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JHA System - Sonic Drilling Ltd.

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Job Hazard Analysis Form<br />

Job/Task: ______________________________<br />

Location: ______________________________<br />

Job/Task Step Hazard Type Severity Probability Risk Code Control Method 1<br />

(1) Note: Engineering, work practice, and/or administrative hazard controls such as guarding must be used, if feasible, before requiring employees to use personal protective equipment.<br />

Certification of Assessment<br />

*Name of work place: ________________________________ *Address _________________________________________________________<br />

*Assessment Conducted By: _________________________ Title: ________________________ *Date(s) of Assessment ________________<br />

Implementation of Controls Approved By: __________________________ Title: ______________________________ Date: ________________<br />

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