PRE-JOB HAZARD ANALYSIS

JHA No. Site Name New Analysis By:

Date: Site Location Revised Revised By:
Project No. Contractor Proj. Mgr. Approved By:
Job Description: Fuel Oil Unloading

Hazards Hazards (body) Personal Protective Equipment General Requirements Environmental

Airborne Particulates Fall Potential Gloves/Types Relocate Flammable Materials Chemical and MSDS Sheet
Chemicals (Acids & Bases) Pinch Points Respirator/Type Post Warning Signs Spill Kit
Electrical Shock Electrical Shock Hearing Protection Barricades Permits
Falls Housekeeping Safety Glasses, Goggles, etc. Use Ventilation/Exhaust Procedure
Heat Stress Slip/Trip (Cords, Pipe, etc) Protective Clothing/Footwear Other Labels for Chemical Storage
Hot/Cold Surfaces Flying Particles Hardhat/head protection Special Operations Hazards (Environmental)
Noise Thermal Burns Electrical LockOut/TagOut (LOTO) Airborne Particulate (Fumes, Mists)
Operating Machinery Sharp Objects Fall Protection Confined Space Entry Other Heat Stress (Hot/Cold Surfaces)
Other Heavy Equipment Hazards Other construction Activities Materials
Oxygen Deficiency Hygiene Training Hot Tap Adequate Lighting
Restricted Access/Egress Chemical Burns Confined Space Entry Procedures Crane Suspended Work Platform Noise
Rotating Equipment Water Skin/Eyes LockOut/TagOut (LOTO) Working on Energized Electrical Circuit Access/Egress
Hazard Flammable Respiratory Protection Scaffolding (Green, Yellow and Red Card) Radiation from Radiography
Other Inhalation Other Radiation from Other Source
Skin Contamination

Sequence of Job Potential Hazards Recommended Action, Procedure, and/or Equipment

Job Preparation Miss coordination and miss Plan the work involving personnel responsible for preparation
Persiapan Pekerjaan communication Rencanakan kegiatan termasuk tanggung jawab tiap personnel untuk persiapan
kesalahan koordinasi dan
kesalahan komunikasi
PTW Violation Job description details and location of work to be confirmed
Pelanggaran PTW Rincian uraian pekerjaan dan lokasi pekerjaan harus dikonfirmasi
Site rule violation Ensure permit to work is available with approved documents
Pelanggaran aturan dilokasi Pastikan izin untuk bekerja tersedia dengan dokumen yang disetujui
kerja
Improper method of work Use proper tool and proper scaffolding for safe access of operation
Pekerjaan yang tidak sesuaiMenggunakan peralatan yang sesuai dan scaffolding yang aman untuk operasional
standar

Pre-job Hazard Analysis Form Rev-0 Page 1 of 4

 Sequence of Job Potential Hazards
No risk control
Tidak ada kendali dari resiko
Unauthorized personnel
entering the location
Orang tidak berkepentingan
masuk ke area
Transferring Fuel oil truck to near Unloading Pump Area Sharp edges -pinch/cut
Memindahkan fuel oli ke dekat Unloading Area Tergores benda tajam atau
terjepit
Burned
Terbakar
Oil Spillage
Oli jatuh tercecer
Line Up Line from trucks to Unloading Sharp edges -pinch/cut
Menyambungkan truk fuel oil ke system unloading Tergores benda tajam atau
terjepit
Burned
Terbakar
Unproper system run
Oil Spillage
Oli jatuh tercecer
Priming and Running the unloading pump Sharp edges -pinch/cut
Mengisi fuel oil ke storage tank (running pompa) Tergores benda tajam atau
terjepit
Oil Spillage
Oli jatuh tercecer
Oil Spillage
Oli jatuh tercecer
House keeping Foreign material left
Kebersihan tempat kerja Benda tertinggal
Pre-job Hazard Analysis Form Rev-0
Recommended Action, Procedure, and/or Equipment
Make sure job hazard analysis has been made and socialized to the worker and signed
Pastikan job hazard analysis sudah dibuat dan disosialisasikan ke pekerja dan sudah
ditandatangani
Install barricade at the area intended
Memasang barikade pada area yang akan digunakan
Use proper PPE and correct equipment or tools for the activity
menggunakan PPE dan peralatan yang sesuai terhadap aktivitas yang dilakukan
Review unloading area of hot work
Menganalisa area unloading dan memastikan tidak ada Hot Work yang berlangsung
Prepare proper fire extinguisher
Menyiapkan APAR yang sesuai di area unloading
Use secondary containment to cover spillage area
Menggunakan penampungan kebocoran pada area yang bocor
Use proper PPE and correct equipment or tools for the activity
menggunakan PPE dan peralatan yang sesuai terhadap aktivitas yang dilakukan
Prepare proper fire extinguisher
Menyiapkan APAR yang sesuai di area unloading
Line up the valve and pump thorughly
Merunut dengan teliti system yang akan djalankan
Use secondary containment to cover spillage area
Menggunakan penampungan kebocoran pada area yang bocor
Use proper PPE and correct equipment or tools for the activity
menggunakan PPE dan peralatan yang sesuai terhadap aktivitas yang dilakukan
Use secondary containment to cover spillage area
Menggunakan penampungan kebocoran pada area yang bocor
Use proper installation of temporary pump and hose
Menggunakan instalasi yang proper pada pompa temporer dan selang
Ensure there is no tool, equipment, rags or other material left
Memastikan tidak ada peralatan ataupun material yang tertinggal
Page 2 of 4
 Leaving the area Burned because unauthorized
Meninggalkan area hot work
Terbakar karea ada hot work
Install barricade at the area intended
Memasang barikade pada area yang akan dilepas gratingnya
Post warning notice
menasang tanda bahaya

Pre-job Hazard Analysis Form Rev-0 Page 3 of 4

 JHA Employee Signatures
JHA No. Site Name New Analysis By:
Date: 1 Site Revised Revised By:
Project No. Contractor Proj. Mgr. Approved By:
Job Description:

Employee Name (Print) Employee Number Employee Signature

Pre-job Hazard Analysis Form Rev-0 Page 4 of 4