Instruction

No. Step
1 Fill up date JHA prepared and JHA serial number

2 Fill up job title/ description.

3 Select "Document Reference" and/or "Other Document Reference", and tick
(/) in boxes provided.

4 Fill up Job Step in the "Description of Step/ Task" column.

5 Select and Identified "Potential Hazards & Consequences". Go to "3. Hazard
& Control Measures" sheet to select the related potential hazard and its
control measures.

6 Copy & paste the related control/recovery measure from "3. Hazard &
Control Measures" sheet into JHA form.

7 Select "Who or What might be harmed (PEAR)" in the column.

8 Select "Initial Risk Rating" and "Final Risk Rating" in the column. Refer "4.
HSE Risk Matrix" to identify the Risk Rating.

For identified job activities e.g. critical lifting, erection scaffolding, confined
9 space entry, etc., refer sheet no. 7, 8, and 9 for its Risk Rating.

10 Fill up "Action/Responsible Person (s)" in the column by the job position and
company of worker.

11 Print the JHA form and and attendance form for approval.

Open
 Date JHA 1/28/2022
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial 00581
Number:

Job Title/Description: TO CONSTRUCT SCHEDULE WASTE STATION WITH SHELTER AT POST 10 AREA 2

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

All motorized vehicle shall be inspected by MRCSB

1.1.1 personnel and acquire valid vehicle permit for using in
MRCSB compound. STPSB
1.1 Road accidents People / Asset M L Driver/Supervisor
Mobilization and demobilization 1.1.2 Follow the MRCSB speed limit as per identified area.
1.0 equipment and material
Falling object 1.2.1 To ensure workplace area is clear from any obstruction.
STPSB Work leader /
1.2 material / People / Asset M L Supervisor
equipment 1.2.2 To identify route for loading / unloading process.

2.1.1 To design safe access and egress for entering and exit.
STPSB Work leader /
2.0 Site preparation 2.1 Congested area People M L Supervisor
2.1.2 Ensure to maintain good houskeeping.

3.1.1 Perform manual with correct technique

Ergonomic
3.1 (muscle and joint People M Check the load of the material to be lift up and to ensure L
Manual handling for loading and strains) 3.1.2 the lifting not exceeding the limit (half of the person STPSB Work leader /
3.0 unloading material body weight) Supervisor

3.2 Hand injury People M 3.2.1 Wear semi-leather gloves or cotton gloves L

4.1.1 The weight of the load shall be within forklift / wheel

loader capacity
4.0 Usefor
forklift / wheel loader / trolley Topple due to STPSB Work leader /
handling materials on site 4.1 overloading People / Asset M L Supervisor
4.1.2 The forklift / wheel trolley shall be operated on a solid /
compacted ground

Open AA's Initial:__________________

 Date JHA 1/28/2022
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial 00581
Number:

Job Title/Description: TO CONSTRUCT SCHEDULE WASTE STATION WITH SHELTER AT POST 10 AREA 2

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

4.2.1 Engage competent forklift operator with valid license

STPSB Forklift
To ensure forklift operator was fit to work with a valid
4.2 Forklift breakdown People / Asset M 4.2.2 competency certificate L Driver/Supervisor/Wor
k lleader

4.2.3 Switch on beacon light and sound when forklift in

operation

5.1.1 Wear correct PPE as PTW requirements

Sharp edges /
5.1 People M L
protuding wire
5.1.2 Identify, avoid, eliminate and cover protruding edges

Manual handling 5.2 Hand injury People M 5.2.1 Wear semi-leather gloves or cotton gloves L STPSB Work leader /
5.0 (hand tools and etc) Supervisor
5.3.1 Perform manual handling with correct technique
5.3 Ergonomic People M L
5.3.2 Check the load of the material to be lift up and to ensure
the lifting not exceeding the limit

6.1.1 Ensure 3-point contact when moving up/down ladder

6.1.2 Ensure safety shoes in good condition

STPSB Work leader /
6.1 Slip , trip and fall People M L Supervisor
6.0 Working with stepladders 6.1.3 Don't carry tools in your hands / buddy system.
(A-Frame industrial heavy duty)
6.1.4 Ensure step ladder certificate SWL display.

Overreaching on STPSB Work leader /

6.2 People M 6.2.1 Don’t overreach to other side or lean too far L
ladders Supervisor

Open AA's Initial:__________________

 Date JHA 1/28/2022
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial 00581
Number:

Job Title/Description: TO CONSTRUCT SCHEDULE WASTE STATION WITH SHELTER AT POST 10 AREA 2

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

7.1.1 Used only inspected full body harness with double

lanyard.

7.1.2 Ensure workers have attended WAH training.

7.1.3 Provide guardrail and toe-board to prevent slip and fall. STPSB Work leader /
7.1 Falling from height People H M Supervisor

7.1.4 Ensure walkway free from obstruction.

7.1.5 Guard
7.0 Working at height every floor hole and gaps in platform to prevent
worker from falling.

7.2.1 Barricade area below the work.

7.2.2 Ensure no personnel shall work/stand below the work

area. STPSB Work leader /
7.2 Falling object People H M Supervisor
7.2.3 To display safety signage at worksite.

7.2.4 To secure equipment and tool properly.

8.1.1 All equipment must be valid inspection by MRCSB.

8.1.2 Ensure all flammable, combustible materials are

Hot Work activity by using genset, removed prior to any welding, cutting and grinding. STPSB Work leader /
8.0 grinder, handrill, welding machine, 8.1 Fire / Explosion People / Asset H M Supervisor / Safety /
oxy-acetylene etc 8.1.3 Ensure valid Hot Work PTW approved. MRCSB CES

8.1.4 Standby competent fire watcher with valid certification

fire extinguisher.

Open AA's Initial:__________________

 Date JHA 1/28/2022
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial 00581
Number:

Job Title/Description: TO CONSTRUCT SCHEDULE WASTE STATION WITH SHELTER AT POST 10 AREA 2

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

8.2.1 To ensure the equipment and tools have been inspected. STPSB Work leader /
Tool ejection and
8.2 People / Asset H M Supervisor / Safety /
debris flying
8.2.2 To ensure skilled person to operate. MRCSB CES

8.3.1 Barricade working area.

8.3.2 Ensure fire extinguisher available at worksite.

STPSB Work leader /
8.3 Spark and Fire People / Asset H M Supervisor / Safety /
8.3.3 Remove all combustible materials nearby heating area. MRCSB CES

8.3.4 Used fire blanket to prevent from esposure of spark if

required grinding / cutting work.

8.4.1 Ensure all cable shall in good condition.

8.4.2 Ensure all electrical cable properly lay/not submerge

under water.
STPSB Work leader /
8.4 Electrical Shock People H 8.4.3 Ensure connection cable properly tightened. M Supervisor / Safety /
MRCSB CES
8.4.4 Ground cable should be install properly.

8.4.5 To follow MRCSB PETI requirement.

Open AA's Initial:__________________

 Date JHA 1/28/2022
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial 00581
Number:

Job Title/Description: TO CONSTRUCT SCHEDULE WASTE STATION WITH SHELTER AT POST 10 AREA 2

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

8.5.1 Ensure diesel not dripping from the hose after refuelling
has been completed.
Leakage & Spillage Ensure drip pan/tray are always available and placed STPSB Work leader /
8.5 (from machine or People / Asset H 8.5.2 below the machine. M Supervisor / Safety /
when refuelling) MRCSB CES

8.5.3 Ensure machine stop position during refuelling.

STPSB Work leader /

8.6 Noise People M 3.5.1 Wear suitable PHP to reduce noice level 85 <dBA. L Supervisor / Safety /
MRCSB CES

Exposure of steam / 3.6.1 Ensure gas badge in good condition.

STPSB Work leader /
hot / liquid /
8.7 People M L Supervisor / Safety /
hydrocarbon and MRCSB CES
3.6.2 Perform
h2s. gas check prior job execution and as per ptw
requirement.

9.1.1 Ensure concrete bucket / wheel barrow is not

overloaded.

9.1.2 Place plywood under mixer trunk during pour concrete STPSB Work leader /
9.1 Spill of concrete People / Asset M L
into wheelbarrow. Supervisor

Grouting works by using grout 9.1.3 Spill concrete to be collected immediately using scope /
9.0 mixer wheelbarrow.

9.2.1 To ensure proper or regular housekeeping of tools,

cables, equipments and materials.
9.2 Slip , trip and fall People M L STPSB Work leader /
Supervisor
9.2.2 Work area shall be free from loose / un-used material.

Open AA's Initial:__________________

 Date JHA 1/28/2022
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial 00581
Number:

Job Title/Description: TO CONSTRUCT SCHEDULE WASTE STATION WITH SHELTER AT POST 10 AREA 2

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

10.1.1 Avoid exposing hand or parts of body from any

chemical.

10.1.2 Identify nearest location of safety shower and safety eye

wash.
Solvents, lead and STPSB Work leader /
10.0 Touch up painting activity 10.1 People M L
fume Supervisor / IH MRCSB
10.1.3 SDS (Safety Data Sheet) display at storage area.

10.1.4 Wear PPE as per stated in SDS ( Dust musk, P95 @ half
facemask with organic cartridge, rubber glove etc.)

11.1.1 Remove domestic waste by daily basis.

Waste Disposal STPSB Work leader /
11.1 People L L
(Generated waste) Supervisor
11.1.2 To segregate domestic and scheduled waste.
11.0 Housekeeping
11.2.1 To ensure proper or regular housekeeping of tools,
cables, equipments and materials. STPSB Work leader /
11.2 Slip , trip and fall People L L Supervisor
11.2.2 Work area shall be free from loose / un-used material.

12.1.1 Practice physical distancing atleast 1meter.

12.1.2 Frequently wash hand with hand sanitizer. STPSB Work leader /
12.0 Covid-19 12.1 Exposure People L L Supervisor
12.1.3 Wear 3ply face mask.

12.1.4 Prohibit unhealthy workers to come work.

Open AA's Initial:__________________

 Date JHA 1/28/2022
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial 00581
Number:

Job Title/Description: TO CONSTRUCT SCHEDULE WASTE STATION WITH SHELTER AT POST 10 AREA 2

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

12.1.5 Ensure all workers/personnel tested for Covid-19 once

every two weeks.

7.1.6 Follow latest instruction from MOH & PETRONAS.

Open AA's Initial:__________________

 Date JHA
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial
Number:

Job Title/Description: INSTALLATION NEW CABIN , HEAVY DUTY RACK & ELECTRICAL SCOPE FOR TOOL ROOM AT POST 10

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

1.1.1 Check reverse buzzer is in good condition and function.

STPSB
1.1 Road accidents People / Asset M L Driver/Supervisor
1.1.2 Follow the MRCSB speed limit as per identified area.
Mobilization and demobilization
1.0 equipment and material
Falling object 1.2.1 To ensure workplace area is clear from any obstruction.
STPSB Work leader /
1.2 material / People / Asset M L Supervisor
equipment 1.2.2 To identify route for loading / unloading process.

2.1.1 To design safe access and egress for entering and exit.
STPSB Work leader /
2.0 Site preparation 2.1 Congested area People M L Supervisor
2.1.2 Ensure to maintain good houskeeping.

3.1.1 Perform manual with correct technique

3.1 Ergonomic (muscle People M Check the load of the material to be lift up and to ensure L
and joint strains?
Manual handling for loading and 3.1.2 the lifting not exceeding the limit (half of the person STPSB Work leader /
3.0
unloading material body weight) Supervisor

3.2 Hand injury People M 3.2.1 Wear semi-leather gloves or cotton gloves L

4.1.1 The weight of the load shall be within forlift / wheel

loader capacity
Topple due to STPSB Work leader /
4.1 People / Asset M L
overloading Supervisor
4.1.2 The forklift / wheel trolley shall be operated on a solid /
compacted ground

4.0 Usefor
forklift / wheel loader / trolley 4.2.1 Engage competent forklift operator with valid license
handling materials on site
STPSB Forklift
4.2 Forklift breakdown People / Asset M L Driver/Supervisor/Wor
Open k lleader AA's Initial:__________________
 Date JHA
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial
Number:

Job Title/Description: INSTALLATION NEW CABIN , HEAVY DUTY RACK & ELECTRICAL SCOPE FOR TOOL ROOM AT POST 10

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
No. Use Description of Step/ Task might be Control and/or Recovery Measures
Consequences harmed (PEAR) Rating
forklift / wheel loader / trolley Rating Person (s)
4.0 for handling materials on site
STPSB Forklift
4.2.2 To ensure forklift operator was fit to work with a valid
4.2 Forklift breakdown People / Asset M L Driver/Supervisor/Wor
competency certificate k lleader

4.2.3 Switch on beacon light and sound when forklift in

operation

5.1.1 Crane operator shall require mandatory DOSH cert and

valid medical checkup

STPSB Work leader /

5.1.2 Outrigger
5.1 Crane topple People / Asset H to be fully deployed and rest on sole M
plate/wooden block Supervisor

5.1.3 To perform lifting acitivity activity as per approved lifting

plan

5.2.1 Every crane must have a valid PMA Certificate

Crane and lifting 5.2.2 All lifting gears/equipments must have test certificate STPSB Work leader /
5.2 People / Asset H M
gears failures and marking with inspection tagging Supervisor

5.2.3 Do not exceeding the safe working load limit (SWL )

when lifting

5.3.1 Barricade and signage working area (white red tape)

5.0 Lifting activity to install new cabin

5.3.2 Prevent workers from working / passing by under the
Falling object due suspended load STPSB Work leader /
5.3 to wrong rigging People / Asset H M Supervisor
method
5.3.3 To use taglines to prevent load rotation

5.3.4 Signal man must control the lifting activity

Open AA's Initial:__________________

 Date JHA
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial
Number:

Job Title/Description: INSTALLATION NEW CABIN , HEAVY DUTY RACK & ELECTRICAL SCOPE FOR TOOL ROOM AT POST 10

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
5.0 Lifting activity to install new cabin
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

5.4.1 Crane operator must stop the activities immediately

once the crane imbalance during "lock swing" released
STPSB Work leader /
5.4 Bad Weather People / Asset H M Supervisor
5.4.2 Stop work immediately if condition is unsafe e.g. during
heavy rain, strong wind and lightning

5.5.1 To get approval with MRCSB area owner

Limited visibility
5.5.2 To establish proper communication tools eg. Walkie STPSB Work leader /
5.5 (Blind spot/Night People / Asset H talkie M Supervisor
lifting)

5.5.3 To use 2 signalmans if there is restriction of vision on the

1st signalman

Ensure workers are well briefed during toolbox meeting

6.1.1 and understand the job scope, potential hazard source
and precaution measurements to minimize the
incident /accident occurrence.
STPSB Work leader /
6.1 Body injury People M M Supervisor
6.1.2 Ensure workers wearing proper PPE.

6.1.3 Proper communication among workers.

Electrical Work : Conduit & wire
duct and lighting devices
6.0 installation; cable laying &
termination and testing
6.2
6.2.1 Ensure all cable shall in good condition
Ensure all electrical cable properly lay/not submerge
6.2.2 under water
STPSB Work leader /
Electrical Shock People / Asset H M
6.2.3 Ensure connection cable properly tightened Supervisor

Open AA's Initial:__________________

 Date JHA
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial
Number:

Job Title/Description: INSTALLATION NEW CABIN , HEAVY DUTY RACK & ELECTRICAL SCOPE FOR TOOL ROOM AT POST 10
Electrical Work : Conduit & wire
Document duct
Reference: c devices
and lighting Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
6.0 installation;
Other Document cable laying
Reference: &
c SWIFT/ any Risk Assessment involved c Others:
termination and testing

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures STPSBPerson
Work leader /
No. 6.2 Consequences
Electrical Shock People /(PEAR)
Asset Rating
H Rating
M (s)
harmed Supervisor

6.2.4 Ground cable should be install properly

6.2.5 To follow MRCSB PETI requirement

7.1.1 Wear correct PPE as PTW requirements

Sharp edges /
7.1 People M L
protuding wire
7.1.2 Identify, avoid, eliminate and cover protruding edges

Manual handling (hand tools and 7.2 Hand injury People M 7.2.1 Wear semi-leather gloves or cotton gloves L STPSB Work leader /
7.0 etc) Supervisor
7.3.1
Perform manual handling with correct technique
7.3 Ergonomic People M 7.3.2 L
Check the load of the material to be lift up and to ensure
the lifting not exceeding the limit

8.1.1 Ensure 3-point contact when moving up/down ladder

Ensure safety shoes in good condition STPSB Work leader /
8.1 Slip , trip and fall People M 8.1.2 L
Working with stepladders (A- Supervisor
8.0 Don't carry tools in your hands
Frame industrial heavy duty)
8.1.3

Overreaching on STPSB Work leader /

8.2 People M 8.2.1 Don’t overreach to eitheir side or lean too far L
ladders Supervisor

9.1.1 Used only inspected full body harness with double

lanyard.
9.1.2 Ensure workers have attended WAH training.

9.1.3 Provide guardrail and toe-board to prevent slip and fall. STPSB Work leader /
9.1 Falling from height People H M Supervisor
9.1.4 Ensure walkway free from obstruction.

AA's Initial:__________________
9.0
Open
Working at height
 Date JHA
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial
Number:

Job Title/Description: INSTALLATION NEW CABIN , HEAVY DUTY RACK & ELECTRICAL SCOPE FOR TOOL ROOM AT POST 10

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk STPSB Work leader /

Step Potential
9.1 FallingHazards &
from height People H FinalMRisk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures Supervisor
No. Consequences harmed (PEAR) Rating Rating Person (s)

9.1.5 Guard every floor hole and gaps in platform to prevent

9.0 Working at height worker from falling.

9.2.1 Barricade area below the work.

9.2.2 Ensure no personnel shall work/stand below the work

area. STPSB Work leader /
9.2 Falling object People H M Supervisor
9.2.3 To display safety signage at worksite.

9.2.4 To secure equipment and tool properly.

Open AA's Initial:__________________

 Date JHA
prepared:
JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
JHA Serial
Number:

Job Title/Description: INSTALLATION NEW CABIN , HEAVY DUTY RACK & ELECTRICAL SCOPE FOR TOOL ROOM AT POST 10

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:

Who or What Initial Risk

Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

10.1.1 All equipment must be valid inspection by MRCSB.

STPSB Work leader /
10.1.2 Ensure all flammable, combustible materials are M Supervisor / Safety /
removed prior to any welding, cutting and grinding.
10.1 Fire / Explosion People / Asset H MRCSB CES
10.1.3 Ensure valid Hot Work PTW approved.

10.1.4 Stanby competent fire watchernwith fire extinguisher.

10.2 Tool ejection and People / Asset
debris flying
STPSB Work leader /
10.2.1 To ensure the equipment and tools have been inspected. M Supervisor / Safety /
MRCSB CES
H
10.2.2 To ensure skilled person to operate.

10.3.1 Barricade working area.

10.3.2 Ensure fire extinguisher available at worksite.

STPSB Work leader /
10.3 Spark and Fire People / Asset H M Supervisor / Safety /
Hot Work activity by using genset, 10.3.3 Remove all combustible materials nearby heating area. MRCSB CES
10 grinder, handrill, welding machine
etc
10.3.4 Used fire blanket to prevent from esposure of spark if
required grinding / cutting work.

10.4.1 Ensure all cable shall in good condition.

10.4.2 Ensure all electrical cable properly lay/not submerge

under water.
STPSB Work leader /
10.4 Electrical Shock People H 10.4.3 Ensure connection cable properly tightened. M Supervisor / Safety /
MRCSB CES
10.4.4 Ground cable should be install properly.

Open AA's Initial:__________________

 Date JHA
Hot Work activity by using genset, prepared:
10 grinder, handrill, welding machine JOB HAZARD ANALYSIS (JHA) BRIEFING FORM
etc JHA Serial
Number:

Job Title/Description: INSTALLATION NEW CABIN , HEAVY DUTY RACK & ELECTRICAL SCOPE FOR TOOL ROOM AT POST 10

Document Reference: c Job Method Statement (JMS) c Hazard Effect Register (HER) c PETRONAS Hazard List
Other Document Reference: c SWIFT/ any Risk Assessment involved c Others:
STPSB Work leader /
10.4 Electrical Shock People H M Supervisor / Safety /
Who or What Initial Risk MRCSB CES
Step Potential Hazards & Final Risk Action/Responsible
Description of Step/ Task might be Control and/or Recovery Measures
No. Consequences harmed (PEAR) Rating Rating Person (s)

10.4.5 To follow MRCSB PETI requirement.

10.5.1 Ensure diesel not dripping from the hose after refuelling
Leakage & Spillage has beem completed. STPSB Work leader /
10.5 (from machine or People / Asset H M Supervisor / Safety /
when refuelling) MRCSB CES
10.5.2 Ensure drip pan/tray are always available and placed
below the machine.

11.1.1 Remove domestic waste by daily basis.

Waste Disposal STPSB Work leader /
11.1 (Generated People L L
waste) Supervisor
11.1.2 To segregate domestic and scheduled waste.
11 Housekeeping
11.2.1 To ensure proper or regular housekeeping of tools,
cables, equipments and materials. STPSB Work leader /
11.2 Slip , trip and fall People L L Supervisor
11.2.2 Work area shall be free from loose / un-used material.

12.1.1 Practice 3S Social distancing.

12.1.2 Frequently wash hand with detergent. STPSB Work leader /

12 Covid-19 12.1 Exposure People L L Supervisor
12.1.3 Wear half 3ply mask.

12.1.4 do not allowed unhealthy workers to come work.

Open AA's Initial:__________________

 JHA Serial No:

DAILY TOOLBOX TALK/ JHA BRIEFING ATTENDANCE SHEET

WORK SUPERVISOR/ LEADER

As the Work Supervisor/ Leader, with reference to the JHA, I have conducted the toolbox talk and briefed all workers and relevant parties on the:
∞ Scope of work and explained the tasks' objectives and expectations.
∞ Specific hazards of the tasks
∞ Required control/ recovery measures and identified the individual(s) responsible for implementing the controls
∞ Required PPE and inspected workers' PPE to ensure they are sufficient and fit for purpose.

No Full Name Designation/ Position Department/ Company Date & Time of briefing Signature

WORKER/ RELEVANT PARTY

As the Worker/ relevant party, I have been briefed on the contents described in the JHA by the Work Supervisor/ Leader. I understand and accept what has been briefed in the toolbox talk and will ask my
Supervisor if I am in doubt when executing the job. I shall exercise my Stop Work Authority if I cannor immediately address any hazards that may endanger myself or others around me, and report to my Work
Supervisor/ Leader.

No Full Name Designation/ Position Department/ Company Date & Time of briefing Signature

1
2
3
4
5
6
7
8
9
10
11

Open
 Potential Hazard and Consequences

Forklift breakdown
Forklift breakdown
Forklift breakdown
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Forklift movement for drum / bag
Road accident (Forklift)
Road accident (Forklift)
Road accident (Forklift)
Road accident (Forklift)
Road accident (Forklift)
Road accident (Forklift)

Open
 Control/Recovery

Engage competent forklift operator with valid license

To ensure daily inspection being carry out by MRCSB personnel
Vehicle entry certification / pass
Barricade working area
Daily inspection by forklift operator
Drum must be allocate on the good condition pallet
Make sure drums are properly seal and labelled before transfer
Reverse driving method for clear vision
Signalman to guide forklift (if required)
Spilled schedule waste must be collect immediately and put in drum
Switch on beacon light and sound when forklift in operation
To ensure forklift operator was fit to work with a valid competency certificate
Use lorry to transfer drums from site to the storage area
Use only qualified and expirience forklift driver
Daily inspection by forklift operator
Follow the MRCSB speed limit (not exceeding 20km/h at TA work area) and for trailer and forklift movement app
Forklift operator to wear green vest for identification purpose
Provide Signalman to guide forklift
Switch on beacon light and sound when forklift in operation
To ensure forklift operator was fit to work with a valid competency certificate

Open
 SEVERITY

People

Consequence
Environment

Asset

Reputation

E
Incident has occurred several
Almost
times per year in OPU
Certain

Incident has occurred in OPU;

D
or more than once per year in
Likely
PETRONAS
LIKELIHOOD

Incident has occurred in

C PETRONAS; or more than
Possible once per year in industry
world wide

B Incident has occurred in

Unlikely industry, world wide

A
Remotely Never heard of in industry
likely to world wide but could occur
happen

* For chronic health effects

** Occupational illness including cancer to affected workers exposed to similar hazard in the same Op

RISK RATING INTER

Open
 ∞Risk is tolerable
LOW ∞Monitor at operational level using procedure/appropriate inter
∞Take corrective action according to availability of resources

∞Undertake control and Recovery Barriers evaluation

MEDIUM ∞Risk is tolerable if supported by ALARP demonstration
∞Monitor using procedure or appropriate internal control as per
∞Undertake risk reduction by applying appropriate control and
∞Risk is tolerable if supported by ALARP demonstration
HIGH ∞Review and approval of ALARP demonstration by Facility He
Head

∞Risk is not tolerable.

VERY HIGH ∞Mitigate the risk through control and recovery barriers(s) to re
∞Review and approval of ALARP demonstration by Facility He
Head

Open
 Minor Major
1 2 3 4

Major Injury Single Fatality

Slight Injury Minor Injury Major Health Effect*

Permanent
Parmanent
Total
Partial
Disability*
Disability

Slight Impact Minor Impact Moderate Impact Major Impact

Major
Slight Damage Minor Damage Local Damage
Damage

Major
Slight Impact Limited Impact Considerable Impact National
Impact

E1 E2 E3 E4
VE
RY
HI
GH
D1 D2 D3 D4
HI
G H
C1 C2 M
ED C3 C4
IU
M
LO
B1 B2 W B3 B4

A1 A2 A3 A4

kers exposed to similar hazard in the same Operation Unit

INTERVENTION

Open
ional level using procedure/appropriate internal control as per HSEMS
ction according to availability of resources

l and Recovery Barriers evaluation

f supported by ALARP demonstration
ocedure or appropriate internal control as per HSEMS
duction by applying appropriate control and recovery barriers
f supported by ALARP demonstration
oval of ALARP demonstration by Facility Head/Project Head and Senior management with escalation to Business

ble.
hrough control and recovery barriers(s) to reduce the risk to tolerable/ALARP
oval of ALARP demonstration by Facility Head/Project Head and Senior management with escalation to Business

Open
jor
5

Multiple Fatalities

Multiple
Permanent
Total
Disability**

Massive Impact

Extensive
Damage

Major
International
Impact

E5
ER
Y
HI
G H D5

C5

B5

A5

Open
Open
Open
 Very High Risk
No Type of Job

1 Confined Space Type B (Approval by Head of Plant Division)

2 Working on Flare (Approval by Head of Plant Division)

Installation of very huge equipment (column, etc.)

3
(Approval by Head of Plant Division)

4 Furnace repair job during online

5 Critical Lifting (more than 10 Ton, Cross Live Equipment, Tandem Lift)

Lifting above water of more than 10 Ton (e.g. sea water intake,
6
temporary jetty)

Use of Rope Access Equipment e.g. Abseiling, Gondola, Scan climber,

7
Man basket

8 Work on Roof (without Fall Prevention i.e. permanent railing)

Work with Ladder with special circumstances (i.e. Using ladder at high
9
elevation)

10 Online Hot Tapping (regardless service)

Open
Reference Risk Rating

HSEMS 20060 – Confined Space Entry D4

HSEMS 20120 – Working At Height D5

Based on risk assessment D5

Based on risk assessment D5

PSM MI 30402 – Critical Lift D4

To be included in PSM MI 30402 – Critical Lift

D4
PTS 18.52.06 - Lifting

HSEMS 20120 – Working At Height D4

HSEMS 20120 – Working At Height D4

HSEMS 20120 – Working At Height D4

PSM MI 20410 – Hot Tapping D4

Open
 High Risk
No Type of Job
Online Leak Sealing (regardless method i.e. wrapping,
1
compound injection etc.)

2 Scaffolding Erection more than 15 metres

3 Underground pipe leak (online/offline) repair

4 Work over or near water/mud/sludge

Hot work in Confined Space (includes welding, cutting,

5
blasting etc.)

∞Ultra High Pressure Water Jetting

6 ∞HPWJ inside Process Unit (AFC, Vessel and Fixed HEX)
∞Decoking/Pigging (medium water OR air)

7 Non-routine Chemical Cleaning and/or Chemical Handling

Work above 2 meters using temporary platform(scaffold)

· Hot work activity

8
· Blinding De-blinding, Remove or Install Valve, Control
Bolting (HBT, HTW)

· Painting, Insulation

9 Remove & Install Bundle (mechanically and/or manually)

10 Work on Suspended Access Equipment (i.e Man Lifter etc.)

Open
Reference Risk Rating
PSM MI 20406 – Online Leak Sealing for Piping and
D3
Static Equipment

PSM MI 30418 – Scaffolding Procedure C4

PMPMS 20231 – Excavation Work Procedure C4

HSEMS 20120 – Working At Height C4

HSEMS 20060 – Confined Space Entry C4

PSM MI 30406 – Control of High Pressure Water

D3
Washing Services

HSEMS 20230 – Safe Handling of Chemical D3

HSEMS 20120 – Working At Height C4

PSM MI 20409 – Equipment Guideline for Rigging

D3
Devices & Lifting Equipment
HSEMS 20120 – Working At Height C4

Open
 Medium Risk
No Type of Job
Scaffolding Erection more than 2 metres and less than
1
15 metres
2 Hydrojetting at Washing Bay

3 General Lifting

4 Excavation
General Confined Space work (cleaning, inspection,
5
painting etc.)
Work above 2 metres using permanent platform
· Hot work activity
6 · Blinding De-blinding, Remove or Install Valve, Control
Bolting (HBT, HTW)
· Painting, Insulation, Blasting

7 PWHT, Hydrotest, Pneumatic Test

Open
Reference Risk Rating
PSM MI 30418 – Scaffolding Procedure D2
PSM MI 30406 – Control of High Pressure Water
D2
Washing Services
PSM MI 20409 – Equipment Guideline for Rigging
D2
Devices & Lifting Equipment
PMPMS 20231 – Excavation Work Procedure D2
HSEMS 20060 – Confined Space Entry D2

HSEMS 20120 – Working At Height D2

PSM MI 20408 – Pressure Testing of Pressure Vessels ,

D2
Heat Exchanger and Process Piping

Open
 Low Risk
No Type of Job Risk Rating
1 Equipment cleaning and inspection D1
2 Removal and Install of Insulation (Ground level) C2
3 Grass/Tree Cutting. C2
4 Flange Machining at site C2
5 Hot work activity on ground level D1

Open