University of Alaska Job Hazard Analysis
Department and Position Analyzed _____________________________________________________Date : __________________
People who participated: ____________________________________________________________________________________
Signature(s)_______________________________________________________________________________________________
Tasks/jobs where injuries /illnesses occur, or can occur
How people could become ill or injured.
What causes them to get hurt?
What safe practices or PPE are needed?
Supervisor place an electronic copy (saved as your employee’s name, date, and the designation “JHA” Example-John Doe 9-24-09
JHA) of this completed JHA into the Intelex Document Control Module under the Job Hazard Analysis Folder at location:
https://clients.intelex.com/alaska/logon.asp
September 2009