JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE COLD

FACILITY LOCATION SPECIFIC WORKSTATION

EQUIPMENT NO. WORK PERFORM HACKING AND EXCAVATION

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

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 syndrome workstation (Above 37.5 C Refer to Supervisor suspected case
19 ▪ Respiratory infections 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. Perform scanning for underground ▪ Improper ▪ Back pain ▪ Proper handling technique ▪ SBGAST ▪ Apply first aid ▪ First aider
cable handling ▪ Sprain ▪ Wear appropriate hand gloves Operation ▪ Medical treatment ▪ Medic
technique ▪ Body injury ▪ EBSB Work ▪ Stop work
Leader/
Supervisor
▪ Rigger
▪ Tripping ▪ Body injury ▪ Area is accessible and free from any ▪ EBSB Work ▪ Apply first aid ▪ First aider
hazard obstruction objects Leader/ ▪ Medical treatment ▪ Medic
▪ Perform housekeeping ▪ Stop work
Supervisor
▪ Always be alert on surroundings
▪ Rigger
3. Backhoe routine inspection before ▪ Improper ▪ Sprained ankle ▪ Practice correct manual handling ▪ EBSB Work ▪ Apply First Aid ▪ First aider
commencing work manual ▪ Sprained wrist technique and momentum of the Leader/ ▪ Stop Work ▪ Medic
handling ▪ Leg/ body/ hand/ head injury body weight to initiate
Supervisor
▪ Proper handling technique
▪ Use buddy system

4. Finding placement for backhoe ▪ Backhoe ▪ Body injury ▪ Ensuring the operator inspect the ▪ Site Supervisor ▪ Apply First Aid ▪ First aider
with good ground stability at topple ▪ fatality surrounding of the worksite for ▪ Stop Work ▪ Medic
worksite ▪ Damage of property suitable ground stability
JOB POTENTIAL CONTROL BARRIERS ACTION PARTY
DESCRIPTION OF JOB STEP POTENTIAL CONSEQUENCES RECOVERY BARRIERS ACTION PARTY
STEP HAZARD

▪ Moving ▪ Body injury ▪ Trained signalman will alert the ▪ Site Supervisor ▪ Apply First Aid ▪ First aider
outrigger ▪ Damage of property operator if obstruction is existing ▪ Stop Work ▪ Medic
hitting for outrigger to fully extend
workers
or
property
5. Perform excavation ▪ Machine ▪ Overswing ▪ Machine operator work with ▪ EBSB Work ▪ Use suitable hand glove(rubber ▪ First aider
bucket ▪ Hand & finger Injury supervision of work leader Leader/ glove) ▪ Medic
movemen ▪ Use proper hand glove ▪ First Aid treatment
Supervisor
t. ▪ Buddy system
▪ Pinch ▪ Rigger
point.

6. Transfer of excavated material out ▪ Heavy ▪ Back injury, body injury ▪ Use correct load carrying and ▪ EBSB Work ▪ Apply First Aid • First aider
of trench (manual & mechanically) load transferring techniques Leader/ ▪ Medical Treatment • Medic
▪ Buddy system ▪ Stop Work
Supervisor
▪ Rigger
▪ Falling ▪ Head injury ▪ Deposit excavated material at safe ▪ EBSB Work • Apply First Aid • First aider
object distance away from trench (1-meter Leader/ • Medical Treatment • Medic
distance)
Supervisor • Stop Work
▪ Wear safety helmet
▪ Rigger
7. Enter the trench ▪ Uneven ▪ Slip, trip and fall ▪ Ensure proper signage in place ▪ EBSB Work ▪ Apply First Aid • First aider
surface ▪ Leg and foot injury Leader/ ▪ Medical Treatment • Medic
▪ Remind all personnel to be careful ▪ Stop Work
of stepping position Supervisor
▪ Use handrail when go up/down the ▪ Rigger
stairway
▪ Ensure safe placement of foot
8. Perform manual work inside trench ▪ Hazardou ▪ Suffocation ▪ Perform gas test by authorized gas ▪ AGT • Apply First Aid • First aider
s tester prior entering the trench ▪ EBSB Work • Medical Treatment • Medic
gases/low ▪ Install ventilation Leader/ • Deploy rescue team
oxygen
Supervisor
content
9. Egress from trench ▪ Uneven ▪ Slip, trip and fall ▪ Ensure proper signage in place ▪ EBSB Work ▪ Apply First Aid • First aider
surface ▪ Leg and foot injury ▪ Remind all personnel to be careful Leader/ ▪ Medical Treatment • Medic
of stepping position ▪ Stop Work
Supervisor
▪ Ensure safe placement of foot
▪ Rigger
10. Housekeeping ▪ Incorrect ▪ Back injury ▪ Practice correct manual handling ▪ EBSB Work ▪ Apply First Aid • First aider
manual technique and momentum of the Leader/ ▪ Medical Treatment • Medic
handling body weight to initiate ▪ Stop Work
Supervisor
▪ Proper handling technique
▪ Use buddy system ▪ Rigger
▪ Pinch ▪ Hand and finger injury ▪ Use the right tools for the right job ▪ EBSB Work ▪ Apply First Aid • First aider
point ▪ Mark pinch point and aware on the Leader/ ▪ Medical Treatment • Medic
pinch point ▪ Stop Work
Supervisor
▪ Wear rubber coated hand glove
▪ Rigger
▪ Correct hand placement
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