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Operating Area…
Kenai Peninsula
North Slope
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Task Hazard Assessment (THA)
Job Safety Analysis with Real-Time Quality Coaching
📋 SWISS CHEESE MODEL VALIDATION
📝 New THA
📂 My Open THAs
✅ Close Out THA
📋 General Information
Date *
Company *
-- Select --
Pollard Wireline LLC
Location *
-- Select --
Kenai
CIO
Kuparuk
Alpine
Willow
Pikka
Badami
Point Thomson
Endicott
Northstar Island
Prudhoe Bay East
Prudhoe Bay West
Deadhorse
Shop / Yard
In Transit
Other
Work Area
Crew Lead *
Phone/Radio
Task Description *
Job Planning Notes
Procedure Exists?
Yes
No
N/A
Procedure Reviewed?
Yes
No
N/A
🚗 Driving / Backing
Driving or backing?
Yes
No
⚡ Energy Wheel
⚡ Energy Types Present
⬇️
Gravity
Falls, drops
🚗
Motion
Vehicles
⚙️
Mechanical
Pinch points
⚡
Electrical
Shock
💨
Pressure
Hydraulic
☠️
Chemical
Toxic
🔥
Temperature
Burns
🔋
Stored
Springs
🛡️ Control Types
🚫
Elimination
🔄
Substitution
🔧
Engineering
🚧
Guarding
🔒
LOTO
⚠️
Warnings
📋
Procedures
🦺
PPE
☑️ Pre-Task Checklists
General Items
Emergency Response Plan
Communication Plan
Work Area Inspected
Tools Inspected
Weather Checked
SIMOPS Reviewed
PPE Requirements
Hard Hat
Safety Glasses
Steel Toe Boots
Gloves
FRC/Nomex
Hearing Protection
Fall Protection
Respiratory
Face Shield
H2S Monitor
Permits Required
Hot Work
Confined Space
LOTO
Excavation
Opening/Blinding
Unit Work
Electrical
General Work
Potential Hazards
Pinch Points
Electrical
Pressurized Systems
Chemical Exposure
H2S
Fall Hazards
Struck By
Caught In/Between
Noise
Temperature Extremes
Lifting/Ergonomic
Slips/Trips/Falls
📝 Task Steps, Hazards & Mitigations
🎯 GOAL: Paint a picture of the ACTUAL work!
#
Task Step
Hazards
Controls
1
✕
2
✕
3
✕
+ Add Step
📊 Check THA Quality
👷 Crew Sign Off
🔒 Complete quality check to unlock
Name
Company
Comments
-- Company --
Pollard Wireline LLC
✕
+ Add Crew
Submit THA
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