Reference: HOSA-FM-0701

Source Reference: HOSA-TS-0703

Job Hazard Analysis Form
Revision: 5

Classification: Public

Job Location New warehouse

Job Title: To be awarded
Equipment Tag Number

Overview Description of Work (Describe Complete Scope of Work):

Lifeline installation and water proofing repair

Responsible Department for the work: Disciplines performing the work: Al Muftah Contracting Company

Engineering Projects Civil / Structural / MEP

Job Area / Location
Roof of new warehouse
Authorisation: Name Staff No. Signature Date Declaration by Permit Receiver:
I declare that the hazards associated with the work
are adequately covered by this assessment
JHA compiled by: Rajesh Singh OC-37983

Responsible Dept:

Oryx Contractor Coordinator

Facility Operator Sign

Safety Representative Name

Any Other Approving Authority Empl. #

Date

Page: 1
When downloaded from the ORYX GTL Document Center, this document is uncontrolled and the responsibility rests with the user to ensure it is in line with the authorised version on the
Document Center
 Reference: HOSA-FM-0701

Source Reference: HOSA-TS-0703

Job Hazard Analysis Form
Revision: 5

Classification: Public

Page: 2
When downloaded from the ORYX GTL Document Center, this document is uncontrolled and the responsibility rests with the user to ensure it is in line with the authorised version on the
Document Center