JOB HAZARD ANALYSIS

JHA Version #1

Fillable JHA - Fireproofing Job Hazard Analysis

JOB HAZARD ANALYSIS

Safety & Risk Management Document

🔥 APPLIED FIREPROOFING (Spray-Applied Fire Resistive Materials)

🏢 Contractor / Company Name

📍 Project / Site Name

📅 JHA Date Prepared

👷 Project Manager / Superintendent

👤 Prepared By (Name)

📅 Date

🛡️ Safety Manager / Officer

📅 Date

🏗️ Customer / Client Rep

📅 Date

Job Step / Task	Potential Hazards	Prevention & Controls
1. Material Handling & Mixing (bags, additives, water)	Back strain / lifting injuries\nSilica dust inhalation\nEye irritation from powder\nSlip/trip from wet materials	Team lifting or mechanical aids\nDustless mixing / ventilation\nNIOSH N95/P100 respirator\nSafety glasses & immediate spill cleanup
2. Setting Up Equipment (pump, hoses, compressor)	Pinch/crush points\nHigh-pressure hose whipping\nTrip hazards\nElectrical shock	Lock-out/Tag-out before service\nWhip-check safety cables\nCable covers / route hoses away\nGFCI protection
3. Working at Height (scaffold, lift, ladders)	Fall from elevation\nScaffold collapse\nLift tip-over\nDropping tools / materials	Full harness + lanyard, anchor point\nGuardrails & proper scaffold planking\nLevel ground for lifts\nTool lanyards & barricaded area below
4. Spray Application (pressurized gun / nozzle)	Material injection injury\nAirborne fiber/dust inhalation\nEye exposure to liquid material\nHigh noise levels	Never point gun at body; depressurize before cleaning\nSupplied-air hood or P100 respirator\nFull face shield + goggles\nHearing protection NRR 25+
5. Working Near Hot Work / Other Trades	Fire hazard from sparks\nFumes from welding/cutting\nInterference with other crews	Fire watch & hot work permit\nCover combustibles; use fire blankets\nCoordinate with trades; signage & ventilation
6. Cleanup & Waste Disposal	Dust re-suspension\nSkin contact with uncured material\nHeavy drums / debris	HEPA vac (no dry sweeping)\nChemical-resistant gloves\nProper lifting & waste disposal per regulations

🛡️ REQUIRED PERSONAL PROTECTIVE EQUIPMENT (PPE)

Supplied-air hood (spray application) NIOSH N100 / P100 respirator Full face shield + safety glasses Chemical-resistant gloves (nitrile/neoprene) Coveralls / Tyvek suit with hood Steel-toed boots Hearing protection (plugs or muffs) Fall arrest harness + self-retracting lanyard High-visibility vest (if near equipment)

📝 Additional PPE / Remarks:

🚨 EMERGENCY RESPONSE & FIRST AID

High-pressure injection injury

Eye contact (chemical / dust)

Inhalation of dust / fumes

Fall from height / major trauma

📞 On-site emergency contact / plan:

👨‍🔧 Fireproofer / Crew Lead Signature (Printed name)

📋 Safety Coordinator / Reviewing Authority

🏢 Company Safety Director (optional)

✅ Fillable JHA — All text fields, checkboxes and tables are editable. Use "Save as PDF" from browser print dialog to generate a filled, static PDF.

JHA Version #2

JHA Variation - Fireproofing Safety Analysis

JOB HAZARD ANALYSIS

Fireproofing & Spray-Applied Fire Resistive Materials (SFRM)

🔧 FIELD USE · COMPLETE BEFORE WORK BEGINS

🏢 Contractor / Company

📍 Project / Facility

📅 JHA Date

👔 Prepared by (Role)

✍️ JHA REVIEW & ACKNOWLEDGMENT

Prepared by (name)

Signature date

Safety Representative

Date

Customer / Owner Rep

Date

📌 TASK / STEP	⚠️ HAZARDS IDENTIFIED	🛡️ CONTROL MEASURES / PPE
1. Material Receiving & Bag Handling	Heavy lifting / ergonomic strain\nDust generation from bags\nSilica / particulate exposure\nSlips from spilled material	Use lift assist or buddy system\nWet methods or local exhaust ventilation\nNIOSH N100 respirator, gloves\nImmediate spill clean-up
2. Mixing & Pump Setup	Rotating equipment entanglement\nHigh-pressure hose rupture\nChemical splash (liquid additives)\nNoise from compressor	Machine guarding, lock-out/tag-out\nInspect hoses daily, whip checks\nSplash goggles & face shield\nHearing protection (NRR 30)
3. Elevated Application (Scaffold/Lift)	Fall from height (6ft+)\nScaffold instability\nStruck-by falling objects\nPoor access / guardrails missing	100% tie-off with double lanyard\nCompetent scaffold inspection\nTool lanyards, toe boards\nBarricade below work area
4. Spray Application (Gun Operation)	High-pressure injection injury\nInhalation of airborne fibers/mist\nEye contact with uncured material\nNoise and repetitive motion	Depressurize before cleaning nozzle\nSupplied-air respirator (Type CE)\nFull chemical goggles + face shield\nAnti-vibration gloves & breaks
5. Hot Work Adjacent / Other Trades	Fire from sparks/grinding\nFume interaction (isocyanates)\nConfusion with other crews	Fire watch & extinguisher nearby\nCoordinate with hot work permit\nPost signage & use spotters
6. Cleanup & Waste Removal	Dust re-aerosolization\nSkin contact with residue\nHeavy drums / ergonomic hazard	HEPA-filtered vacuum\nWear chemical-resistant gloves & coveralls\nTeam lift or drum dolly

🚑 EMERGENCY RESPONSE PROTOCOL

⚠️ High-Pressure Injection:

👁️ Chemical / Dust in Eyes:

🌫️ Inhalation of Fumes/Dust:

🧗 Fall / Serious Injury:

📞 Site Emergency Contact:

👨‍🏭 Crew Lead / Applicator

🛡️ Safety Manager / Officer

🏗️ Company Project Manager

✔️ Fillable JHA — All fields are editable. Use browser's "Print" → "Save as PDF" to generate filled document.

JHA Version #3

JHA Version 3 - Fireproofing Safety Worksheet

🔨 JOB HAZARD ANALYSIS

FIREPROOFING · SFRM

🏢 Company Name

📍 Site / Project

📅 JHA Date

👷 Work Crew / Shift

📝 Prepared by (Lead)

📅 Date

🛡️ Safety Coordinator

📅 Date

🏗️ Customer Rep (optional)

📅 Date

⚙️ JOB STEPS, HAZARDS & CONTROLS (edit each field directly)

1 Material Handling & Storage

⚠️ Potential Hazards

🛠️ Controls / PPE

2 Equipment Setup (Pump/Hoses)

⚠️ Potential Hazards

🛠️ Controls / PPE

3 Working at Height (Scaffold/Lift)

⚠️ Potential Hazards

🛠️ Controls / PPE

4 Spray Application (Fireproofing)

⚠️ Potential Hazards

🛠️ Controls / PPE

5 Hot Work / Adjacent Trades

⚠️ Potential Hazards

🛠️ Controls / PPE

6 Cleanup & Waste Disposal

⚠️ Potential Hazards

🛠️ Controls / PPE

🚨 EMERGENCY RESPONSE PLAN

💉 Injection injury (high-pressure):

👁️ Chemical / dust in eyes:

🌬️ Inhalation of fumes/dust:

🧗 Fall from height / major trauma:

📞 Site Emergency Contact:

👨‍🔧 Crew Member / Applicator

🛡️ Site Safety Lead

🏢 Company Superintendent

✔️ Fully editable JHA — fill all sections, then use "Print > Save as PDF" to generate a permanent record.

JOB HAZARD ANALYSIS

JHA Version #1

🛡️ REQUIRED PERSONAL PROTECTIVE EQUIPMENT (PPE)

🚨 EMERGENCY RESPONSE & FIRST AID

JHA Version #2

JOB HAZARD ANALYSIS

🦺 MANDATORY PPE CHECKLIST

🚑 EMERGENCY RESPONSE PROTOCOL

JHA Version #3

🔨 JOB HAZARD ANALYSIS