JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE COLD

FACILITY LOCATION SPECIFIC WORKSTATION

EQUIPMENT NO. WORK MANUAL HANDLING OF MATERIAL

DESCRIPTION

JOB POTENTIAL
DESCRIPTION OF JOB STEP POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
STEP HAZARD

1. Covid 19 briefing ▪ Potential ▪ Difficulty in breathing ▪ Ensure to perform temperature ▪ EBSB Work ▪ Training and supervision ▪ EBSB Team lead
exposure ▪ Acute respiratory distress screening before proceeding to Leader/ ▪ Refer to KKM if there is any ▪ KKM
to Covid 19 syndrome workstation (Above 37.5 C Refer Supervisor suspected case
▪ Respiratory infections to nearest clinic) ▪ All worker ▪ Immediately disinfects affected
▪ Ensure to fill in health declaration area
before proceeding to workstation.
(If there is any symptom, such as
cough, fever and breathing
difficulty advisable to refer to
nearest clinic)
▪ Practice necessary preventive
measures (e.g. such as wearing
mask, hand sanitizer or regularly
washing hand)
2. Material preparation ▪ Sharp ▪ Hand injury ▪ Correct hand and finger ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
edges ▪ Cut injury placement Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify/remove sharp edges and Supervisor ▪ Stop Work
cover with cotton rags ▪ Rigger
▪ Wear rubber coated gloves
▪ Always be alert on surrounding
▪ Pinch point ▪ Hand and finger injury ▪ Identify pinch point and loading ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
the material one by one. Leader/ ▪ Medical Treatment ▪ Medic
▪ Correct hand and finger Supervisor ▪ Stop Work
placement ▪ Rigger
▪ Always be alert on surroundings
and identify pinch point
▪ Wear rubber coated gloves

3. Slinging of equipment / ▪ Sharp ▪ Hand injury ▪ Correct hand and finger ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
materials to be lifted. edges ▪ Cut injury placement Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify/remove sharp edges and Supervisor ▪ Stop Work
cover with cotton rags ▪ Rigger
▪ Wear rubber coated gloves
▪ Always be alert on surrounding

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 JOB
POTENTIAL
STE DESCRIPTION OF JOB STEP POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
HAZARD
P
▪ Improper ▪ Personnel Injury ▪ Competent personnel / correct ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
manual procedure for rigging and slinging Leader/ ▪ Medical Treatment ▪ Medic
lifting technique Supervisor ▪ Stop Work
▪ Correct lifting technique ▪ Rigger
▪ Assign enough man power
▪ Utilize mechanical lifting gear for
loading and unloading

4. Lift up & handle ▪ Heavy load ▪ Back injury ▪ Competent personnel / correct ▪ All worker ▪ Apply First Aid ▪ First aider
▪ Muscle injury procedure for rigging and slinging ▪ EBSB Work ▪ Stop Work ▪ Medic
technique Leader/
▪ Correct lifting technique Supervisor
▪ Assign enough man power
▪ Utilize mechanical lifting gear for
loading and unloading
▪ Sharp ▪ Hand injury ▪ Correct hand and finger ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
edges ▪ Cut injury placement Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify/remove sharp edges and Supervisor ▪ Stop Work
cover with cotton rags ▪ Rigger
▪ Wear rubber coated gloves
▪ Always be alert on surrounding
▪ Pinch point ▪ Hand and finger injury ▪ Identify pinch point and loading ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
the material one by one. Leader/ ▪ Medical Treatment ▪ Medic
▪ Correct hand and finger Supervisor ▪ Stop Work
placement ▪ Rigger
▪ Always be alert on surroundings
and identify pinch point
▪ Wear rubber coated gloves
5. Handle and transfer material or ▪ Sharp ▪ Hand injury ▪ Correct hand and finger ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
job piece manually by hand edges ▪ Cut injury placement Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify/remove sharp edges and Supervisor ▪ Stop Work
cover with cotton rags ▪ Rigger
▪ Wear rubber coated gloves
▪ Always be alert on surrounding
▪ Heavy load ▪ Back injury ▪ Competent personnel / correct ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
▪ Muscle injury procedure for rigging and slinging Leader/ ▪ Medical Treatment ▪ Medic
technique Supervisor ▪ Stop Work
▪ Correct lifting technique ▪ Rigger
▪ Assign enough man power
▪ Utilize mechanical lifting gear for
loading and unloading
▪ Pinch point ▪ Hand and finger injury ▪ Identify pinch point and loading ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
the material one by one. Leader/ ▪ Medical Treatment ▪ Medic
▪ Correct hand and finger Supervisor ▪ Stop Work
placement ▪ Rigger
▪ Always be alert on surroundings
and identify pinch point
▪ Wear rubber coated gloves

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 JOB
POTENTIAL
STE DESCRIPTION OF JOB STEP POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
HAZARD
P
▪ Drop ▪ Body injury ▪ Safe work practise by following ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
object ▪ Property damage method to transfer material Leader/ ▪ Medical Treatment ▪ Medic
▪ To install barricade and warning Supervisor ▪ Stop Work
sign beneath work area ▪ Rigger
▪ Wear steel toe safety shoes
6. Handle and transfer material or ▪ Personnel Falling from height ▪ Safe work practise by following ▪ EBSB Work ▪ WAH Rescue ▪ RAH
job piece manually by hand at Working at sequence of erecting or Leader/ ▪ Apply First Aid ▪ First aider
height height >2m dismantling scaffold Supervisor ▪ Stop work ▪ Medic
▪ 3-point contact during climbing ▪ All worker with
ladder WAH level 1
▪ Install life line for area that
doesn’t have anchorage
▪ Competent personnel (WAH Level
1)
▪ Wear full body harness with
double lanyard
▪ Ensure 100% tie-off
▪ Ensure safety helmet chin strap
fastened
▪ Wear rubber coated gloves
▪ Heavy load ▪ Back injury ▪ Competent personnel / correct ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
▪ Muscle injury procedure for rigging and slinging Leader/ ▪ Medical Treatment ▪ Medic
technique Supervisor ▪ Stop Work
▪ Correct lifting technique ▪ Rigger
▪ Assign enough man power
▪ Utilize mechanical lifting gear for
loading and unloading
▪ Drop ▪ Body injury ▪ Safe work practise by following ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
object ▪ Property damage method to transfer material Leader/ ▪ Medical Treatment ▪ Medic
▪ To install barricade and warning Supervisor ▪ Stop Work
sign beneath work area ▪ Rigger
▪ Wear steel toe safety shoes
7. To put back the material to ▪ Sharp ▪ Hand injury ▪ Correct hand and finger ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
designated area edges ▪ Cut injury placement Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify/remove sharp edges and Supervisor ▪ Stop Work
cover with cotton rags ▪ Rigger
▪ Wear rubber coated gloves
▪ Always be alert on surrounding
▪ Heavy load ▪ Back injury ▪ Competent personnel / correct ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
▪ Muscle injury procedure for rigging and slinging Leader/ ▪ Medical Treatment ▪ Medic
technique Supervisor ▪ Stop Work
▪ Correct lifting technique ▪ Rigger
▪ Assign enough man power
▪ Utilize mechanical lifting gear for
loading and unloading
▪ Pinch point ▪ Hand and finger injury ▪ Identify pinch point and loading ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
the material one by one. Leader/ ▪ Medical Treatment ▪ Medic
Supervisor ▪ Stop Work
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 JOB
POTENTIAL
STE DESCRIPTION OF JOB STEP POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
HAZARD
P
▪ Correct hand and finger ▪ Rigger
placement
▪ Always be alert on surroundings
and identify pinch point
▪ Wear rubber coated gloves
▪ Drop ▪ Body injury ▪ Safe work practise by following ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
object ▪ Property damage method to transfer material Leader/ ▪ Medical Treatment ▪ Medic
▪ To install barricade and warning Supervisor ▪ Stop Work
sign beneath work area ▪ Rigger
▪ Wear steel toe safety shoes
8. Remove sling ▪ Sharp ▪ Hand injury ▪ Correct hand and finger ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
edges ▪ Cut injury placement Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify/remove sharp edges and Supervisor ▪ Stop Work
cover with cotton rags ▪ Rigger
▪ Wear rubber coated gloves
▪ Always be alert on surrounding
▪ Pinch point ▪ Hand and finger injury ▪ Identify pinch point and loading ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
the material one by one. Leader/ ▪ Medical Treatment ▪ Medic
▪ Correct hand and finger Supervisor ▪ Stop Work
placement ▪ Rigger
▪ Always be alert on surroundings
and identify pinch point
▪ Wear rubber coated gloves
9. Housekeeping ▪ Unattende ▪ Slip, trip and fall ▪ Use handrail when go up/down ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
d material the stairway Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify safe access during Supervisor ▪ Stop Work
housekeeping ▪ Rigger
▪ Ensure safe placement of foot
▪ Sharp ▪ Hand injury ▪ Correct hand and finger ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
edges ▪ Cut injury placement Leader/ ▪ Medical Treatment ▪ Medic
▪ Identify/remove sharp edges and Supervisor ▪ Stop Work
cover with cotton rags ▪ Rigger
▪ Wear rubber coated gloves
▪ Always be alert on surrounding
▪ Pinch point ▪ Hand and finger injury ▪ Identify pinch point and loading ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
the material one by one. Leader/ ▪ Medical Treatment ▪ Medic
▪ Correct hand and finger Supervisor ▪ Stop Work
placement ▪ Rigger
▪ Always be alert on surroundings
and identify pinch point
▪ Wear rubber coated gloves
▪ Heavy load ▪ Back injury ▪ Competent personnel / correct ▪ EBSB Work ▪ Apply First Aid ▪ First Aider
▪ Muscle injury procedure for rigging and slinging Leader/ ▪ Medical Treatment ▪ Medic
technique Supervisor ▪ Stop Work
▪ Correct lifting technique ▪ Rigger
▪ Assign enough man power
▪ Utilize mechanical lifting gear for
loading and unloading
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 JHA NO.

PTW NO

WORK PERMIT TYPE

FACILITY

LOCATION

SPECIFIC WORKSITE

EQUIPMENT NO.

WORK DESCRIPTION

JHA APPROVAL DURING PTW APPLICATION

WORK LEADER APPROVED BY

NAME NAME

DESIGNATION DESIGNATION PRODUCTION Supervisor / MAINTENANCE Supervisor/OIM

SIGNATURE SIGNATURE

DATE DATE

WORK TEAM (CONFIRMATION THAT JHA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OF PREJOB/TOOLBOX MEETING)
Name(s) Designation Signature Name(s) Designation Signature

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