JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE HOT/ COLD

FACILITY LOCATION SPECIFIC WORKSTATION
EQUIPMENT NO. WORK RUNNING AIR COMPRESSOR AND GENSET
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
DESCRIPTION OF JOB STEP POTENTIAL HAZARD POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
STEP

1. Preparation for PTW. Wrong work permit applied. Miss communication/ incident/ injury. PTW applicant is trained and Team Leader Ensure PTW applicant understand the Team Leader
valid PTW course. work scope. Supervisor to verify PTW &
Supervisor Supervisor
approved by OPS
Work conflict with other activities. Miss communication/ incident/ injury. Scope of work to be discussed Team Leader Display PTW at work site. Team Leader
with team member.
Supervisor Supervisor
2. Site survey and equipment Obstacle Slip, trip and falls. Ensure equipment not block Work group Barricade the equipment Work group
layout. access
Team Leader Team Leader
Supervisor Supervisor
3. Cutting & Grinding Activity Slip, Trip & Fall Miss communication/ Proper laying of Work group Barricade work area. Work group
Spark incident/ injury. tools & cable/hoses
Team Leader Team Leader
Flying objects from broken Fire, personnel injury, asset To ensure & secure To do housekeeping before and after
cutting discs damage working platform Supervisor working. Supervisor
for safe working
condition

Prepare wet fire

blanket & ensure
proper coverage
including bottom
platform

Fire watcher at site

Grinder must have
shield to prevent
broken

To wear face shield

and semi-leather
gloves

Use correct grinding

discs and grinder
specifications

Page 1
JOB
DESCRIPTION OF JOB STEP POTENTIAL HAZARD POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
STEP

4. Welding activity - Slip, Trip & Fall Miss communication/ Proper laying of Work group Barricade work area. Work group
. - Spark incident/ injury. tools & cable/hoses
Team Leader Team Leader
Fire, personnel injury, asset
damage Prepare wet fire blanket & Supervisor Supervisor
ensure proper coverage
including bottom
Skin burns Personnel injury Using welder glove Work group Make sure to use proper PPE for welding Work group
activity.
Team Leader Team Leader
Supervisor Supervisor
Gas leak Fire, personnel injury, asset Perform leak test Work group To check equipment before start work. Work group
damage using soap / snoopy
Team Leader Team Leader
to ensure no gas
leak of connection Supervisor Supervisor
hose

5. Housekeeping & close permit. Tripping hazard Slip, trip and falls & Injury. Perform housekeeping Work group Barricade working area properly Work group
continuously
Team Leader Team Leader
Supervisor Supervisor
Unreturned Permit Miss coordination. Barricade working area Work group Designated person to close and return Work group
properly PTW
Team Leader Team Leader
Supervisor Supervisor

Page 2
 JHA APPROVAL DURING PTW APPLICATION

REVIEWED BY APPROVED BY

NAME NAME

DESIGNATION 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

Page 3