TASK HAZARD ANALYSIS

Please complete a THA at the task location prior to start of each task or when conditions change.

Company / Craft

Date

Time

Job No. / Permit No.

Project

Task Location

Muster / Meeting Point

✓ Review these items with the crew at the site of the task and check the blocks that apply to the work.
“HIGH RISK” activities need a HSE Operating Procedure or an AHA. (Supervisor to identify.)

✓ Check every hazard that applies to this task:

✓ Identify the task steps and hazards, then identify the plans to eliminate or control the hazards.

#	TASK STEPS	HAZARD	CONTROL

Do not sign until you understand and agree with the THA. Review and initial after breaks and lunch.

Supervisor — Print Name

Print Name

Supervisor — Signature

Signature / Date

Apex Cabling / GEC2 — Low Voltage Division. Complete a THA at the task location before each task or when conditions change. High-risk activities require a HSE Operating Procedure or an AHA.