EHSMS09 Job Hazard Analysis (JHA) Form

JHA Number: JHA-XX-XX Workplace: SPLM Main Deck Company: Supracolines Date: 07 September 2018
Area

Plant Number: XXX Job Description: Genset Installation on SPLM

Plant Location: XXX

JHA Team Leader Name: XXX XXX Signature:

Have you identified and implemented control measures for the Have you considered the Hierarchy of Control to manage the risks?
Top 5 Causes of Injury? Top 2 Causes of HiPo’s? Most Effective Eliminate
 Manual Tasks  Vehicles Substitute
 Pinch Points  Dropped Objects Isolate
 Falls / Working at Height
Engineering
 Slips and Trips
 Struck by Object Administration
Least Effective Personal Protective Equipment/clothing (PPE)

Hazard Checklist
Motion Radiation Chemical Pressure Temperature Environmental
 Moving objects  Radiant heat  Hazardous substances  Pressured piping  Open flame  Hot/cold weather
 Plant/equipment  Sun – UV radiation  Dangerous goods  Pressurised line  Ignition source  Windy
 Vehicles  X-rays  Poisons  Compressed cylinders  Hot or cold surfaces  Wet / Water
 Vibration  Lasers  Harmful gases  Tanks  Liquid s or gases  Boggy /uneven ground
 NORMS  Fibres/dust  Hoses  Steam  Storm
 Awkward body posture
 Welding arcs  Fumes  Pumps  Friction  Lighting (dark, sun
 Exerting force
glare)
 Repetitive movements
Mechanical Gravity Biological Electrical Noise Psychological
 Rotating/moving  Falls  Animals  AC/DC power  Equipment noise  Stress
equipment/parts  Falling objects  Insects  Static electricity  Impact noise  Fatigue
 Pinch points  Dropped loads  Viruses  Lightning  Impact of noise on  Rushing
 Bacteria communication  Trained for task
 Slips  Power lines
 Trips  Powered equipment  Mind on the job
KEY JOB STEPS WHAT ARE THE HAZARDS? WHAT COULD GO WRONG? WHAT CONTROLS WILL BE PERSON RESPONSIBLE
Job Hazard Analysis
Supraco Lines
 EHSMS09 Job Hazard Analysis (JHA) Form
IMPLEMENTED? Name Initial
PREPARATION
- Slip, trip & fall - Personnel injury - PTW and Step Back
Preparing Tools and equipment for unloading
genset. - Cleared the access at work site
- Certified crane operator
- Briefing and share lifting plan
- Place warning sign and
barricade area.

Sea truck approach to barge - Wrong manoeuvre - Equipment damage - Competent personnel.
- Miss understanding / - Personnel injury - Good team work and good
communication communication.

MECHANICAL
Lifting genset from sea truck to main deck of - Slip trip & fall - Equipment damage - Wear PPE (hand glove, body
barge area harness)
- Wrong procedure - Personnel injury - Provide proper procedure and
- Pinched point follow SOP
- Falling object - Competent personnel
- Precaution
- Prepare PTW
- Put warning sign and barricaded
area
- Dedicated signal man
- Using hand stiffy tool
- Using tagline.

Positioning genset on main deck of barge area - Slip trip & fall - Equipment damage - Wear PPE (hand glove, body
harness)
- Pinched point - Personnel injury - Provide proper procedure and
- Falling object follow SOP
- Awkward body posture - Competent personnel
- Precaution
- Wrong Installation
- Prepare PTW
- Put warning sign and barricaded
area
- Dedicated signal man
- Using hand stiffy tool
- Using tagline.
Genset Installation - Slip & Trip Personal Injury, Equipment - Wear PPE (hand glove, body
damage harness)
- Electrical shock - Provide proper procedure and
follow SOP
Job Hazard Analysis
Supraco Lines
 EHSMS09 Job Hazard Analysis (JHA) Form
- Pinch point - Competent personnel
- Precaution
- Prepare PTW
- LOTO

Genset running test - Slip & Trip Personal Injury, Equipment - Wear PPE (hand glove, body
damage harness)
- Electrical shock - Provide proper procedure and
- Pinch point follow SOP
- Competent personnel
- Precaution
- Prepare PTW

Housekeeping for equipment and tools - Slip & Trip Personal Injury, Equipment Precautions, good team work,
damage good housekeeping

Remember: EVERYONE has both the authority and responsibility to STOP THE JOB if there is any doubt about the safety of the operation.

Lessons Learned (this is done after the job, to identify any improvements to this JHA, Procedures or the JHA process)
Should a Standard Operating Procedure (SOP) be developed for this task?  Yes  No
Recommended Improvements:

Reviewed by (HSSEQ Coordinator): Beny Yusnandar Review Date: 07 September 2018

Job Hazard Analysis

Supraco Lines
 EHSMS09 Job Hazard Analysis (JHA) Form

Names and Signatures of all team members involved at start of job

(certifying they understand the details of the JHA and their personal responsibility in implementing assigned controls)

Name: ________ Signature ________________________ Name: _________________ Signature ________________________

Name: _______ Signature ________________________ Name: ___________ _ Signature ________________________

Name: ________________ Signature ________________________ Name: ________________________ Signature ________________________

Name: ______________ Signature ________________________ Name: ________________________ Signature ________________________

Names and Signatures of all team members joining the job or change of work team
(certifying they understand the details of the JHA and their personal responsibility in implementing assigned controls)

Name ________________________ Signature ________________________ Name: ________________________ Signature ________________________

Name: ________________________ Signature ________________________ Name: ________________________ Signature ________________________

Supervisor (or Permit Holder for remote work conducted under a Work Permit) approving the use of this JHA:

Name: ________________________ Position: ________________________ Signature: ________________________

Job Hazard Analysis

Supraco Lines