JOB HAZARD ANALYSIS (JHA) WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE HOT

FACILITY LOCATION SPECIFIC WORKSTATION CSB-501
EQUIPMENT NO. WORK DESCRIPTION TO DO SITE SURVEY FOR NEW CCTV SYSTEM
NOTE
1. JHA Shall be applicable for all work activities which required PTW.
2. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures develop for the job. The Work/operating procedures shall describe, in step-by-step instructions, the correct method of executing the specified work.
3. Prior to commencement of work, the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained shall be fully understood and agreed by all involved personnel.

JOB STEP DESCRIPTION OF JOB STEP POTENTIAL HAZARD POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
01 WORKSITE PREPARATION  CONGESTED AREA  PERSONNEL INJURY  IDENTIFY EMERGENCY ESCAPE ROUTE.
(OBSTRUCTION)  ENSURE NO OBSTRUCTION ON WALKWAY AND
ESCAPE ROUTE  ZAMRI  MEDIC
 USE PROPER BODY POSTURE. MEDICAL TREATMENT
 ERGONOMIC  BACK ACHE AND NECK PAIN  IDHAM  FIRST AIDER
 SHARP EDGES  HAND AND FINGER INJURY  WEAR RUBBER HAND GLOVE.
 WRAP SHARP EDGES WITH COTTON RAGS
02 PREPARATION OF TOOLS  PINCH POINT  HAND AND FINGER INJURY  WEAR RUBBER HAND GLOVE
 WRONG AND BROKEN TOOLS  UNABLE TO START WORK  ISOLATE AND DON’T USE BROKEN TOOLS  ZAMRI  MEDIC
MEDICAL TREATMENT
 INJURY TO PERSONNEL  ENSURE TOOLS IN GOOD CONDITION  IDHAM  FIRST AIDER

03 IDENTIFY NEW CCTV CAMERA  SLIPPERY/ SURFACE FLOOR  PERSONNEL INJURY  CLEAN THE FLOOR
LOCATION  USE PROPER TOOLS.
 ZAMRI FIRST AID KIT  MEDIC
 CONFINED SPACE  HAND AND BODY INJURY  LOCATE OTHER APPROPRIATE METHOD TO CHECK
 IDHAM REFER TO MEDIC  FIRST AIDER
EQUIPMENT.

04 IDENTIFY EXISTING CCTV SYSTEM  CONGESTED AREA  PERSONNEL INJURY  REMOVE AND ISOLATE ALL UNRELATED ITEMS AT FIRST AID KIT
 ZAMRI  MEDIC
EQUIPMENT. (OBSTRUCTION) DESIGNATED LOCATION REFER TO MEDIC
 IDHAM  FIRST AIDER
05 IDENTIFY CABLE ROUTING AND  CONGESTED AREA  PERSONNEL INJURY  REMOVE AND ISOLATE ALL UNRELATED ITEMS AT
TERMINATION OF CCTV CAMERA. FIRST AID KIT
(OBSTRUCTION) DESIGNATED LOCATION.  ZAMRI  MEDIC
REFER TO MEDIC
 IDHAM  FIRST AIDER

06 IDENTIFY AVAILABILITY OF POWER  SLIPPERY/ SURFACE FLOOR  PERSONNEL INJURY  CLEAN THE FLOOR.
SUPPLY FOR NEW CCTV SYSTEM  COMPETENT PERSONNEL TO EXECUTE THE JOB.
 ZAMRI FIRST AID KIT  MEDIC
 FAULTY PARTS  ELECTRICAL SHOCK  USE PROPER TOOLS.
 IDHAM REFER TO MEDIC  FIRST AIDER
 FIRE IGNITION  LOCATE FIRE EXTINGUISHER AT NEARBY WORK
AREA
07 PHOTO TAKING  FLASH CAMERA  SPARK IGNITION  ENSURE FLASH IS CLOSE/OFF BEFORE PHOTO
TAKING  ZAMRI  MEDIC
FIRST AID KIT
 LOCATE FIRE EXTIGUISHER IS NEARBY THE WORK  IDHAM  FIRST AIDER
SITE.
08 HOUSEKEEPING  CONGESTED AREA  INJURY TO PERSONNEL  CLEAR ALL PATH & ENSURE NO ITEM CAN CAUSE
(OBSTRUCTION) BLOCKADE
 SLIPPERY/ SURFACE FLOOR  SLIP AND FALL  WEAR ANTI-SLIP SAFETY BOOT AND PROPER PPE  ZAMRI FIRST AID KIT  MEDIC
WHEN ENTERING WORK AREA.  IDHAM REFER TO MEDIC  FIRST AIDER
 MORE CAREFUL WHEN ENTERING WORK AREA.

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 JOB HAZARD ANALYSIS (JHA) WORKSHEET

JHA APPROVAL DURING PTW APPLICATION

REVIEWED BY APPROVED BY
NAME NAME

DESIGNATION WORK LEADER DESIGNATION PRODUCTION SUPERVISOR /MAITENANCE SUPERVISOR /BASE SUPERVISOR/FUNCTIONAL SUPERVISOR
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 Signature Signature Signature Signature Signature Signature Name (S) Designation Signature Signature Signature Signature Signature Signature Signature