JOB HAZARD ANALYSIS (JHA) WORKSHEET

JOB HAZARD ANALYSIS [JHA] WORKSHEET

DATE
PTW
NO
JHA NO
WORK SPECIFIC
FACILITY /
PERMIT COLD BEKOK C WORKST CELLAR DECK
LOCATION
TYPE ATION
EQUIPMENT WORK
V-840 & V-890
NO. DESCRIPTION TO PERFORM HOT BOLTING ACTIVITY ON THE BARREL
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.

CONTROL ACTION MONITO RECOVERY ACTION MONITO

BARRIERS PARTY RING BARRIERS PARTY RING
JOB DESCRIPTION OF POTENTIAL POTENTIAL
STEP JOB STEP HAZARD Consequences
REQUIRE REQUIRE
MENT MENT
(Y/N) (Y/N)
1 Preparation work – 25.01-Slip, -Personal injury - Use proper - Rigger - N - Medical Medic -N
transfer tools and trip and fall PPE Foreman Treatment onboard
lay hoses to work - Beware the - All Team - First aid
site
oiling surface

2 Setup pneumatic 25.01-Slip, - Personal injury - Beware of - Rigger - N - Medical Medic -N

air gun trip and fall tripping hazard Foreman Treatment onboard
- Use leather - Firewatc - First aid
25.01-Pinch her
glove
point - Bolting
- Use safety pin Technicia
and whip heck n
5.04-Air hose
under

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pressure

3 Check pressure in 5.02-Pipeline - Personal injury - Barricade the - Rigger - N - Medical Medic N
the pipeline before under area Foreman Treatment onboard
start odd bolting pressure - Put signage - All team - First aid
activity
4 Remove coating at 25.08-Flying -Eye injury - Use safety - Rigger - N - Medical Medic N
existing stud bolt object -Finger injury glass Foreman Treatment onboard
- Use leather - All team - First aid
25.10Sharp glove
edge - Beware of
sharp edge
25.10-Pinch
point

5 Brush stud bolt 25.08-Flying -Eye injury - Use safety - Rigger - N - Medical Medic N
thread at existing object -Finger injury glass Foreman Treatment onboard
stud bolt - Use leather - All team - First aid
25.10Sharp glove
edge

25.10-Pinch
point

6 Remove existing 25.08-Flying -Personal injury - Do not - Rigger - N - Medical Medic N

stud bolt one by object -Finger injury attempt under Foreman Treatment onboard
one and replace -Can cause death suspended - All team - First aid
with new stud bolt 25.10Sharp load
and nut (applicable edge
for 8 no S/Bolt and - Use leather
above) glove

7 Tighten new stud 25.01-Slip, -Personal injury - Put signage - Rigger - N - Medical Medic N
bolt using trip and fall -Finger injury and barricade Foreman Treatment onboard
pneumatic air gun - Use leather - All team - First aid
as per torque table 5.04-Air hose

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under glove
pressure - Secure with
whip heck
25.10-Sharp
edge

8 Housekeeping 25.18-Pinch - Personal injury - Use proper - Rigger - N - Medical Medic N

point and access way to Foreman Treatment onboard
sharp edges transfer - All team
material

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 JOB HAZARD ANALYSIS (JHA) WORKSHEET

JHA APPROVAL DURING PTW APPLICATION

REVIEWED BY APPROVED BY
NAME NAME

DESIGNATION WORK LEADER DESIGNATION PRODUCTION SUPERVISOR /MAITENANCE SUPERVISOR /BASE

SUPERVISOR/FUNCTIONAL SUPERVISOR
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 Signature Signature Signature Signature Signature Signature Name (S) Designation Signatur Signature Signature Signatur Signature Signatur Signature
e e e

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