FORM / CHECKLIST

Document Number: PEB-HSE-L2-27

SPECIFIC JOB HAZARD ANALYSIS (JHA) WORKSHEET
Rev. 0.0 MARCH
2024

JHA prepared by (Permit Applicant Date

Name)
Task Name: Hot Work Location / Area
Permit Reference No. Team Composition
Who or Action /
Step Consequences / What Responsible
Description of Task Step Hazards Control Measures
No. Potential Incident be pa
harmed
1 Obtain Work Permit In case of Emergency - Body Check exit route Supervisor
2 Setting Up Equipment. Overhead objects, - Head injuries - Body PTW, PPE, housekeeping, Supervisor
Manual handling, - Electric Shock competent personnel, and team
Obstruction to workers Proper check on welding cable and
(welding cables). electrical cable.
Electrical cable peels Pre- use inspections to all equipment
off. before commencing the work.
Equipment faulty/
acetylene hose
leakage.
3 Start Up Welding Machine Sparks during start up, - Welding sparks - Eye Check the conditions of equipment Supervisor
oil leaks. before use. and team
Standby fire watcher and fire
extinguisher.

4 Welding Very hot surface, hot - Welding Sparks - Eye PTW, PPE, gas test prior to welding, Supervisor
slags / sparks, welding - Electrical Shock - Body Barricade the welding area. Standby and team
fumes, glaring sparks firewatcher, standby fire extinguisher
might become ignition & fire hose with flowing water. Place

5 Grinding
6 Acetylene Cutting / Preheat
source. Live welding ground cable nearest to welding
cables (electrical area.
power) might damage
electronic device.
High speed rotating - Sparks - Body PTW, PPE, gas test prior to grinding. Supervisor
abrasive disc and sharp - Eye Injuries - Eye Barricade the welding area. and team
objects might cause Standby firewatcher, standby fire
wounds, Sparks from extinguisher
grinding might become fire hose with flowing water.
ignition source,
residual from grinding
might cause eye injury.
Open Flame Hot Slags / - Sparks - Body PTW, PPE, gas test prior to operate. Supervisor
Sparks might cause - Hand injuries - Eye Barricade the working area. and team
skin burn and become - Body injuries Standby firewatcher,
ignition source. Standby fire extinguisher & fire hose
Pressurized oxy-acet. with flowing water. Use flashback
bottles / hoses might arrestor.
burst. Leak test on the hoses to prevent
Fire flashback. acetylene leakage.

7 Housekeeping -sharp object - Back injuries - Body - Proper PPE Supervisor

-heavy materials - proper manual handling and team
-not follow segregate - communicate
procedure

Safety Officer Operation Supervisor OIM

Date: Date: Date: