Job Hazard Analysis (JHA)

Task Effective: dd / mm / yy Revisions: dd / mm / yy

To connect track switch heaters to natural gas supply line 25 11 19      
Company Name Project Location Required Training
GIFFIN area 6 site training - complete
Required Tools Required Equipment Required Materials
Hand tools tape mesure pipe threader , pipe wrenches , plyers wrenches pipe fittings nuts bolts shutoff valves

Permits Required (check all that apply)

Confined Space Hot Work Road Occupancy Lock Out/Tag Out Ground Disturbance Other: Track Occupancy

Personal Protective Equipment Required: (check all that apply)

Gloves Eye Protection CSA Safety Boot CSA Hard Hat Hi-Vis Garment Respirator Hearing Protection Other:      

List specifics of PPE required (ex. type of gloves):      

RESIDUAL
Sequence of Steps Health and Safety Hazards Hazard Control RISK
P C
(PxC)
1. Inspect area for hazards Slip trip , fall ice, mud tr Look over and walk work area , remove any 1 1 1
hazards. report any remaining hazards to supervisor
imediately.

2. mesure and cut pipe cut strain wear gloves as nessisary , use proper lifting 1 1 1
techniques.

3. instal regulator/ strainer as slip trip fall follow good housekeeping rules , be aware of your 1 2 2
reqd and terminate piping surroundings

4. confirm joint integrety gas leak/ explosion utalize electronic combustable gas detector and 1 2 2
soapy water as required

Residual Risk (see Risk Matrix on last page)

P= Probability (Hazard): High (3), Medium (2) or Low (1)
C= Consequence (Severity): High (3), Medium (2) or Low (1)
RISK: High (≥6), Moderate (3-5), Low (≤2) 0000-00-CTSC-68AF-0073_01
 Job Hazard Analysis (JHA)
5. install pipe support per code damage to piping and or equiptmnt confirm all footing position and piping integrety 1 1 2

6.                  

7.                  

8.                  

9.                  

10.                  

Developed by
1. Dan DeClute 2.       3.       4.      
Reviewed By:       Reviewed By:      
Position:       Position:      
Date Reviewed:       Date Reviewed:      

Residual Risk (see Risk Matrix on last page)

P= Probability (Hazard): High (3), Medium (2) or Low (1)
C= Consequence (Severity): High (3), Medium (2) or Low (1)
RISK: High (≥6), Moderate (3-5), Low (≤2) 0000-00-CTSC-68AF-0073_01
 Job Hazard Analysis (JHA)

Name (please print) Signature Date

Risk Matrix
High (Loss of Life or Limbs) =3 3 6 9
Medium (Everything in between) =2 2 4 6
Consequence
(Severity) Low (Minor Cuts & Bruises) =1 1 2 3
Low (Unlikely) =1 Medium (Likely) =2 High (Most Certain) =3
Probability (Hazard)
Risk Rating: ≤2 = Low Risk 3-5 = Moderate Risk ≥6 = High Risk

0000-00-CTSC-68AF-0073_01