JOB HAZARD ANALYSIS WORK SHEET

Serial No: MMSSB/LAFT/00 Revision No: 00 PTW No: Date: DD 24 MM 09 YR 2019

Section A - JHA Cover Sheet

Job Title: PRODUCT TRANSFER ACTIVITY.

Area: LAFT Tag No/Equipment No: V-02 Service /Medium: JET A-1

ZETO RULES
Permit to Work Overriding or Disabling SCE Working at Height Lifting Operations Ignition Source Control

Energy Isolation Confined Space Entry Hazardous Chemical Excavation Driving

Handling

Risk Category of the Job:

Name Designation / Company / ID Date / Time Signature REMARKS :
PREPARED & REVIEW BY:
JHA Prepare Team Mohd Ashraf Hadi JHA Leader 18.9.19
1. Leader
2. Front Line Supervisors
Muhammad Syamil Manan PE/MMSSB 17 Sept 2019
3. Expert / Specialist Nurul Syafiqah Shamsuddin SHO/MMSSB 17 Sept 2019

Note: 1, 2,3 may be same

person

APPROVED BY:
Mohd Farid Hamizol Superintendent 19 Sept 19

RISK ASSESSMENT MATRIX DESCRIPTION

 JOB HAZARD ANALYSIS WORK SHEET

Serial No: Revision No: PTW No:00 Date: DD 24 MM 09 YR 2019

Section B - JHA Work Sheet Task Analysis

Job Title: PRODUCT TRANSFER ACTIVITY

Step Description of Potential Hazards & Who or RISK Control and /or Recovery Measures Action/
What RATING
No Basic Task Consequence might be Inherent / Responsible
/Step Harmed Initial
(P E A R) Person(s)
1 Application for 1.1 Miscommunication Workers C1 1.1.1 To inform & discuss with PDB authorized MMSSB/PDB
PTW Equipment personal before start.
C1 1.1.2 Work should not commence without present of MMSSB/PDB
PDB.
C1 1.1.3 Only diesel vehicles allowed & install spark MMSSB
arrestor.

1.2 Personal Injury C1 1.2.1 To wear appropriate safety protective MMSSB

equipment as required in PDB safety
regulation & PTW.

1.3 Execution Work C1 1.2.1 To follow approved document. MMSSB

without authorized C1 1.2.2 To apply PTW on daily basis, Proper PPE are MMSSB
mandatory.
C1 1.2.3 Only authorized persons shall be allowed MMSSB
for/cordoned area.
C1 1.2.4 Area fully barricade & display proper signage. MMSSB
Inspection & gas test by authorized PDB
C1 1.2.5 personal tester before work starting. MMSSB/PDB
2 Deploy & Lay 2.1 Wrong nozzle / size Workers C1 2.1.1 Obtain markup P&ID from PDB. MMSSB/PDB
hose for install and location Equipment C1 2.1.2 To obtain operation personnel to verify at site MMSSB
transfer hose prior to start fittings installation work.
Site supervisor to ensure right location at PTW
mention.

2.2 Using wrong or C1 2.2.1 Equipment, machineries and tools to be MMSSB/PDB

defect materials of checked and approved by PDB authorized
hoses personal.
C1 2.2.2 Maintain good housekeeping at work places. MMSSB

2.3 Road obstruction (If C1 2.3.1 Obtain markup drawing as per agree from MMSSB/PDB
any) PDB.
C1 2.3.2 Supervisor must ensure the certificate are MMSSB
approve before proceed the task.

3 Pneumatic 3.1 Pump collapse and Workers C1 3.1.1 Ensure pump base is stable and fully tighten at MMSSB
pump cause spillage Equipment strong plinth.
installation Asset
Environment
3.2 Pneumatic hose snap C2 3.2.1 Install safety pin lock on hose clip connection. MMSSB
and hit workers or Install whip check at hose end connection.
equipments C2 3.2.2 Ensure pneumatic fitting is match suite with MMSSB
C2 3.2.3 whip check. MMSSB

4 Provision of 4.1 Air compressor not Workers C1 4.1.1 Obtain approval from PDB prior to enter MMSSB/PDB
portable air meet equipment Equipment terminal
compressor inspection regulation Environment C1 4.1.2 Air compressor unit should be located at right MMSSB
ie, PMT certification, place as per equipment layout plan.
Spark arrestor, C1 4.1.3 Diesel container must be properly labelled and MMSSB
Earthing system, kept in safe place from spillage
Insufficient capacity Fire Extinguisher at site during work on
progress at least 2 units.
4.1.4 Area owner to communicate ensure the air
C1 compressor are valid of PMT by Dosh & PMT MMSSB/PDB
number clear visual.
5 Transfer 5.1 Miscommunication Workers C1 5.1.1 Obtain agreed window / schedule from
product tank to Equipment operation supervisor / foreman on daily basis MMSSB/PDB
tank according Asset
operation Environment
window 5.2 C1 5.2.1
Working outside Contractor always keep records on the fuel
approval MMSSB
proposed working level vs. time until transferring work
window completed

5.3 Open end blind to C1 5.3.1 Site supervisor to make sure that appropriate MMSSB
install connector position and rest if necessary.
hose & check valve. C1 5.3.2 To wear appropriate safety protective MMSSB
equipment as required PDB safety regulation
& PTW.
C1 5.3.3 Ensure tray are at available during losing stud
bolt of end blind. MMSSB
C1 5.3.4 Make sure all fitting are tighten and coupler
are being connected through pump is safe MMSSB
working practice.

5.4 Spillage/Leakage C1 5.4.1 Tray to provide at pointed area to trap the MMSSB
product leakage.
C1 5.4.2 All collected will be restoring into 200 liter MMSSB
drum.

5.5 Safety pin broken C1 5.5.1 Work leader/site supervisor to make sure all
fitting are tighten and coupler are being MMSSB
connected safely as safe working practice.

5.6 Product Loss Over C4 5.6.1 PDB to use vessel receiving procedure And
Limit. documentation. PDB

6 Hot work 6.1 Electronic device Workers C1 6.1.1 Gas test before start work by Authorized MMSSB
activity Equipment Personnel PDB tester
- Photo taking C1 6.1.2 Fire Extinguisher at site during work on MMSSB
battery progress
operated C1 6.1.3 Fire watcher at site during work execution. MMSSB
accessories Site supervisor/work leader to monitor work
closely.
C1 6.1.4 Ensure all tools are inspection & declarations
MMSSB
are safety to use.
7 Work in bad 7.1 Lighting Workers C3 7.1.1 Stop the work immediately MMSSB
weather
8 Housekeeping 8.1 Slip, trip, fall Workers C3 8.1.1 All unused materials to be removed everyday MMSSB
Equipment from work area
Asset
8.2 Poor housekeeping Environment C3 8.2.1 Ensure housekeeping of the site prior to
MMSSB
installation, during and after completion of the
job
 JOB HAZARD ANALYSIS WORK SHEET
Serial No: Revision No:00 PTW No: Date: DD MM YR

Section C - JHA Tool Box Briefing Form

Description Yes No Remark

1.All the task activities
2.Hazards related with task activities and consequences
3.Who might be harmed (PEAR)
4.Control and / or recovery measures
5.Who is responsible for what
6.Actions in case of any emergency
Declaration: Team Leader / Site Supervisor

I certified that I briefed the above subject matter of JHA to all the members of job execution team.
No Name Designation / Company / ID Date / Time Signature. Remarks

Declaration: Job Execution / Work team.

I acknowledge receiving these instructions and understood the scope of work, hazard&risk control measures risk associated with it and to comply
with the JHA.
No Name Designation / Company / ID Date / Time Signature. Remarks
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.