A R J A N

IN - TECH INC. JOB HAZARD ANALYSIS FORM

Name of the Company : MARJAN In-tech Inc. _

Scope of Work : Repainting of Fume Hood at FA Laboratory (November 5, 2022 – November 6, 2022) _________

No. of Personnel Working : ___ 3 HC_________________________________ ___________________

No. TASK TO COMPLETE THE JOB HAZARD RISK CONTROL

lifting of the ff items  FALL from Heights  BUDDY-BUDDY SYSTEM

 Slip and trip  Awareness on Eye-on-Sight
 Falling Object  Resting every floor when
traversing the stairs
 Wear Safety Shoes
Working above the 2 meters  Slip and Trip  BUDDY-BUDDY SYSTEM
Using ladder  Falling Object  Awareness on Eye-on-Sight
 Caught in between tools  Wear Safety Shoes
 Use PPE

Use of Sharp tools  Caught in between  Use PPE (gloves, Goggles)

Scrapping of rusted area  Caught in between
 Dust particle harmful to
eyes
Painting works  Chemical inhalation
through skin, mouth and
nose.
 Proper tool handling
 Use PPE (Gloves, goggles)
 Proper tool handling
 Use PPE (Gloves, goggle, face
mask)
 Proper tool handling

APPROVAL
AUTHORITY NAME SIGNATURE/Date
PROJECT OWNER

EHS REPRESENTATIVE

JHA must be approved before starting the job. Use additional sheet/s if necessary.