JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE HOT/ COLD

FACILITY LOCATION SPECIFIC WORKSTATION
EQUIPMENT NO. WORK TO PERFORM HPWJ ACTIVITY USING DRY ICE
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/ PTW applicant is trained Team Leader Ensure PTW applicant understand the Team Leader
injury. and valid PTW course. work scope. Supervisor to verify PTW &
Supervisor Supervisor
approved by OPS
Work conflict with other activities. Miss communication/ incident/ Scope of work to be Team Leader Display PTW at work site. Team Leader
injury. discussed with team
Supervisor Supervisor
member.
2. Site survey and equipment Obstacle Slip, trip and falls. Ensure equipment not Work group Barricade the equipment Work group
layout. block access
Team Leader Team Leader
Supervisor Supervisor
3. Inspection of hoses & joints Incorrect hose pressure selection& a) Injured by whipping of hose a) Physically identified and Work group All the joints must have a whip lock Work group
connector defective connector cause hose burst b) Injured by pressured water check marking on the device.
Team Leader Team Leader
and impact to personal hose
b) Check sheet to fill in Supervisor Ensure earth wire is connected to the Supervisor
. prior to start work at plant earthing point
each shift
c) Check the condition of
hose & connector
d) All joints have a whip
lock device fitted
e) Before start the
operation supervisor
must inspection all hose
& connector is properly
secure

4. Inspection of high pressure Jam trigger Injured by pressured water a) Check the condition of Work group Use Checklist Work group
. gun & HPWJ Hose the trigger and “dead
Block nozzle head Team Leader Team Leader
man switch”
b) Check the condition of Supervisor Supervisor
the nozzle head

Tripping a) Worker trip by hose a) Hoses to be laid out Work group Use Checklist. Work group

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

Damage of hoses b) Hose burst free of kinks and away Team Leader Team Leader
C ) Hose damaged by vehicle from work area
Supervisor Supervisor
b) Protect all the sharp
edges

C )Hose lay across the road

must be protected by
planks
5. Cleaning work with HPWJ gun a.) Noise from the pump. a) Skins burn due to hot water a) Use proper PPE Work group Work to be stop when workers feels Work group
splashes. b) No unauthorized unsafe
b.) Hose leak at joint. Team Leader Team Leader
b) Injured by flying debris personal around the
C )Temporary hearing loss jetting area Supervisor Supervisor
C )Barricade with signage
“DO Not Enter HPWJ in
progress”
6. Run the genset & air Spark Fire/Injury 1. Generator to be fitted Work group 1.Ensure double check before run the Work group
compressor with spark arrestor. generator set.
Team Leader Team Leader
2. Do gas test at 2.Fire watcher
Supervisor Supervisor
surrounding area.
3.Valid PTW
Electrocution Body injury might lead to fatality. 1.Use test pen before touch Work group 1.Wear leather glove. Work group
any metal attach to electric Team Leader 2.Supervisor to monitor time to time. Team Leader
cable or junction box.
Supervisor Supervisor
Pro long run of generator set. Overheat lead to fire. 1.Valid PTW. Firewatcher 1. Off the generator set if suspected Firewatcher
2.Do gas test at the area Supervisor any extra ordinary heat. Team Leader
before start work. 2.Supervisor to ensure generator is
Team Leader Supervisor
switch off during each & every rest
time.
7. Top-up diesel Flammable material Fire/ injury Stop generator set before Work group Use hand pump for transfer / top-up Work group
top-up diesel. Team Leader diesel Team Leader
Supervisor Supervisor
8. 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

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 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

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