JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE Cold work

SPECIFIC WORK
FACILITY GIFT LOCATION GIFT / NEAR GIS SEPCOO III early comb
STATION
WORK
EQUIPMENT NO Casting Concrete Using mix truck
DESCRIPTION
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 OF POTENTIAL ACTION RECOVERY

JOB STEP POTENTIAL HAZARD CONTROL BARRIERS
JOB STEP CONSEQUENCES PARTY BARRIERS
a) Access to a) Preparation to a) Slip, trip & fall  Minor injury Obtain/ display approved PTW at Site SEPCOO Communication
working Area make proper hazards if improper Organize toolbox meeting & share the approved
(Laceration, , JHA with all personnel that involve with the work Work leader s must be
access and storing of material, contusion or Ensure adequate precaution and access or HSE available during
egress into the equipment, etc. wound) are in place to allow the work to progress safely Supervisor the work
work area Mixer machine must be inspected and approved
b) Pinch point while by PCIHBV personnel activity.
 Body strain and
Ensure entire work area barricaded and properly
unloading of blocks sprain if poor secured from unauthorized personnel.
b) Driving to the or tools lifting or Wear appropriate PPE including any other as
jobsite  handling required
c) Manual handling/ Provide traffic controller or banksman to control
any vehicles movement
ergonomics issue  Serious injury; Inspect and ensure all other working tool free from
Fracture or damage
d) Vehicular accident: body or part of Competent driver: watch turning radius or apply
wide turns if required 
taking turns too the body crush Provide first aider c/w 1 unit of First aid box with sufficient
sharp; hitting upon contact content
Close monitoring & supervision required
objects or people  with vehicles
 a) Carry out a) Caught in  Inspect tools Place the temporary sign boards such SEPCOO Communication
:B: Casting survey between/ strike before use as “man at work” or any related Work leader s must be
work hazards sign around the work area. or HSE available during
Concrete Using that cause
Make safety soft barricade around the Supervisor the work
mix truck harm/damage  Body strain and
Traffic accidents work area
to people and sprain Thoroughly inspect equipment before
activity.
b) Tripping environment.
,falling use. Make sure all equipment are free
 Health issue: from defect and operable. 
c) Framework, b) Struck by or heat stress, Lifting/ removing hollow block using
tying the caught in heat manpower at permissible limit is
rebar equipment or exhaustion, strongly required or not over lifting
hitting body cramp, Use proper bending, lifting and
equipment or etc. stooping techniques for any manpower
people lifting
c) Damage to  Serious injury Provide & use proper ladder for access
equipment or part of the & egress while working at higher level.
body fracture Also secure the ladder in the top or
d) Manual bottom
 Manage work/ Wear body harness if working above
handling/
ergonomics rest times. 2.0 meter Continuously maintain good
issues  housekeeping especially storage of
materials
e) Hot weather Provide sufficient drinking water at site
temperature Report to Supervisor/ MSK for any
incident/ injury
f) Falling hazards Competent drivers must have
for roof Knowledge about the defensive driving on
installation the site/ Traffic management plan must be
work implemented, Flag man to control the
g) Collision, run traffic movement especially sharing the
over road with the public/ Speed signs all the
way from &to the disposal area.
h) Collision, run
over
C) House a) Remove all a) Slips, Trips, Falls  Personal Wear adequate PPE including SEPCOO Communication
keeping the work due to uneven injury suitable hand gloves Work leader s must be
materials, surface or poor (Laceration, Remove all the surplus material/ or HSE available during
equipment house keeping wound, waste and keep the area clean & Supervisor the work
and tools from fracture) intact. activity.
the work area b) Pinch between  Finger and Ensure close supervision
materials or hand injury  Manage rest and working
machineries  Body strain time
c) Manual handling/ and sprain if
ergonomics poor lifting
issues  Trip/ slip
 Fatigue
 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