JHA Template for Handling Hazardous Materials
Job Title:
Department/Location:
Date:
Prepared By:
Reviewed By:
Description of Task:
List of Hazardous Materials Involved:
PPE Required:
Engineering Controls:
Administrative Controls:
Emergency Procedures:
Job Steps, Hazards, and Controls:
Job Step
Potential Hazard(s)
Control(s)
Additional Notes: