Serial No.

NBSB/MM/HSE/JHA/
011
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

SCOPE OF WORK / JOB TITLE: : INSTALL NEW PELMET

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
ALIA ZULAIKHA Project Engineer NBSB 14/02/2022

JHA MEMBERS: 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

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JOB HAZARD ANALYSIS (JHA) WORKSHEET
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Step Potential Hazards &

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

1 Preparation 1.1 Wrong location as 1.1.1 To inform and discuss with PDB authorized personal before start work
-Application for PTW mention (P)
-Authorization to entry work area
-Pre-Job Briefing/ Tool Box 1.2 Unauthorized person at 1.2.1 To wear appropriate safety protective equipmentasrequired in PDB safety
briefing site (P) regulation and PTW

1.3 Execution work without 1.3.1 Work shall not commence without presence of RA and Valid PTW
authorization(P,A)

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

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

Keep social distancing 1 meter from each other

1.5.3
Wear a correct face mask when entering, workingin or exiting the PDB
1.5.4 PROJECT
2. Erect mini scaffolding for 2.1 Tools/ Object falling from 2.1.1 Establish safe working area (barricade and signs).
dismantling work. height (P,R)
2.1.2 No unauthorized persons near the work zone

2.1.3 Toe-board installation

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2.1.4 Helmet chinstrap fasten & no loose items carried when at height

2.1.5 Hand tools are secured/ wearing tool bag

2.2 Working on height - 2.2.1 Only trained workers – undergone WAH training
erecting scaffold (P,A)
2.2.2 Tie off 100% of the time when wearing personal fall protection
equipment

2.2.3 Inspect personal fall protection equipment prior to and after each
use

2.2.4 Secure body harness to the lifeline

2.3 Gaining access to work at 2.3.1 Work with approved scaffold

height (P,A)
2.3.2 Scaffold inspected by competent person – green tag displayed on
beam of scaffold

2.3.3 Scaffold access ladder installed & secured

2.3.4 When climbing ladders, use the 3-point rule

2.4 Unsecure scaffold 2.4.1 Work from permanent work platforms provided with guardrails
platform (P,A) and toe boards

2.5 Scaffold collapse (P,A,R) 2.5.1 Erect scaffold as per approved standard

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2.5.2 Scaffold erected by trained workers & supervised by competent

person

2.5.3 Only approved scaffold (displayed green tag) allowed use

2.6 Scaffold imbalance 2.6.1 Outriggers of scaffolding should be tight and in good condition
/overload (P,A,R)

2.6.2 Only limited person allowed on work platform

2.6.3 Castor wheel locked type

2.6.4 Flat working surface & installed base plat

2.7 Scaffold parts & 2.7.1 All scaffold parts should be secured – competent person to verify
components
loosen (P,A,R)
2.7.2 Scaffold materials inspected before installed by erector

2.8 Access ladder (P,A) 2.8.1 The ladder inside should be incline installation (45° from base point).

2.9 Rupture or rusty scaffold 2.9.1 Scaffold components & frames inspected before bringing to the site
frame &
components(P,A,R)
2.9.2 Scaffold frame & equipment maintenance regimes

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3 Pelmet installation 3.1 Muscular damage 3.1.1 Educate the workers to identify ergonomic hazards
resulting from
incorrect or
3.1.2 Provide Lifting Tips and Techniques for Manual Handling
excessive manual
handling. (P)
3.1.3 Use mechanical lifting equipment as required

3.1.4 Buddy system applied to carry heavy equipment

3.2 Sharp edge – Hand / 3.2.1 Use cut resistance gloves

finger Injury (P)

3.3 Bad housekeeping (P,E,R) 3.3.1 Practice good housekeeping (remove obstruction in walkways,
passageways and exit routes).

3.4 Hitting fixed objects/ 3.4.1 Wear PPE – Safety Helmet

structure (P,A,R)

4 Housekeeping and 4.1 Poor Housekeeping 4.1.1 Do routine housekeeping after complete activity.
isolate the working area (P,R)

5 Closed PTW 5.1 PTW has not been hand 5.1.1 Supervisor shall ensure PTW are closed and hand over after job
over or closed (P,A) completed

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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.

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6.
7.
8.