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JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT COLD WORK


TYPE
FACILITY LOCATION BANANG SPECIFIC
WORKSTATION
EQUIPMENT NO. WORK Visual Inspection and MPI
DESCRIPTION

JOB DESCRIPTION OF JOB POTENTIAL ACTION RECOVERY ACTION


POTENTIAL HAZARD CONTROL BARRIERS
STEP STEP CONSEQUENCES PARTY BARRIERS PARTY

1. Obtain PTW and prepare JSA Failure to understand work Missed • Ensure that the JSA & tool CO • First Aid MEDIC/CO
Pre tool box meeting instruction. Not following Communication box talk are done. R.TABOUT • Stop work
safety guide line on PTW • Safety operation procedure
and safety operation have been clarified to all
procedure concern Parties
2. Check Working area Fall, Slip, Trip Body injuries • Clear any hazard CO • Stop work MEDIC/CO
Overhead object • walk clearly R.TABOUT • Procedures
BANKSMAN

3. Prepare equipment Sharp and heavy object, Equipment • Mandatory PPE CO • Stop work MEDIC/CO
Cut/Puncture damage • Hand glove R.TABOUT • Procedures
BANKSMAN
Hand injuries

4. Pre-cleaning Loose wire brushes Flung Eye • Check the conditions of CO • Emergency Response MEDIC/CO
over contact with short exposed to equipment before use R.TABOUT Plan
circuit and item falling from danger • Always wear eye protection, BANKSMAN • Stop Work
high places Ear plug and face shield • Procedures
High noise • All electrical equipment
from checked for fitness and
chipping connections
tool

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5. Visual Inspection / MPI Breathing distractions, Breathing a • PTW R.TABOUT • Emergency Response MEDIC/CO
Suffication, eyes and skin bad gas • Always wear eye protection, BANKSMAN Plan
irritation ear plug and face shield • Stop Work
• Procedures

6. Housekeeping work area. Slip, trip Slip & fall • Ensure the work site must CO • First aid MEDIC/CO
Pinch point. be cleaned, tidy up R.TABOUT • Spill clean-up kit
• Use proper PPE, All tools BANKSMAN •
returned in good Condition

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