JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. JHA / 16 PTW NO 16 WORK PERMIT TYPE □HOT/ □COLD

FACILITY GSCC , Fly Camp 1 LOCATION From GSCC to Fly Camp 1 SPECIFIC
WORKSTATION
EQUIPMENT NO. WORK Transfer and handling of materials
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.

JOB POTENTIAL POTENTIAL ACTION PARTY ACTION PARTY

DESCRIPTION OF JOB STEP CONTROL BARRIERS RECOVERY BARRIERS
STEP HAZARD CONSEQUENCES

watch out of any tripping Worker/

Inspect the lay down / Trip and fall hazards, use handrail Supervisor /1st
First aid Aider
final location of when going up/down
1 Tripping Body injury ,hit stairway
material area. All workers
Rescue
head,
maintain good
housekeeping at all time
Crash, trap wear rigger hand gloves, Worker/
Supervisor /Fire
Hook-up load in between Hand injury,body foreman to coordinate with Operator First aid
Watcher
2 team members
(material/equipment) Moving injury Riggers sent to medic
/motion Trained personnel for the
job
Un-control Worker hit by do lifting only in fine First aid Supervisor/Medic
Lift/Lower load from/to
movement / lifting load weather and daylight, use Operator sent to medic
3 site.
swing Signalman
tagging lines to control the Supervisor / work
Sling parted Riggers
Under rated load, do not pass under leader
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JOB POTENTIAL POTENTIAL ACTION PARTY ACTION PARTY
DESCRIPTION OF JOB STEP CONTROL BARRIERS RECOVERY BARRIERS
STEP HAZARD CONSEQUENCES

capacity suspended load, clear Full Supervision

signal to crane operator,
Load use walkie-talkie, use only
jacking approved sling and right
rating.

Qualified crane operator

Trained rigger
Worker hit by do lifting/transferring only Supervisor/Medic
Un-control lifting load in fine weather, use only
Transfer / locate the
movement approved sling and right Operator
project material/ Equipment First aid
4 of load rating of rigging equipment
equipment to the final failure Signalman
such as chain block, come sent to medic
location. Load Riggers
along etc.
jacking
move / swing the load
slowing
Hand injury wear rigger hand gloves, Supervisor/Medic
Crush trap First aid
Unhook load foreman to coordinate with
5 All workers
in between team members sent to medic

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 JHA APPROVAL DURING PTW APPLICATION

ACCEPTED BY RECEIVING AUTHORITY APPROVED BY APPROVING AUTHORITY

NAME NAME

DESIGNATION WORK LEADER DESIGNATION

SIGNATURE SIGNATURE

DATE DATE

AFTER PTW HAS BEEN APPROVED

WORK TEAM (CONFIRMATION THAT JHA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OF PRE-JOB/TOOLBOX MEETING - AFTER PTW HAS BEEN
APPROVED)
Name(s) Designation Signature Name(s) Designation Signature

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