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JOB HAZARD ANALYSIS [JHA] WORKSHEET JHA NO. PTW NO WORK PERMIT TYPE COLD FACILITY SOGT LOCATION SOGT SPECIFIC WORKSTATION EQUIPMENT NO. WORK DESCRIPTION Perform Manual Excavation and Cleaning the drain. NOTE 1. JHA shall be applicable for all work activities which requires PTW. 2. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures developed for the job. The Work/Operating Procedures shall describe, in step-by-step instructions, the correct method of executing the specified work. 3. Prior to commencement of work, the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained therein shall be fully understood and agreed by all involved personnel. JOB STEP DESCRIPTION OF JOB STEP POTENTIAL HAZARD POTENTIAL IMPACT INHERENT RISK CONTROL BARRIERS RECOVERY BARRIERS RESIDUAL RISK RESULT RATING LEVEL RATING LEVEL 1 Site preparation. Mobilize all machinery, equipments and tools to site Incorrect manual handling Personnel injury (back injury, body injury) D2 M Correct lifting technique. Assign enough manpower Medical treatment D1 L Acceptable Pinch point Hand and finger injury D2 M Use the right tools for the right job; Mark pinch point and awareness on pinch point. Wear Cotton glove Wear hand glove Medical treatment D1 L Acceptable Excavation work Spark produced due to fraction between iron and rock Personnel injury / Explosion / Fire / Property damage B3 H AGT shall perform gas testing at site and it’s surrounding to ensure no flammable gas present. Any area which suspected for present of flammable gas, excavation work shall be done manually. B1 L Acceptable Flying object or debris Personnel injury B2 M Barricade and safety signage shall be in place to inform other personnel for the work currently ongoing. Ensuring no body entering excavation area. Personnel shall be not allowed to work within the barricaded area. Personnel who allowed to work within the barricaded area shall wear full PPE. i.e. safety glass, face shield and etc. B1 L Acceptable Incorrect body posture Personnel injury (back injury, body injury) D2 M Correct technique. Assign enough manpower Suitable hand tools for the excavation work Medical treatment D1 L Acceptable Slip, trip and fall Physical injury D2 M Do not use worn shoes Ensure work area are clean from other debris or slippery surface First aid D1 L Acceptable 2 Perform backfilling work Incorrect body posture Personnel injury (back injury, body injury) D2 M Correct technique. Assign enough manpower Suitable hand tools for the excavation work Medical treatment D1 L Acceptable Spark produced due to fraction between iron and rock Personnel injury / Explosion / Fire / Property damage B3 H AGT shall perform gas testing at site and it’s surrounding to ensure no flammable gas present. Any area which suspected for present of flammable gas, excavation work shall be done manually. B1 L Acceptable Flying object or debris Personnel injury B2 M Barricade and safety signage shall be in place to inform other personnel for the work currently ongoing. Ensuring no body entering excavation area. Personnel shall be not allowed to work within the barricaded area. Personnel who allowed to work within the barricaded area shall wear full PPE. i.e. safety glass, face shield and etc. B1 L Acceptable Slip, trip and fall Physical injury D2 M Do not use worn shoes Ensure work area are clean from other debris or slippery surface First aid D1 L Acceptable

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  • JOB HAZARD ANALYSIS [JHA] WORKSHEET

    JHA NO. PTW NO WORK PERMIT TYPE COLD

    FACILITY SOGT LOCATION SOGT SPECIFIC WORKSTATION

    EQUIPMENT NO. WORK

    DESCRIPTION

    Perform Manual Excavation and Cleaning the drain.

    NOTE 1. JHA shall be applicable for all work activities which requires PTW.

    2. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures developed for the job. The Work/Operating Procedures shall describe, in step-by-step instructions, the correct method of executing the specified work. 3. Prior to commencement of work, the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained therein shall be fully understood and agreed by all involved personnel.

    JOB STEP

    DESCRIPTION OF JOB STEP POTENTIAL

    HAZARD POTENTIAL IMPACT

    INHERENT RISK CONTROL BARRIERS RECOVERY BARRIERS

    RESIDUAL RISK RESULT

    RATING LEVEL RATING LEVEL

    1 Site preparation. Mobilize all

    machinery, equipments and tools to site

    Incorrect

    manual handling

    Personnel injury (back injury,

    body injury)

    D2 M Correct lifting technique.

    Assign enough manpower

    Medical treatment D1 L Acceptable

    Pinch point Hand and finger injury D2 M Use the right tools for the right job;

    Mark pinch point and awareness on

    pinch point. Wear Cotton glove

    Wear hand glove

    Medical treatment

    D1 L Acceptable

    Excavation work Spark produced due

    to fraction between iron

    and rock

    Personnel injury / Explosion / Fire / Property damage

    B3 H AGT shall perform gas testing at site

    and its surrounding to ensure no flammable gas present.

    Any area which suspected for present

    of flammable gas, excavation work shall be done manually.

    B1 L Acceptable

    Flying object or debris

    Personnel injury B2 M Barricade and safety signage shall be in

    place to inform other personnel for the work currently ongoing.

    Ensuring no body entering excavation

    area.

    Personnel shall be not allowed to

    work within the barricaded area. Personnel who allowed to work within

    the barricaded area shall wear full

    PPE. i.e. safety glass, face shield and etc.

    B1 L Acceptable

    Incorrect body

    posture

    Personnel injury (back injury,

    body injury)

    D2 M Correct technique.

    Assign enough manpower

    Suitable hand tools for the excavation

    work

    Medical treatment D1 L Acceptable

    Slip, trip and

    fall Physical injury D2 M

    Do not use worn shoes

    Ensure work area are clean from other

    debris or slippery surface

    First aid D1 L Acceptable

    2 Perform backfilling work Incorrect body posture

    Personnel injury (back injury, body injury)

    D2 M Correct technique.

    Assign enough manpower

    Suitable hand tools for the excavation

    work

    Medical treatment D1 L Acceptable

    Spark produced due

    to fraction between iron

    and rock

    Personnel injury / Explosion / Fire / Property damage

    B3 H AGT shall perform gas testing at site

    and its surrounding to ensure no flammable gas present.

    Any area which suspected for present

    of flammable gas, excavation work shall be done manually.

    B1 L Acceptable

    Flying object or debris

    Personnel injury B2 M Barricade and safety signage shall be in

    place to inform other personnel for the work currently ongoing.

    Ensuring no body entering excavation

    area.

    Personnel shall be not allowed to

    work within the barricaded area. Personnel who allowed to work within

    the barricaded area shall wear full

    PPE. i.e. safety glass, face shield and etc.

    B1 L Acceptable

    Slip, trip and

    fall Physical injury D2 M

    Do not use worn shoes

    Ensure work area are clean from other

    debris or slippery surface

    First aid D1 L Acceptable

  • JOB HAZARD ANALYSIS [JHA] WORKSHEET

    JHA NO. PTW NO WORK PERMIT TYPE COLD

    FACILITY SOGT LOCATION SOGT SPECIFIC WORKSTATION

    EQUIPMENT NO. WORK

    DESCRIPTION

    Perform Manual Excavation and Cleaning the drain.

    NOTE 1. JHA shall be applicable for all work activities which requires PTW.

    2. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures developed for the job. The Work/Operating Procedures shall describe, in step-by-step instructions, the correct method of executing the specified work. 3. Prior to commencement of work, the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained therein shall be fully understood and agreed by all involved personnel.

    JOB STEP

    DESCRIPTION OF JOB STEP POTENTIAL

    HAZARD POTENTIAL IMPACT

    INHERENT RISK CONTROL BARRIERS RECOVERY BARRIERS

    RESIDUAL RISK RESULT

    RATING LEVEL RATING LEVEL

    3 Housekeeping Incorrect

    manual handling

    Personnel injury (back injury,

    body injury)

    D2 M Correct lifting technique.

    Assign enough manpower

    Medical treatment D1 L Acceptable

    Pinch point Hand and finger injury D2 M Use the right tools for the right job;

    Mark pinch point and awareness on

    pinch point.

    Wear Cotton glove

    Wear hand glove

    Medical treatment

    D1 L Acceptable

    Slip, trip and

    fall Physical injury D2 M

    Do not use worn shoes

    Ensure work area are clean from other

    debris or slippery surface

    First aid D1 L Acceptable

  • JHA NO. PRE-PREPARED JHA PREPARED BY

    PTW NO. DATE

    WORK PERMIT TYPE COLD NAME(S) DESIGNATION

    FACILITY SABAH OIL AND GAS TERMINAL (SOGT) SAFIUDDIN AFDAL BIN LAUDIN SITE SUPERVISOR

    LOCATION SABAH OIL AND GAS TERMINAL (SOGT)

    SPECIFIC WORKSITE

    EQUIPMENT NO.

    WORK DESCRIPTION MANUAL EXCAVATION WORK AT DRAIN

    JHA APPROVAL DURING PTW APPLICATION

    WORK TEAM (COMFORMATION THAT JHA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OF PRE-JOB/TOOLSBOX MEETINE

    WORK LEADER APPROVED BY

    NAME SAFIUDDIN AFDAL BIN LAUDIN NAME

    DESIGNATION SITE SUPERVISOR DESIGNATION PRODUCTION SUPERVISOR / MAINTENANCE SUPERVISOR

    SIGNATURE SIGNATURE

    DATE DATE

    NAME(S) DESIGNATION SIGNATURE NAME(S) DESIGNATION SIGNATURE