| Task Name: |
Mopping & Floor Stripping |
Date: |
2026-02-28 |
| Location/Job: |
Facility-Wide |
Supervisor: |
SigmaFidelity™ |
| Department: |
EHSQ / Janitorial |
Revision: |
[v1.0] |
1.0 Hazard Assessment Matrix
Assign a risk level (1-5) for Probability (P) and Severity (S). Risk = P x S.
| Step # |
Description of Task Step |
Potential Hazard |
Probability (1-5) |
Severity (1-5) |
Risk Level |
Recommended Action / Controls |
| 1 |
Mopping Floor Areas |
Slips and Falls |
4 |
3 |
12 |
Post wet floor signs; use slip-resistant footwear. |
| 2 |
Applying Stripping Chemical |
Chemical Exposure/Burns |
3 |
4 |
12 |
Wear nitrile gloves, goggles, and apron. Ensure ventilation. |
| 3 |
Stripping Floor |
Slips/Trips |
4 |
4 |
16 |
Cordon off area; use dedicated stripping pads. |
| 4 |
Forklift/Hopper Ops |
Collision/Crushing |
2 |
5 |
10 |
Operator certification required; maintain clear path. |
2.0 Required Personal Protective Equipment (PPE)
- [x] Safety Goggles / Face Shield
- [x] Nitrile / Chemical Resistant Gloves
- [x] Slip-Resistant Footwear
- [ ] High-Visibility Vest
- [ ] Hard Hat
- [ ] Respiratory Protection (N95/P100)
- [ ] Hearing Protection
- [ ] Fall Protection Harness
3.0 Administrative & Engineering Controls
- [x] Wet Floor Signs Posted
- [x] SDS Reviewed and Available
- [x] Mechanical Ventilation Active
- [x] Task Rotation Required
- [ ] Lock-Out / Tag-Out (LOTO) Procedures Followed
4.0 Personnel Sign-off
By signing, you confirm that you have been trained on the hazards and controls identified in this JHA.
| Employee Name |
Shift |
Status |
Signature |
Date |
| Humberto Dominguez |
1st |
Full-time |
[SIGNED] |
2026-02-28 |
Certified to operate (Check if yes):
| Equipment |
Authorized Personnel Initials |
Date Certified |
| Forklift and Hopper |
HD |
2026-02-20 |
| S20 |
|
|
| M20 |
|
|
| Other: |
|
|
5.0 Approval (EHSQ Dept)
- Status: [x] Approved [ ] Rejected [ ] Revision Required
- Approved By: Gemini CLI / Orchestrator Date: 2026-02-28
Document Convention: [HWB-FORM-8.1-001]
Retention Policy: Retain in Personnel File (HWB-COMPANY/HWB-HR/) for 3 years post-task completion.
