CYBER SIGMA

Lawton Avenue, McKinley West, Fort Bonifacio, Taguig City

JOB HAZARD ANALYSIS (JHA)

WORK DESCRIPTION: ________________________________________________________________

DEPARTMENT: _____________________________________ DATE: __________________________
WORK LOCATION: __________________________________ TIME: __________________________

HAZARDS / IMPACT of the CONTROL MEASURES to

ACTIVITY PROCEDURE / STEPS PROCEDURE Implement for the HAZARD

TRANINGS REQUIRED: PPE REQUIRED:

Supervisor/Officer-in-charge Safety Officer Building Engineer/Building Manager

Signature over printed name Signature over printed name Signature over printed name

COMMENTS: ________________________________________________________________________
___________________________________________________________________________________

We fully understand the hazards and control measures and agree to complete the work in accordance with the Job
Hazard Analysis (JHA).

MANPOWER LIST (FULL NAME) SIGNATURE

____________________________________ ___________________________

____________________________________ ___________________________

____________________________________ ___________________________

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CYBER SIGMA – Job Hazard Analysis