RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Date: 24 August 2023 Will the work involve any of the ac vi es below? (Circle any that apply)
Prepared by: If ‘YES’ a Permit must be obtained
Company: Infinite Project Management Hot work in Hazardous areas Confined space entry Excava on >/= 1.2 m

Retail Sta on Address: Iner ng or Gas Freeing Work on Flammable Gas Live Electrical Work
Systems
Asbestos Work Explosive Blas ng Other (specify):

JHA Reference No.: JHA-IPM-NTI-034 JHA Review No.:_____3.0 (Version 5.2)_____

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

Descrip on of work: Installa on of Oil Interceptor

Review by: Approved by:

Mohd. Shahir Aizuddin Jenny Goh Siew Nee

Posi on: Project Manager Posi on: Safety Officer

Date: 24 August 2023 Date: 24 August 2023

Step No Job Step Job Step Hazard Job Step Control

1 Document prepara on
(Completed WCF, work permit, checklist & to
explain to dealer work scope (sta on entry
protocol to be observed for site in and out.)
HAZARD:Physiological Hazard
THREAT:
Poor supervisor support or high job
demand
CONSEQUENCE:
Nega vely impact on organisa onal
measures including produc vity
● To issue Work Clearance Form (WCF)
● To conduct proper briefing to the dealers or site representa ve about
the work ac vi es, affected area and me required for the job.
● Conduct Last Minute Risk Assessment (LMRA) which may include:
a) Weather changes
b) Tanker delivery me
c) Review of all necessary PPE, tools and equipment (for wear
and tear expiry)
d) Increase in traffic volume
e) Work method (change to job steps)
f) Fitness to work

JHA-IPM-NTI034- Installa on of Oil Interceptor Shell Retail Permit to Work _ Version 5.2
 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS
Step No Job Step Job Step Hazard
2 Cordon off work area. HAZARD:Site machinery
movement(Traffic)
THREAT:
1.Limited working space, No clear
boundaries set of danger zone in
work site
2.Not regarding blind spots, not
paying a en on
CONSEQUENCE:
Fatality (hit by vehicle)
HAZARD:Pedestrians and
Unauthorized personnel
3 Check the condi on of machinery to be used. Not in good condi on or beyond
service.
Untrained or incompetent operator
4 Check the condi on of the gas detector Gas detector failure
5 Excava on Works Exis ng underground cable
JHA-IPM-NTI034- Installa on of Oil Interceptor Shell Retail Permit to Work _ Version 5.2
Job Step Control
● Assigned flagman to control /direct traffic flow
● Wearing high visibility safety vest at all mes
● To wear helmet with chin strap and
● Make sure PPE always in a good condi on
● Barricade work area
● Erect signage-indica ng work in progress and keep unauthorized or
untrained people away from the work area.
● Check machinery to be used is always in good condi on and under
service.
● Complete the checklist (if any) and issue red tag if there is faulty
● Operates by the competent/trained person only.
● Manual opera on must be available for all equipment and hand tools
to be used at site
● Wear complete PPE and specific to the work - ear plug and cut
resistance hand gloves
● To perform bump test for gas detector prior to start hot work in
hazardous area.
● Provide underground u lity mapping
 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Step No Job Step Job Step Hazard Job Step Control

● Ensure valid as built layout covered the par cular work area and
shown/verified that area are free from any underground services.

Contaminated soils ● Avoid contact with the contaminants and prevent the spread of it
offsite
● Wash up or disposed the contaminated cloth
● Excavate, dump into temporary waste and dispose immediately. The
soils will the treated ex-situ.

Nearby workers ● Ensure nobody is working nearby restricted area without permission

Trenches/soil collapse ● Not to leave site una ended if work is s ll incomplete unless there’re
proper barricade is provided.

Unpredictable weather ● Resume only when the weather is good / normal

6 Remove the exis ng oil interceptor Oil interceptor might drop down ● Only receive the tank while tank are already reach at the ground not
and hit people underneath while tank is s ll hanging on top.

7 Concre ng works. Moving vehicle ● Ensure lorry sensor/alarm is in order at all mes.
● Someone has to be a watchman to the lorry driver while reversing.
Access constraint for the lorry ● Lorry driver shall be a competent person.
might interface with other func on.

Sharp object or scrapping surfaces ● Use proper concre ng technique.

● Avoid any tripping or slipping hazard with remove all slip and trip
hazards from the work area.

JHA-IPM-NTI034- Installa on of Oil Interceptor Shell Retail Permit to Work _ Version 5.2
 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Step No Job Step Job Step Hazard Job Step Control

Chemical hazards ● To use complete and proper PPE – Rubber shoe, mask, safety goggles
● To wash up immediately affected body area if there is contact

8 Screed work to finishing level Ergonomic – muscle strain / ● Stop work when red, rest, not to con nue if exhausted & change
over-exer on worker.
● Prac ce proper way to handle concrete.

9 Laying brickworks Sharp and flying objects ● To wear proper PPE including safety goggles.

Materials are not kept at ● Provide good housekeeping at work site

designated area

Ergonomic – muscle strain / ● Stop work when red, rest, not to con nue if exhausted & change
over-exer on worker.

10 Placing the new oil interceptor into the OIL INTERCEPTOR move/revolve ● Use rope guidance at both ends to control the tank movement and
posi on. and hit the surrounding wall. place it into posi on.
● Only receive the tank while tank are already reach at the ground not
while tank is s ll hanging on top.

OIL INTERCEPTOR might drop down ● Maximum allowable weight per single person is 25kg
and hit people underneath ● If weight more than 25kg use more than one person to carry.

11 plastering works with cement screeding Sharp and flying objects ● To wear proper PPE including safety goggles.

Materials are not kept at ● Provide good housekeeping at work site

designated area

JHA-IPM-NTI034- Installa on of Oil Interceptor Shell Retail Permit to Work _ Version 5.2
 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Step No Job Step Job Step Hazard Job Step Control

Ergonomic – muscle strain / ● Stop work when red, rest, not to con nue if exhausted & change
over-exer on worker.

12 Cart away earth / debris Stockpile of used steel/rebar will ● Cover all sharp objects such as steel bar with pu ng signage’s or
endanger to the workers. acknowledge it with sharp object sign

Stockpile of earth will obstruc ng ● All debris/earth/rebar being stockpiled shall be loading straight to the
machineries ac vity. lorry and cart away from site or, dump it at designated safe area than
barricade it

13 Clean up work area, housekeeping & remove Hit by vehicles ● Ensure the use of reflec ve vest & remove safety sign or cone at last.
barricade
Product spillage causing slippery ● Clean up with water and dry surface
surface

Personal Protec ve Equipment (PPE) appropriate to the task at hand shall be worn/used at all mes.
Tick box any PPE that applies to this job

Any addi onal PPE appropriate to the task :

List required equipment / tools (e.g Fire ex nguisher, barricading / signs, hand tools, mechanical tools, plant etc.):
Bump Test Equipment And Gas Detector, Fire Ex nguisher, Barricading / Signs , Hand Tools, Mechanical Tools

JHA-IPM-NTI034- Installa on of Oil Interceptor Shell Retail Permit to Work _ Version 5.2
 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

The work crew acknowledges that they understand and will comply with the precau ons listed above
Kru kerja mengakui bahawa mereka memahami dan akan mematuhi langkah-langkah pencegahan yang disenaraikan di atas

Date & Signature

Name Tarikh & Tandatangan
Nama

JHA-IPM-NTI034- Installa on of Oil Interceptor Shell Retail Permit to Work _ Version 5.2