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Template Identifier 240-43921804 6

v
Occupational Health
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Services Document Identifier 240-58314417 8
v
Person Job Specification Effective Date January 2019
Review Date January 2022

INSTRUCTIONS

 This form to be completed by the manager assigned duties in terms of the Occupational Health and Safety Act for each individual worker, or collectively where hazards are common to a
group of workers or to a work exposure category.
 This form to be updated at each of the following instances:
- Prior to a pre-placement or periodic medical examination or whenever Health Risk Assessment (HRA and/or Occupational hygiene surveys/measurements) changes
- After any change of a worker’s environment or activities
- After any change in the worker’s health status
 This document forms the basis for compiling a worker’s occupational risk exposure profile and is to be included in the worker’s personal medical record for the prescribed period.

 Occupational hazards/environmental stressors:

- Where the hazards do not have stipulated standards/OELs/BEIs, the “measured exposure levels and standard OEL/BEIs” must be indicated as “Not applicable”.
- Where Occupational Hygiene measurements are not required, it must be indicated as “Not required”.
- Where Occupational Hygiene measurements are required but not conducted, it must be indicated as “Not conducted”.
- Greyed out areas must not be completed.
- Where an employee is not exposed to a hazard, Risk rating (H/M/L) must not be marked.

NAME UNIQUE NO DATE COMPLETED

JP Borley 4001326

DESIGNATION WORKPLACE DIVISION DEPARTMENT

Principle Plant Operator Matla Power Station Generation Operating

SHORT DESCRIPTION OF KEY PERFORMANCE AREAS AND CRITICAL TASKS (As per job description) % TIME

AS per job description or add tasks as per key performance areas Per task and must add up to
100%

WORK ENVIRONMENT AND ACTIVITY HAZARDS (Indicate with Yes/No)

LIST IDENTIFIED HAZARDS EXPOSED RISK RATING AS EXPOSURES TIME MEASURED EXPOSURE STANDARD/OELs or BEIs
Yes/No PER HIRA Frequency and LEVELS
(As per Health Risk Assessment) duration of (As per Occupational (See applicable table as per
High = H exposure Hygiene Surveys) OHS Act (1, 2 or 3))
Medium = M Note: Where applicable
apply defined action levels
Low = L
(Please mark with x)

H M L

1. Physical agents
Yes
- Exposure to noise above 85dB(A) X Coal plant hopper 90- ≤ 85 dB(A) 8-hour
95dB(A) equivalent exposure

Boiler 64ml 82-

93dB(A)

Turbine 0ml 67-

Public
When downloaded from the document management system, this document is uncontrolled and the responsibility rests with
the user to ensure it is in line with the authorised version on the system.
No part of this document may be reproduced without the expressed consent of the copyright holder, Eskom Holdings SOC
Ltd, Reg No 2002/015527/30.

Page 1 of 7
File name: 240-58314417 Occupational Health Services Person Job Specification
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Template Identifier 240-43921804 6
v
Occupational Health
Re
Services Document Identifier 240-58314417 8
v
Person Job Specification Effective Date January 2019
Review Date January 2022

LIST IDENTIFIED HAZARDS EXPOSED RISK RATING AS EXPOSURES TIME MEASURED EXPOSURE STANDARD/OELs or BEIs
Yes/No PER HIRA Frequency and LEVELS
(As per Health Risk Assessment) duration of (As per Occupational (See applicable table as per
High = H exposure Hygiene Surveys) OHS Act (1, 2 or 3))
Medium = M Note: Where applicable
apply defined action levels
Low = L
(Please mark with x)

H M L

95.7dB(A)

Turbine 16 ml 88-
89.5dB(A)
No
≤ 100 mSv in 5 years and
- Exposure to ionizing radiation X
≤ 50 mSv 1-year maximum
Yes
X As per permit to work
and Plant Safety
Regulations – see
separate certificates
- Exposure to thermal environment (Hot) issued ≤ 30WBGT
No
Ash & Dust 6h30: -3oC
Security 6h30 : -5oC
0mTurbine 2h00 : -2oC
WTP 2h00: -2oC

- Exposure to thermal environment (Cold) ≥ 6⁰C Dry-bulb Temp

No
- Illumination
No
- Indoor Air Quality
No ≤ 1,15 m/s2 - Whole-body
vibration
- Exposure to vibration (Indicate whether it is
vibrating tools (hand-arm vibration) or vibrating ≤ 5 m/s2 - Hand-arm
platforms (whole-body vibration) vibration

2. Hazardous Chemical Agents

(indicate names and whether they are skin and/or
respiratory sensitizers)
No
Unit 2 precips ≤ 0.1 mg/m3 8-hour
0.037mg/m3 equivalent exposure

Slurry plant outside

- Exposure to crystalline silica dust offices 0.306mg/m3
No
≤ 5 mg/m3 (ACGIH) 8-hour
- Exposure to welding fumes (Indicate fumes of equivalent exposure
concern)
Yes ≤ 10 mg/m3 Total Dust
Unit 3 precips 0.166
X mg/m3 ≤ 5 mg/m3 Respirable dust

Slurry plant personal

- Exposure to fly ash sample (overload)
Yes
Unit 3 D mill ≤ 2 mg/m3 8-hour
X 0.9138mg/m3 equivalent exposure

Coal staith
0.296mg/m3

Bunker 1.226 -
- Exposure to coal dust 2.123mg/m3

Public
When downloaded from the document management system, this document is uncontrolled and the responsibility rests with
the user to ensure it is in line with the authorised version on the system.
No part of this document may be reproduced without the expressed consent of the copyright holder, Eskom Holdings SOC
Ltd, Reg No 2002/015527/30.

Page 2 of 7
File name: 240-58314417 Occupational Health Services Person Job Specification
 Re
Template Identifier 240-43921804 6
v
Occupational Health
Re
Services Document Identifier 240-58314417 8
v
Person Job Specification Effective Date January 2019
Review Date January 2022

LIST IDENTIFIED HAZARDS EXPOSED RISK RATING AS EXPOSURES TIME MEASURED EXPOSURE STANDARD/OELs or BEIs
Yes/No PER HIRA Frequency and LEVELS
(As per Health Risk Assessment) duration of (As per Occupational (See applicable table as per
High = H exposure Hygiene Surveys) OHS Act (1, 2 or 3))
Medium = M Note: Where applicable
apply defined action levels
Low = L
(Please mark with x)

H M L
No
≤ 0.2 f/ml 4-hour
- Exposure to regulated asbestos fibres equivalent exposure

≤ 0.10 mg/m3 organic Lead

X Welding workshop <
- Exposure to lead 0.001mg/m3 ≤ 0.15 mg/m3 inorganic Pb

- Add additional Hazardous Chemical Agents where No Sulphur SO2 Chem

not listed above offloading bulk &SO3
bulk unit 1 road &
SO2 16ml unit 2 = all
<0.01mg/m3

Ammonia NH3 –
Chem Services WTP =
0.195 mg/m3 & Bulk
offloading = 0.067
mg/m3

Acetone (VOC)
Welding workshop <
0.20mg/m3 &
Flammable liquid
main store =
<0.005mg/m3 & Chem
services bulk
offloading
0.159mg/m3 & UMMD
workshop
0.049mg/m3

Toluene as VOC
Welding workshop
<0.021mg/m3 &
Flammable liquid
main store =
<0.018mg/m3 & Chem
services bulk
offloading
0.0.088mg/m3&
UMMD workshop
0.009mg/m3

Xylene as VOC
Welding workshop
<0.022mg/m3 &
Flammable liquid
main store =
<0.017mg/m3 & Chem
services bulk
offloading
0.0.029mg/m3&
UMMD workshop
0.026mg/m3

Perchloroethylene as
VOC Welding
workshop

Public
When downloaded from the document management system, this document is uncontrolled and the responsibility rests with
the user to ensure it is in line with the authorised version on the system.
No part of this document may be reproduced without the expressed consent of the copyright holder, Eskom Holdings SOC
Ltd, Reg No 2002/015527/30.

Page 3 of 7
File name: 240-58314417 Occupational Health Services Person Job Specification
 Re
Template Identifier 240-43921804 6
v
Occupational Health
Re
Services Document Identifier 240-58314417 8
v
Person Job Specification Effective Date January 2019
Review Date January 2022

LIST IDENTIFIED HAZARDS EXPOSED RISK RATING AS EXPOSURES TIME MEASURED EXPOSURE STANDARD/OELs or BEIs
Yes/No PER HIRA Frequency and LEVELS
(As per Health Risk Assessment) duration of (As per Occupational (See applicable table as per
High = H exposure Hygiene Surveys) OHS Act (1, 2 or 3))
Medium = M Note: Where applicable
apply defined action levels
Low = L
(Please mark with x)

H M L

<0.026mg/m3 &
Flammable liquid

3. Exposure to Hazardous Biological Agents

(indicate names of viruses, bacteria, fungi, etc)
No

4. Ergonomic stressors
No
- Use of driven machinery (indicate names)
No
- Awkward or strenuous climbing
No
- Strenuous physical work (Strenuous physical work
is something done with increased physical energy or
force, may include repetitive work, localised pressure
exertions)
Yes
- Computer work X
Yes
- Posture: Sitting; Standing; Bending (Specify) X
Yes
- Walking: Even terrain; uneven terrain (Specify X
typical working environments in relation to work-
activities and fitness for duty required)

No
5. Psychosocial stressors

- Shift work (especially between 23:00 and 06:00 Yes

hours inclusive) X

No
- Extended period away from home (≤ 2 weeks)

6. Other hazards

- Exposure to non-ionizing radiation (exposure to No

sunlight)
No
- Live-line work
Yes
- Electrical contact X

No
- Driving

Public
When downloaded from the document management system, this document is uncontrolled and the responsibility rests with
the user to ensure it is in line with the authorised version on the system.
No part of this document may be reproduced without the expressed consent of the copyright holder, Eskom Holdings SOC
Ltd, Reg No 2002/015527/30.

Page 4 of 7
File name: 240-58314417 Occupational Health Services Person Job Specification
 Re
Template Identifier 240-43921804 6
v
Occupational Health
Re
Services Document Identifier 240-58314417 8
v
Person Job Specification Effective Date January 2019
Review Date January 2022

LIST IDENTIFIED HAZARDS EXPOSED RISK RATING AS EXPOSURES TIME MEASURED EXPOSURE STANDARD/OELs or BEIs
Yes/No PER HIRA Frequency and LEVELS
(As per Health Risk Assessment) duration of (As per Occupational (See applicable table as per
High = H exposure Hygiene Surveys) OHS Act (1, 2 or 3))
Medium = M Note: Where applicable
apply defined action levels
Low = L
(Please mark with x)

H M L

No
- Working in confined spaces
No
- Working at heights
No
- Animal and insect bites (Specify)
No
- Add additional/other hazards not listed above

7. Handling of food
No

Public
When downloaded from the document management system, this document is uncontrolled and the responsibility rests with
the user to ensure it is in line with the authorised version on the system.
No part of this document may be reproduced without the expressed consent of the copyright holder, Eskom Holdings SOC
Ltd, Reg No 2002/015527/30.

Page 5 of 7
File name: 240-58314417 Occupational Health Services Person Job Specification
 Re
Template Identifier 240-43921804 6
v
Occupational Health
Re
Services Document Identifier 240-58314417 8
v
Person Job Specification Effective Date January 2019
Review Date January 2022

REQUIRED PHYSICAL ATTRIBUTES (3) ESSENTIAL (2) IMPORTANT (1) NOT IMPORTANT

1. Hearing 3 10. Stamina 2

2. Visual Activity 3 11. Mobility/Agility 1

3. Colour Vision 1 12. Heat Tolerance 1

4. Depth Perception 1 13. No fear of Heights 1

5. Eye/Hand/Feet Co-ordination 1 14. No fear of Confined Spaces 1

6. Fine Motor Skills 1 15. Clear Speech 3

7. Balance 1 16. Communication Skills 3

8. Physical Strength 1 17. Other (specify) _________________________________________ 1

9. Mental alertness 3

PERSONAL PROTECTIVE EQUIPMENT REQUIRED FOR JOB (Please tick with x)

1. Hard Hat with a Chin Strap X 11. Face Shield

2. Respirator 12. Self-contained Breathing Apparatus (SCBA)

3. Hearing Protection X 13. Fire specific PPE: X

X 13.1 Fire Helmet X

4. Safety Boots

X 13.2 Rescue Helmet X

5. Safety Goggles

X 13.3 Bunker Coat X

6. Dust Mask

X 13.4 Bunker Trousers X

7. Overall

X 13.5 Rescue Overall (flight suit)

8. Rainwear

9. Apron Spats 13.6 Breathing Mask (BA) X

10. Safety Harness 14. Safety Gloves X

15. Other PPE (specify) ________________________________________

Public
When downloaded from the document management system, this document is uncontrolled and the responsibility rests with
the user to ensure it is in line with the authorised version on the system.
No part of this document may be reproduced without the expressed consent of the copyright holder, Eskom Holdings SOC
Ltd, Reg No 2002/015527/30.

Page 6 of 7
File name: 240-58314417 Occupational Health Services Person Job Specification
 Re
Template Identifier 240-43921804 6
v
Occupational Health
Re
Services Document Identifier 240-58314417 8
v
Person Job Specification Effective Date January 2019
Review Date January 2022

I, THE RESPONSIBLE MANAGER, IN CONSULTATION WITH OCCUPATIONAL HYGIENE OR SAFETY PRACTITIONER/ MANAGER, DECLARE THAT THE INFORMATION PROVIDED
ON THIS PESON JOB SPECIFICATION IS TO THE BEST OF MY KNOWLEDGE CORRECT, APPLICABLE AND RELEVANT TO THE WORK ENVIRONMNET, ACTIVITIES AND
HAZARDS OF THE APPLICABLE EMPLOYEE.

OCCUPATIONAL HYGIENE OR SAFETY OCCUPATIONAL HEALTH

RESPONSIBLE MANAGER EMPLOYEE
PRACTITIONER/ MANAGER PRACTITIONER

NAME (PLEASE PRINT) H. Nel J P Borley

SIGNATURE

DATE

Public
When downloaded from the document management system, this document is uncontrolled and the responsibility rests with
the user to ensure it is in line with the authorised version on the system.
No part of this document may be reproduced without the expressed consent of the copyright holder, Eskom Holdings SOC
Ltd, Reg No 2002/015527/30.

Page 7 of 7
File name: 240-58314417 Occupational Health Services Person Job Specification