JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE Cold work

FACILITY GIFT LOCATION GIFT / NEAR GIS SPECIFIC WORK STATION SEPCOO III early comb
WORK
EQUIPMENT NO DESCRIPTION Excavation trench and backfilling and coverage by excavator
NOTE:
1. JHA shall be applicable for all work activities which requires PTW.
2. The pre-prepared JHA and JHA prompters will be used as a reference/guide during the development of JHA.
3. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures developed for the job. The Work/Operating Procedures shall describe, in step-by-step
instructions, the correct method of executing the specified work.
4. Prior to commencement of work (after PTW has been approved), the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained
therein shall be fully understood and agreed by all involved personnel.

DESCRIPTION POTENTIAL POTENTIAL ACTION RECOVERY ACTION

JOB STEP CONTROL BARRIERS
OF JOB STEP HAZARD CONSEQUENCES PARTY BARRIERS PARTY
a) Access to a) Preparation to a) Slip, trip & fall  Minor injury Obtain/ display approved PTW at SEPCOO Communication SEPCOO Work
working make proper hazards if (Laceration, , Site Work leader s must be Management.
Area access and improper storing contusion or Organize toolbox meeting & share or HSE available during
egress into of material, wound) the approved JHA with all Supervisor the work
the work area equipment, etc. personnel that involve with the activity.
 Body strain work
b) Pinch point while and sprain if Ensure adequate precaution and
b) Driving to the unloading of poor lifting or access are in place to allow the
jobsite  blocks or tools handling work to progress safely
Mixer machine must be inspected
c) Manual handling/  Serious injury; and approved by PCIHBV
ergonomics issue Fracture or personnel
body or part of Ensure entire work area
d) Vehicular the body crush barricaded and properly secured
accident: taking upon contact from unauthorized personnel.
turns too sharp; with vehicles Wear appropriate PPE including
hitting objects or any other as required
people  Provide traffic controller or
banksman to control any vehicles
movement
Inspect and ensure all other
working tool free from damage.
Competent driver: watch turning
radius or apply wide turns if
required 
Provide first aider c/w 1 unit of
First aid box with sufficient
content
Close monitoring & supervision
required
b) Soil a) Carry out a) Equipment  Minor injury to Place the temporary sign boards SEPCOO Communication SEPCOO Work
leveling, survey work such as personnel: such as “man at work” or any Work leader s must be Management.
compacting mixer, wheel (Laceration, related hazards sign around the or HSE available during
 b) Leveling & barrow, contusion, work area. Supervisor the work
compacting spades, etc. wound, etc.) Make safety soft barricade around activity.
the ground  in unsafe the work area
Traffic accidents working  Body strain Thoroughly inspect equipment
c) condition  and sprain before use. Make sure all
equipment are free from defect
b) Struck by or  Health issue: and operable. 
caught in heat stress, Lifting/ removing hollow block
equipment o heat using manpower at permissible
r hitting exhaustion, limit is strongly required or not
equipment body cramp, over lifting
or people etc. Use proper bending, lifting and
stooping techniques for any
c) Manual  Serious injury manpower lifting
handling/ or part of the Provide & use proper ladder for
ergonomics body fracture access & egress while working at
issues higher level. Also secure the
 Manage work/ ladder in the top or bottom
d) Hot weather rest times. Wear body harness if working
temperature  above 2.0 meter Continuously
maintain good housekeeping
e) Falling especially storage of materials
hazards for Provide sufficient drinking water
roof at site
installation Report to Supervisor/ MSK for
work any incident/ injury
f) Collision, run Competent drivers must have
over knowledge about the defensive
driving on the site/ Traffic
management plan must be
implemented, Flag man to control
the traffic movement especially
sharing the road with the public/
Speed signs all the way from &to the
disposal area.
Back pain, strain and No evacuation plan in Ensure assembly point , Supervisor
C- Excavation sprain, Tripping, work place and escape route for all Inform CCR
trench and falling, hazards. Hand Body pain ,strain and workers . Briefing the
backfilling and pain ,body injury sprain ,Injury and illness Watch out if the emergency
coverage by .Physical hazard for health ,Health issue equipment is SEPCOO Supervisor plan ,Training
excavator bone dislocation. overheated ,Ensure the
Physical Injury. workers health condition
,train them safe work
 Vibration practice ,Provide
drinking water at site
,Remove the
obstruction's from the
area ,The working area
is sufficient precaution's
 in place .Provide rest
period for hard workers
and change the workers
.
D- House a) Remove all a) Slips, Trips, Falls  Personal injury Wear adequate PPE including SEPCOO Communication Iraq Gates
keepin the work due to uneven (Laceration, suitable hand gloves Work leader s must be Management.
g materials, surface or poor wound, Remove all the surplus material/ or HSE available during
equipment house keeping fracture) waste and keep the area clean & Supervisor the work
and tools  Finger and intact. activity.
from the work b) Pinch between hand injury Ensure close supervision
area materials or  Body strain
machineries and sprain if
c) Manual handling/ poor lifting
ergonomics
issues
 JHA APPROVAL DURING PTW APPLICATION

ACCEPTED BY RECEIVING AUTHORITY ACCEPTED BY RECEIVING AUTHORITY

NAME NAME
DESIGNATION DESIGNATION
SIGNATURE SIGNATURE
DATE DATE

AFTER PTW HAS BEEN APPROVED

WORK TEAM (CONFIRAMTION TEAM JHA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OFPRE-JOB/TOOLBOX MEETING –

AFTER PTW BEEN APPROVED)

NAME(S) DESIGNATION SIGNATURE NAME(S) DESIGNATION SIGNATURE