NBSB/MM/HSE/JHA/006

Serial No.
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

SCOPE OF WORK / JOB TITLE: INSTALL NEW INLET AND OUTLET FOR PLUMBING SYSTEM

AREA / LOCATION: TAG / EQUIPMENT NO.: SERVICE / MEDIUM / METHOD :

WARM@MESRA PS SIMPANG PULAI ARAH
SELATAN

Name Department Company Date Signature

MOHD NASARUDIN BAKAR Project Director NBSB 14/02/2022

MOHD JAMSARI Site Supervisor NBSB 14/02/2022

NUREEN AISAR ASILA Project Engineer NBSB 14/02/2022

JHA MEMBERS: ALIA ZULAIKHA Project Engineer NBSB 14/02/2022

SYAZANA SAFWA Site Safety Supervisor NBSB 14/02/2022

JHA TEAM LEADER

ASHARI BAKAR SAFETY & HEALTH OFFICER PD&T 14/02/2022

REVEIWED BY
HAFIZUDDIN AZFAR HSE Engineer PD&T 14/02/2022

APPROVED BY: M SYAHARUDDIN B MOHD YUSUF Project Engineer PD&T

1
 NBSB/MM/HSE/JHA/006
Serial No.
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

Step Potential Hazards & Consequence

Step Description Control and /or Recovery Measures
No (P/E/A/R)

1 Preparation 1.1 Wrong location as mention (P) 1.1.1 To inform and discuss with PDB authorized personal
-Application for PTW before start work
-Authorization to entry work area
-Pre-Job Briefing/ Tool Box 1.2 Unauthorized person at site (P) 1.2.1 To wear appropriate safety protective
briefing equipmentasrequired in PDB safety regulation and
PTW
1.3 Execution work without 1.3.1 Work shall not commence without presence of RA and
authorization(P,A) Valid PTW

1.4 Using battery operated device in 1.4.1 Only authorized person shall be allowed for permit entry to
HAC zone (P,E) the fenced/ cordoned area.
Using battery operated device within safezone

1.5 Crowded place (P) - Exposed to 1.5.1 All workers to record temperature screening andattendance
before entering PDB Project.
Covid-19 (P,R)
Cover mouth when coughing/sneezing withtissues or a
1.5.2
flexed elbow.
1.5.3 Keep social distancing 1 meter from each other

1.5.4 Wear a correct face mask when entering, workingin or exiting

the PDB PROJECT

2. Hack the floor for chiller water 2.1 Faulty equipment (P,E,R) 2.1.1 Equipment to be inspect using checklist and tagged
pipe installation verified by P.H

2.2 Exposure to dust(P,E,R) 2.2.1 Dust suppressants using water where safe and possible
to use.

2
 NBSB/MM/HSE/JHA/006
Serial No.
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

2.2.2 Specific PPE to be complied N95 mask and safety glasses.

2.3 Hacking without isolating relevant 2.3.1 Ensure that all means of isolation are used where possible.
electrical system(P,E)
2.3.2 Ensure that all services are physically located and
marked by means of location equipment.

2.4 Exposure to noise (P,E,R) 2.4.1 Work rotation for those direct exposes to noise to minimize
it exposure hour.

2.4.2 Specific PPE to be complied ear plug or earmuff or both.

2.5 Poor housekeeping (P,E) 2.5.1 Practice good housekeeping (remove obstruction
in walkways, passageways and exit routes).

2.6 Property damage (P,E,R) 2.6.1 Ensure all item locate at safe place before start work

3. Lay the inlet and outlet pipe 3.1 Sharp item (P,A,R) 3.1.1 Ensure to wear correct PPE (e.g. Glove) when handling job

3.2 Not giving due regard to blind spots 3.2.1 Appropriate barrier and signage system.
(P,A)
3.2.2 Barrier & signage placed at reasonable distance

3.3 Moving / rotating parts (P,A,R) 3.3.1 Visually inspect and ring test

3
 NBSB/MM/HSE/JHA/006
Serial No.
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

3.3.2 Machine guards are in place and working properly

3.3.3 Unplug tools before installing, adjusting and changing

any accessory or attachment.

3.4 Exposure to dust(P,E,R) 3.4.1 Dust suppressants using water where safe and possible
to use.

3.4.2 Specific PPE to be complied N95 mask and safety glasses

4 Pour some water into the water 4.1 Water spilled to the floor (P,E,R) 4.1.1 Ensure floor cover with canvas
down pipe

4.1.2 Water container covered with tray

5 Concrete the floor to cover up the 5.1 Cement spilled to the floor (P,E) 5.1.1 Laid floor with canvas
pipe and install floor tiles.
5.2 Moving / rotating parts (P,A,R) 5.2.1 Visually inspect and ring test

5.2.2 Machine guards are in place and working properly

5.2.3 Unplug tools before installing, adjusting and changing

any accessory or attachment.

5.3 Sharp item (P,A,R) 5.3.1 Ensure to wear correct PPE (e.g. Glove) when handling job

4
 NBSB/MM/HSE/JHA/006
Serial No.
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

6 Housekeeping and isolate the 6.1 Poor Housekeeping (P) 6.1.1 Do routine housekeeping after complete activity.
working area

7 Closed PTW 7.1 PTW has not been hand over or 7.1.1 Supervisor shall ensure PTW are closed and hand over after
closed (P,A) job completed

5
 NBSB/MM/HSE/JHA/006
Serial No.
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

TOOLBOX TALK ATTENDANCE SHEET

Declaration: Work Leader / Supervisor

As the Work Supervisor/Leader, with reference to the JHA, I have conducted the toolbox talk and briefed all workers and relevant parties on the:
• Scope of work and explained the tasks’ objectives and expectations.
• Specific hazards of the tasks.
• Required control/recovery measures and identified the individual(s) responsible for implementing the controls.
• Required PPE and inspected workers’ PPE to ensure they are sufficient and fit for purpose.

Sebagai Penyelia Kerja, dengan merujuk kepada JHA, saya telah mengadakan toolbox talk dan menerangkan kepada semua pekerja dan pihak berkaitan tentang:
• Skop kerja dan objektif tugasan.
• Hazad khusus kepada tugasan.
• Kawalan-kawalan keselamatan yang perlu diambil dan mengenalpasti individu-individu yang bertanggungjawab untuk melaksanakannya.
• PPE yang perlu digunakan dan memeriksa PPE pekerja untuk memastikan ia cukup dan sesuai untuk penggunaan.
No Name Designation / Position Department / Company Date Time Signature
1.
2.
Declaration: Workers / Relevant Party
As the Worker/relevant party, I have been briefed on the contents described in the JHA by the Work Supervisor/Leader. I understand and accept what has been briefed in the
toolbox talk and will ask my Supervisor if I am in doubt when executing the job. I shall exercise my Stop Work Authority if I cannot immediately address any hazards
that may endanger myself or others around me, and report to my Work Supervisor/Leader.

Sebagai pekerja/pihak berkaitan, saya telah diterangkan tentang isi kandungan JHA oleh Penyelia Kerja. Saya faham dan menerima apa yang diterangkan dalam toolbox talk dan akan bertanya
kepada
Penyelia saya sekiranya ada keraguan semasa menjalankan tugas. Saya akan menguatkuasakan Stop Work Authority jika tidak dapat mengendalikan hazad yang boleh membahayakan saya atau orang
lain, dan melaporkan kepada Penyelia Kerja.
No Name Designation / Position Department / Company Date Signature
1.
2.
3.
4.
5.
6.
7.