JOB HAZARD ANALYSIS (JHA) Rev :

GLOBAL POWER TEST SDN

Company Name Type of PTW ELECTRICAL TESTING WORK
BHD Work
TESTING AND COMMISSIONING
Description
Location WORKSHOP JHA NO / PTW NO

Severity
Probability
Insignificant (1) Minor (2) Moderate (3) Major (4) Catastrophic (5)
Rare (1) 1 2 3 4 5
Possible (2) 2 4 6 8 10
Likely (3) 3 6 9 12 15
Often (4) 4 8 12 16 20
Frequent (5) 5 10 15 20 25
Activity or industry should not proceed in current form. Maximum efforts shall be made to reduce the risk. If it is not possible to reduce the
21 – 25 Extreme Risk (E)
risk, work has to remain prohibited
11 – 20 High Risk (H) Activity must be modified to include further control measures and be subject to detailed HSE dept. assessment.
5 – 10 Moderate Risk (M) Activity can proceed subject to appropriate direct and continuous supervision and/or task modification.
1–4 Low Risk ((L) No action required. Activity can proceed subject to compliance with the specified control measures.
Likely Frequency
Descriptor Probability
Environment Health and Safety
Frequent Continuous or will happen frequently. Occurs several times a year at location. 5
Often 5 – 12 times per year. Occurs several times a year in similar industries 4
Likely 1 – 5 times per year. Has occurred at least once 3
Possible Once every 5 years. Has occurred in industry (Worldwide). 2
Rare Less than once every five years Never encountered in industry. 1
Consequence
Descriptor Severity
Environment Health and Safety
Catastrophic Long term severe / permanent impact on ecosystem Multiple fatalities 5
Major Significant widespread impact on ecosystem Fatality 4
Moderate Significant localized impact on ecosystem Serious injuries – off site medical treatment 3
Minor Minor changes to ecosystem Injuries – on site medical treatment 2
Insignificant Insignificant occasional change to ecosystem Minor injuries – first aid 1

APPROVALS AND SIGNATURES

Preparedby (Contractor) Reviewed by (HEM in-charge Engineer and HSE) Final Approved by (CM/ Discipline Head)
Company Name / Positon Sign Company Name / Positon Sign Company Name / Positon Sign
/ HEM /
HEM
HEM / SHEM/ SHO
 JOB HAZARD ANALYSIS (JHA) Rev :

Company Name GLOBAL POWER TEST SDN BHD Type of PTW ELECTRICAL TESTING WORK
Work Description TESTING AND COMMISSIONING
Location WORKSHOP JHA NO / PTW NO

STEP NO SEQUENCE OF BASIC JOB STEP

(Activities,Processes,Facilities,Equipments)

APPROVALS AND SIGNATURES

Preparedby (Contractor) Reviewed by (HEM in-charge Engineer and HSE) Final Approved by (CM/ Discipline Head)
Company Name / Positon Sign Company Name / Positon Sign Company Name / Positon Sign
/ HEM /
HEM
HEM / SHEM/ SHO
 JOB HAZARD ANALYSIS (JHA) Rev :

Company Name GLOBAL POWER TEST SDN BHD Type of PTW ELECTRICAL TESTING WORK
Work Description TESTING AND COMMISSIONING
Location WORKSHOP JHA NO / PTW NO

APPROVALS AND SIGNATURES

Preparedby (Contractor) Reviewed by (HEM in-charge Engineer and HSE) Final Approved by (CM/ Discipline Head)
Company Name / Positon Sign Company Name / Positon Sign Company Name / Positon Sign
/ HEM /
HEM
HEM / SHEM/ SHO
 Work Team (Confirmation that JHA has been communicated to work team as part of Pre-JOB / TOOLBOX MEETING)

Company Name Signature I/C No. Date Company Name Signature I/C No. Date

APPROVALS AND SIGNATURES

Preparedby (Contractor) Reviewed by (HEM in-charge Engineer and HSE) Final Approved by (CM/ Discipline Head)
Company Name / Positon Sign Company Name / Positon Sign Company Name / Positon Sign
/ HEM /
HEM
HEM / SHEM/ SHO
 APPROVALS AND SIGNATURES
Preparedby (Contractor) Reviewed by (HEM in-charge Engineer and HSE) Final Approved by (CM/ Discipline Head)
Company Name / Positon Sign Company Name / Positon Sign Company Name / Positon Sign
/ HEM /
HEM
HEM / SHEM/ SHO