Page 50 - Safety Memo

ACI CONSTRUCTION SUPERINTENDENT JHA CHECKLIST
JHA Review Yes No Comments
Is a JHA required for this task in accordance with
Construction guidelines?
Header Section
Is the Header Section complete?

Company Name
Project Name
Start Date for work covered by this JHA

End Date for work covered by this JHA
Is the Work Location Provided and accurate
Is this a New or Revised JHA
Are the Responsible person(s) listed?

Sequence of Basic Job Steps
Is the job broken down into steps?

Are the steps in the normal order of occurrence?
Do the steps cover tasks from beginning to end?
Are the steps too detailed? Broad? Vague?
Hazards

Can the hazard be eliminated?
Is/Are the hazards applicable to the corresponding
Step?
Were all possible hazards (Inside/outside) of the work
area considered?
Controls
Is PPE listed as the only hazard control for any Step?

Are the Controls applicable to the corresponding
Hazard?
Are employees required to be trained/certified for any
step?
Final Review
Has the JHA been discussed with all assigned
workers?
Have all assigned workers signed the JHA?
Has the JHA been reviewed by
Super./Safety?