JOB HAZARD ANALYSIS (JHA) WORKSHEET

JOB DESCRIPTION POTENTIAL POTENTIAL CONTROL BARRIERS REQUIREME MONITOR RECOVERY BARRIERS ACTION MONITOR
STEP OF JOB STEP HAZARD CONSEQUENC NT (Y/N) ING PARTY ING
ES REQUIRE REQUIRE
MENT MENT
(Y/N) (Y/N)
1 Prepare Pinch Point Finger injury Others-Do not remove any All Worker N Wear hand (low or All N
Tools guarding of any moving parts medium impact) Worker
of equipment or machinery. glove
□wear hand gloves.
Correct hand placement/ All Worker N First Aid/Medical First N
positioning Treatment Aider
2 Equipment H.25.15 Poor personal Others-Equipment to be used All Worker N Medical services. Medical N
Inspection organization injury has to come with valid Aid
and job certification □ Attend for PETI
design /
inspection
*Organisasi
dan reka
bentuk
pekerjaan
yang lemah
3 Moving to H.8.08 Land personal Other-Be vigilant and extra All Worker N First Aid/Medical Medical N
work site transporta injury careful when crossing roads□ Treatment Aid
tion/ Walking on correct walk way
pengangkut
an darat
H/20.01 H2S Dizziness, Attended h2s Awareness All Worker N Escape to safe area if All N
(hydrogen unconscious training alarm triggered at 5 Worker
sulfid, sour ness. fatality ppm or deploy
gas)
escape set and
*H2S(hidroge
n suifida, escape to safe area if
masam) alarm triggered at
10ppm
To have H2S detector at all All Worker
time

4 Installation of Slip, trip and fall •Fatality All loose materials wires All N Others-First aid Medical N
Rope Access •Body Injury and working tools must Worker Aid
Rescue Systems be stake and keep safe at
designated area.2. walk
area must be free from
any obstacle.All personnel
to be IRATA certified
Others •All materials, All N N
tool& consumables, to be Worker
bagged with tools
attached lanyard to
prevent dropped object.
Dropped object from •Body Injury Others •All materials, All N Others-Fist aid Medical N
height •Serious tool& consumables, to be Worker Aid
Injury •Equip bagged to prevent
Damage dropped object •No tools
can be attached or
suspended by the
technician’s back-up
device
5 To conduct P.35.02corrosive, Skin irritation, Identification and All N Safety All Worker N
General visual Irritant and Sensation eye damage selection of hand, body Worker shower/wash&
and NDT to skin, Eye and & inhalation and food protection chemical spill kit.
(nondestructive Inhalation/Menghakis. issues
testing) Meringa, and Tahap
inspection Rasa dikulit, mata dan
activities. penyedutan

H.31.02 Mechanical Improper Others- secured use of All N Others- Eliminate Wonk N
damage/ Kerokan examination tools during handing Worker broken tools and Leader
mekanikal replace with new
one
6 Photo taking Glare Eye Others-Setting camera All N Others-Take break All Worker N
disfunction without flash function Worker until eyes get better
Ignition source/ static Source of Camera flash turned off All N Others-call fire All Worker N
electricity fire/ Worker fighter team
explosion
7 Housekeeping Pinch Point Hand Injury Maintain safe distance All N First Aid/ Medical Medical N
from pinch point area Worker Treatment Aid
H.25.18 Improper Personal Correct manual material All N Work Wonk N
Housekeeping/ injury handling procedures. Worker condition/practice Leader
*Pangemasan yang improvement
tidak betul
8 Leaving Land transportation Personal Others-Be vigilant and All N First aid Kit and Medical N
worksite injury extra careful when Worker medical services Aid
crossing roads □Walking
on carrect walk way

JHA PRECAUTIONARY CONTROL BARRIER (JPCB) CHECK

NOTE
1. Barriers to be extracted from JHA and timing for Barrier Verification Frequency to be agreed with PTW AA and PTW WL.

2. JPCB check to be filled for every PTW revalidation .

NO. JHA Barriers (Date: _________ ) Barrier Verification Frequency Remarks

(Tick ✔ and timestamp where
applicable)

JHA APPROVAL DURING PTW APPLICATION

Reviewed by Approved by
Name Name
Designation Designation
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)

NO: Name Designation Location Signature

Day-1 Day-2 Day-3 Day-4 Day-5 Day-6 Day-7
1

10

11

12

13

14

15