RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Date : 14th JUNE 2022 Will the work involve any of the activities below?(Circle any that apply)
If ‘YES’ a Permit must be obtained
Prepared By: JHA DEVELOPMENT TEAM
Hot work in Hazardous areas Confined space entry Excavation >/=1.2m
Company : E DESU
Inerting or Gas Freeing Work on Flammable Live Electrical Work
Retail Station Address: Gas Systems
Asbestos Work Explosive Blasting Other(specify):

JHA Reference No.: EDE/SWT/22 JHA Review No.: JHA REV 3.0 :14th JUNE 2022

Predetermined JHA shall be verified and reviewed on site every day before performing the work

Description of work and number of days anticipated: SET NEW WATER TANK ON CONCRETE BASE

PREPARED BY: SAFETY EXEC -- MR. FIKRI HIDAYAT 14th JUNE 2022

REVIEWED BY: PROJECT MANAGER – MR. PARTIBAN 14th JUNE 2022

APPROVED BY: PROJECT DIRECTOR – MR. SUBRAMANIAM 14th JUNE 2022

NO JOB STEP NO JOB STEP HAZARD NO JOB STEP CONTROL

1 Safety briefing will be conducted with the
workers on spotting hazards, to ensure that
workers are always aware of site conditions
while activities are carried out the whole
day at the site. Including briefing of
handling and usage of proper equipment
and each workers duty before and during
work.
1.1 Moving vehicles can cause 1.1.1 Not giving due attention
Traffic collision/Fatality to traffic hazards.
1.1.2 Not having relevant and necessary
Barriers in place to prevent vehicles
collisions
1.1.3 Flag man with illuminated baton
1.1.4 Emergency response plan

14th
JUNE 2022 Shell Retail Permit to Work _ Version 5.1
 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

NO JOB STEP NO JOB STEP HAZARD NO JOB STEP CONTROL

2 Concrete saw cutting 2.1 Saw Cutting may create sparks / heat 2.1.1 Use barricade with application of 15m
safety distance from dispenser or mitigate
to within 3m from hazardous zones with a
vapour barrier.
2.1.2 Use continues stream of water
on cutting tool head and concrete surface
Continuous gas monitoring and logged it
(every30m).
2.2 Noise 2.2.1 Always use PPE (earmuff/ear plug)
2.3 Dust 2.3.1 Operator to use N95 dust mask.
2.3.2 Do LMRA before start work.
2.4 Back pain 2.4.1 Correct level of body posture or take rest
every 1hour.
3 Hacking and removing old concrete 3.1 Flying concrete 3.1.1 Install safety barrier with double layer
barricade.
PPE (dust mask (N95), safety shoe, safety
glass, ear plug, FRS, safety helmet).
Install signage
3.2 Noise 3.2.1 Always use PPE (earmuff/ear plug)
3.3 Sparks and heat exist 3.3.1 Continuous water spray at the hacking area.
3.3.2 Use barricade with application of 15m safety
distance from dispenser or mitigate to within
3m from hazardous zones with a vapour
barrier.
3.4 Dust 3.4.1 Use Dust Mask

Continuous water spray at the hacking area

3.5 Vibration 3.51 Correct posture level, adequate rest with

buddy system.

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 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

NO JOB STEP NO JOB STEP HAZARD NO JOB STEP CONTROL

4 Installation of form work 4.1 Sharp edge 4.1.1 Cover with rubber or cotton rags
4.2 dust 4.2.1 Use Dust Mask
4.3 Incompetent person 4.3.1 PH to ensure the installation of formwork is
done by trained workers.
5 Pour concrete 5.1 Concrete splash (chemical exposure) 5.1.1 Wear rubber glove with chemical resistant,
dust mask (N95), rubber boot with
chemical resistant
5.2 Mixer lorry movement into work area 5.1.2 Traffic controller to standby inside work area.
6 To place and set the water tank at 6.1 Crushed hazard 6.1.1 Ensure no heavy load is lift alone
concrete base by machinery 6.2 Falling hazard 6.2.1 Ensure proper rigging when lifting or
replacing load
6.2.2 PH to ensure full time monitoring when
lifting work begin
7 House keeping 7.1 Slip, trip and fall 7.1.1 Workers to be very careful on their
footsteps in the work area and make sure
no unattended tools or equipment laying
on concrete area.
7.2 Back pain 7.2.1 Correct level of body posture or take rest
when tired.

14th
JUNE 2022 Shell Retail Permit to Work _ Version 5.1
 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

14th
JUNE 2022 Shell Retail Permit to Work _ Version 5.1