HI TECH ENGINEERING SDN BHD PERMIT TO WORK SYSTEM – JOB HAZARD ANALYSIS

Date: 18 September 2021 Will the work involve any of the activities below? (Circle that apply)
If ‘YES’ a Permit must be obtained

Prepared By: Rannie Hot work and / Work in Confined space entry, Excavation >/= 1.2
Hazardous areas >/= 1.5 meter meter
Company: HI TECH ENGINEERING SDN BHD Inerting or Gas Freeing Work on Flammable Live Electrical Work/
Gas Systems LOTOTO

Department / Address: NO. 10G, LEBUH BENDAHARA 4, Asbestos Work / Working Explosive Blasting/ Other (specify):
OFF JLN RAJA NONG, 41200 KLANG, SELANGOR at Height (1.8 Meter) Radiation Exposure

JHA Reference No.: HI Tech (S/B) 0025/2021 JHA Review No.: Hi Tech (S/B) 0024/2021
JHA Review Date: 16/9/21

Predetermined JHA shall be verified and reviewed on site every day before performing the work

Description of work: Air Pipe Installation Work at HSI Injection Moulding Production Area

Reviewed by: Siva Approved by: Ganasen

Position: Supervisor Position: Manager

Date: 19 September 2021 Date: 19/9/2021

Step Job Step Job Step Hazard Job Step Control Tick
No

1 Barricading work area Floor Scratch Use Plastic water proof Canvas blue/white floor
Use masking tape to stick the canvas
Drop of material

2 Moving materials manually to the work Body sprains and strains from - use correct lifting techniques
area lifting materials
- get assistance when lifting heavy
loads

Splinters/cuts - wear gloves and other protective clothing

- take care when moving materials by hand

Being struck by materials
- maintain an awareness of other people in the area

- remove obstacles in pathway

Trips and falls
- be aware of uneven or unstable surfaces

3 Scaffold installation 1 stage
Scaffolding collapsing / falling
from scaffolding
- Verify that scaffolding is properly assembled and
wheels locked.
- Use safety rails properly.
- Verify a safe mean of climbing on/off scaffolding.

4 Removing ceiling Falling objects. Before removing any ceiling, pull back a ceiling and
survey area for hazards.
Wear safety hard helmet.

Inhalation of dust; dust in eyes Wear respirator mask.

Wear safety googles

Fall from height - Use buddy system.

- inspect ladder or scaffold before using.

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 HI TECH ENGINEERING SDN BHD PERMIT TO WORK SYSTEM – JOB HAZARD ANALYSIS

- lock ladder or scaffold securely before using.

Step Job Step Job Step Hazard Job Step Control Tick
No

5 To install air pipe and fitting accessories Body sprains and strains from - use correct lifting techniques
lifting materials
- get assistance when lifting heavy
loads

Expose to sharp edge - Use suitable PPE such as cotton glove

Falling objects. - Load properly fasten and secured.

- Wear safety hard helmet.

Fall from height - Use buddy system.

- inspect ladder or scaffold before using.
- lock ladder or scaffold securely before using.

6 Housekeeping Dust and debris Using broom to sweep the floor.

Clear the work place from dust.
Use respirator mask.

Personal Protective Equipment (PPE) appropriate to the task at hand shall be worn / used at all times.
Tick box any PPE that applies to this job.

/ / /

Any Additional PPE appropriate to the task: Vest, Safety Shoes

List required equipment / tools (e.g. fire extinguisher, barricading / signs, hand tools, mechanical tools, plant etc.):
a) Drill Machine

b) Pipe range

c) Scaffold

d) Ladder

e) Canvas (Blue/White)

f) Pipe accessories tools

The work crew acknowledges that they understand and will comply with the precautions listed above

HIROSE MALAYSIA PERMIT TO WORK – VERSION 1.1 Doc Num:

 HI TECH ENGINEERING SDN BHD PERMIT TO WORK SYSTEM – JOB HAZARD ANALYSIS

NAME: Ganesan SIGNATURE:

NAME: Siva SIGNATURE:

NAME: Nadarajan SIGNATURE:

NAME: Saravanan SIGNATURE:

NAME: Ruthran SIGNATURE:

NAME: Harimurugan SIGNATURE:

NAME: R Vijaya Rani SIGNATURE:

HIROSE MALAYSIA PERMIT TO WORK – VERSION 1.1 Doc Num: