Stealth Construction — Job Hazard Analysis

1 Job Information

Project / Job Name

Project Number

Job Location / Address

Date

Start Time

Expected Duration

Weather Conditions

Superintendent / Foreman

Task / Scope of Work Description

2 Trades & Crew Involved

Trades on Site (check all that apply)

Total Crew Size

3 General Hazards Present

Identify all hazards present on the job site today

4 Task Steps · Hazards · Controls

Break the job into sequential steps. For each step, identify the hazards and the controls used to mitigate them. Rate the residual risk after controls are applied.

Low: Minor injury, controls sufficient Medium: Possible injury, supervision required High: Serious injury possible, STOP & reassess

5 Required PPE

Personal Protective Equipment required for this task

6 Permits & Special Requirements

Required Permits (check all that apply)

6b Mold Remediation Details (if applicable)

Affected Area (sq ft)

Water Damage Category

Mold Condition (IICRC S520)

Remediation Level

Containment Type

Mold Species Identified

Air Scrubber / HEPA Units On Site

Negative Pressure Differential

Biocides / Antimicrobials In Use (Brand & SDS On Site)

Occupants Notified / Vacated?

Post-Remediation Verification Plan

7 Emergency Information

Nearest Hospital

Hospital Address

Emergency Contact #

Site First Aid Location

Muster / Assembly Point

Site Safety Officer

Evacuation Route / Special Instructions

8 Crew Acknowledgment & Sign-Off

By signing below, each crew member acknowledges they have reviewed this JHA, understand the hazards and controls, and agree to follow all safety procedures.

Prepared By (Foreman/Super)

Title

Signature

Sign here

Date

9 Mid-Shift Review & Changes

Document any changes to conditions, scope, or hazards encountered during the shift