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APPENDIX II JOB HAZARD ANALYSIS HOW TO USE THIS FORM : Installation/Facility PMO 1) Crew performing task reviews ALL generic JHA considerations. Location 2) Review previous JHA update(s) for useful information which will help this task. Associated Work Permit Type 3) Create new JHA update with generic form and ALL considerations for this task. Associated Work Permit 4) Carry out task as per plan. If any conditions change ---STOP & RE-ASSESS. Electrical Isolation 5) File JHA update for future reference. Physical Isolation WORK ACTIVITY Site Visit For ADV Upgrading Job Preparation JHA Cross-Reference Number Job Step Description of Job Step Potential Hazard/s L S R Control / Recovery Measures L S R Result 1 Preparation for PTW Failure will cause damage to equipment and personnel 2 3 6 Applicant, authorizing, approval, signatories be familiar with the job. Competent personnel to 1 1 1 Acceptabl e 2 Tools / equipment preparation Failure of equipment / tools used can cause accident and personal 2 3 6 Correct tools to be used 1 1 1 Acceptabl e 3 Step Back 2x2 Fail to identify hazards associated with the job 2 3 6 Stop work Access the situation 1 1 1 Acceptabl e 4 Emergency while working Panic Fail to follow emergency procedure 2 3 6 Work in pair Muster at mustering station 1 1 1 Acceptabl e 5 6 C A R IG ALI PETRONAS

Jha to Perform on-site Verification for Glycol Reboiler

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Page 1: Jha to Perform on-site Verification for Glycol Reboiler

CARIGALIPETRONAS

APPENDIX II

JOB HAZARD ANALYSIS

HOW TO USE THIS FORM : Installation/Facility PMO1) Crew performing task reviews ALL generic JHA considerations. Location2) Review previous JHA update(s) for useful information which will help this task. Associated Work Permit Type3) Create new JHA update with generic form and ALL considerations for this task. Associated Work Permit Number4) Carry out task as per plan. If any conditions change ---STOP & RE-ASSESS. Electrical Isolation Certificate Number 5) File JHA update for future reference. Physical Isolation Certificate Number WORK ACTIVITY Site Visit For ADV Upgrading Job Preparation JHA Cross-Reference Number

JobStep

Description ofJob Step

PotentialHazard/s

L S R Control / RecoveryMeasures

L S R Result

1 Preparation for PTW Failure will cause damage to equipment and personnel

2 3 6 Applicant, authorizing, approval, signatories be familiar with the job. Competent personnel to conduct the operation

1 1 1 Acceptable

2 Tools / equipment preparation Failure of equipment / tools used can cause accident and personal injury

2 3 6 Correct tools to be used 1 1 1 Acceptable

3 Step Back 2x2 Fail to identify hazards associ-ated with the job

2 3 6 Stop workAccess the situation

1 1 1 Acceptable

4 Emergency while working PanicFail to follow emergency proced-ure

2 3 6 Work in pairMuster at mustering station

1 1 1 Acceptable

5

6

Page 2: Jha to Perform on-site Verification for Glycol Reboiler

CARIGALIPETRONAS

JOB HAZARD ANALYSIS

L - LIKELIHOOD S - SEVERITY SEVERITY

R - RATING RESULT

CATEGORY DEFINI-TION

CATEGORY DEFINITIONS H 3 6 9 6 - 9 UNACCEPTABLE

LOW 1 Remote LOW 1 No Injury No Damage No Pollution M 2 4 6 3 - 4 TOLERABLE

MEDIUM 2 Possible MEDIUM 2 Non LTI Minor Damage Minor Pollution L 1 2 3 1 - 2 ACCEPTABLE

HIGH 3 Probable HIGH 3 Lost Time Injury Major Damage Major Pollution L M H

IS THERE A SAFER WAY TO COMPLETE THE JOB ? ARE THERE ALTERNATIVES WITH LESS RISK ? LIKELIHOOD

JHA Num-ber

TASK SAFETY MANAGEMENT OUTLINE Date This JHA Created : 1st Sept, 2012

Date JHA Last Revised : 1st Sept, 2012

WORK ACTIVITY EQUIPMENTType of Equipment Manufacturer Tag. No. Precise Work Site

Glycol Reboiler PROSER Glycol ReboilerWORK ACTIVITY PARTICIPANTS THIS JHA CREATED BY

Name Discipline Position Performed Job Before?

Name Discipline Position

Mechanical Engineer No Instrument ManagerWORK ACTIVITY RESPONSIBILITY JHA SUBMITTED BY JHA ACCEPTED BY

WORK LEADER RECEIVING AUTHORITY APPROVING AUTHORITYName : Name Name :-

Signature :- Signature :- Signature :-

Page 3: Jha to Perform on-site Verification for Glycol Reboiler

CARIGALIPETRONAS

APPENDIX II

JOB HAZARD ANALYSIS

Date :- Date :- Date :-

Time :- Time :- Time :-