGNATURE EMPLOYEE SIGNATURE

EMPLOYEE SIGNATURE EMPLOYEE SIGNATURE

EMPLOYEE SIGNATURE EMPLOYEE SIGNATURE

EMPLOYEE SIGNATURE EMPLOYEE SIGNATURE

EMPLOYEE SIGNATURE EMPLOYEE SIGNATURE

DIVISION CHIEF’S SIGNATURE DATE:

 JHA Instructions Block 14: Identify all known or suspect hazards associated with each respective
task/procedure listed in block 13. For example:
The JHA shall identify the date(s) the JHA was written, the location of the work project a. Research past accidents/incidents
or activity, the Division and Branch writing the JHA, the name of the employee(s) b. Research appropriate literature
writing the JHA, the name of the employee(s)’s supervisor approving the JHA, and the c. Discuss the work project/activity with participants
name of the Division Chief approving the JHA. The Supervisor acknowledges that d. Observe the work project/activity
employees have read and understand the contents, have received the required training, e. A combination of the above
and are qualified to perform the work project or activity.
Block 15: Identify appropriate actions to reduce or eliminate the hazards identified in
Blocks 1, 2, 3, 4, 5: Self explanatory block 14. Abatement measures listed below are the order of the preferred abatement
method:
Block 6: Name of employee(s) writing the JHA a. Engineering Controls: The most desirable method of abatement.
Examples: Ergonomically designed tools, equipment, and furniture
Block 7: Name of employee(s)’s supervisor approving the JHA b. Substitution: Example: Switching to high flash point, non-toxic solvents
c. Administrative Controls: Example: Limiting exposure by reducing the
Block 8: Name of the Division Chief approving the JHA work schedule
d. Personal Protective Equipment (PPE): The least desirable method of
Block 9: List all required Personal Protective Equipment (PPE) identified in Hazard abatement. Example: Hearing protection when working with or close to
Control section of the JHA. portable machines (chainsaws, rock drills, and portable water pumps)
e. A combination of above
Block 10: List all the tools and equipment required to perform the work project or
activity.

Block 11: List all applicable standards associated with the completion of the work
project or activity. (Example: OSHA 1910.134 Respiratory Protection)

Block 12: List specific employee training required to perform the work project or
activity.

Block 13: Identify all tasks and procedures associated with the work project or activity
that have potential to cause injury or illness to personnel and damage to property or
material. Include emergency evacuation procedures (EEP).