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JHA (sample)

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Document no :
HSSE-GSP-P012-F01
JOB HAZARD ANALYSIS
Page 1 of 6
HRCPD
Task Title
Location
Contractor /Department
Date
: Beehive Activities
: All refinery area
: EDGENTA UEMS
:
RAM Class: RED (Red/yellow)
Method
: * Group discussion / Direct observation / Recall & check
(* Delete where not applicable)
JHA Team Members:
Designation
PERMIT APPLICANT
AUTHORISED ENGINEER
FACILITY MANAGER
HSSE REPRESENTATIVE UEMS
SUPERVISOR UEMS
Name
MOHAMAD AFIQ
Hand tools
Chemical spray pump (manual pump)
Chemical spray pump (petrol pump)
Chemical substances
Lorry
Sky lift (when required)
Site Visit Details:
Date
Name
Sign
Jayaraj
Govin
Mohamad Afiq
JAYARAJ
MOHAMAD AFIQ
Equipment Involved:
Item no.
Type of Equipment
1
2
3
4
5
6
Sign
Quantity
1 LOAD
1 UNIT
1 UNIT
1 UNIT
1 UNIT
1 UNIT
Workers Involved:
No. of
workers
Task / Occupation
To clearing beehive at refinery
area
1
JOB HAZARD ANALYSIS
Document no :
HSSE-GSP-P012-F01
Page 2 of 6
HRCPD
PPE Requirements for Task:
Note: All equipment must conform to acceptable international standard and approved by HRC Authorised Personnel
Item
Type
(* Delete where not applicable)
Compulsory Item
Additional Item
(* Delete where not applicable)
Type
Required :
Please Tick
Yes
Hard Hat
Certified
Dust Mask
Safety Specs
Safety specs
Safety Harness & Lifeline
Ear Plugs
Ear plug
Welding Face Shield
Gloves
Rigger glove
Safety Shoes
Above ankle
safety shoes
Chemical Cartridge
Respirator
Positive Breathing Apparatus
No
Apron
Coverall
Luminous Vest
Life Jacket / buoy *
Safety Torch
Low Voltage Handlamp
110 V Electrical Equipment
240 V Electrical Equipment
with ELCB
Welding set with centre
tapped earthing
2
JOB HAZARD ANALYSIS
Document no :
HSSE-GSP-P012-F01
Page 3 of 6
HRCPD
Task Title
Location
Contractor /Department
Date
: Beehive activities
: All refinery area
: EDGENTA UEMS
:
Task step
Potential hazard
Preparation of
equipment, tools
-road accident during
transportation
H/S
/E
Assessment / Threat
Hazard control (Barrier)
Recovery Measure
-physical injury
-Ensure all the workers attend HRC
safety induction
-Stop work immediately and
make safe the work area, all
machinery and equipment
S/H
-property damage
-slip, trip and fall
-Conduct pre talk or toolbox before
start the activities
-hit by moving vehicle
-Ensure vehicle are certified with
‘safe for use’ tag
-Check all tools and equipment,
make sure all is in good condition
-Break fire call point during
emergency
-Evacuate to a safe area
when necessary and
proceed to the nearest
assembly point when plant
siren is triggered
-Wear PPE as PTW requirement
and H2S detector
3
JOB HAZARD ANALYSIS
Document no :
HSSE-GSP-P012-F01
Page 4 of 6
HRCPD
Chemical spray
activity
-slip, trip and fall
-physical injury
-Chemical spill
-water and air pollution
Manual and petrol
pump
-Inhalation
-Conduct pre talk or toolbox before
start the activities
S/H/E
Health effect
-breathing difficulties
-Skin contact
-Prepare tray to place chemical
-skin and eye irritation
-Remove from exposure area to
fresh air immediately
-vomiting
-Follow SDS instruction
-Eye contact
-Ingestion
-Trained and skilled workers need
to perform this job
-monitor and supervise by UEMS
person in charge
-Beaten by bees
-H2s leakage
-Stop work immediately and
make safe the work area, all
machinery and equipment
-Break fire call point during
emergency
-Evacuate to a safe area
when necessary and
proceed to the nearest
assembly point when plant
siren is triggered
-wear PPE as per Permit to work
recommendation
-ensure worn fully covered cloth to
avoid from beaten by bees
-Standby first aid box and SDS at
vehicle
-Wear H2s and do bump test
Petrol pump
operation
-slip, trip and fall
-machinery failure
-overheated
equipment
-physical injury
S/H/E
-Conduct pre talk or toolbox before
start the activities
-property damage
-can cause fire and explosion
-Trained and skilled workers need
to perform this job
-water and air pollution
-safety signage need to be display
-fatality
-monitor and supervise by UEMS
person in charge
-petrol leakage
-exposure to gas H2s
-health effect
-beaten by bees
-wear PPE as per Permit to work
recommendation
-Stop work immediately and
make safe the work area, all
machinery and equipment
-Break fire call point during
emergency
-Evacuate to a safe area
when necessary and
proceed to the nearest
assembly point when plant
siren is triggered
4
JOB HAZARD ANALYSIS
Document no :
HSSE-GSP-P012-F01
Page 5 of 6
HRCPD
ensure worn fully covered cloth to
avoid from beaten by bees
-Standby first aid box and fire
extinguisher at vehicle
-Wear H2s and do bump test
Sky lift
operation(when is
required
-accident by another
vehicle
S/H
-physical injury
-Sky lift inspection
-fatality
-Park sky lift at stable ground
-Stop work immediately and
make safe the work area, all
machinery and equipment
-property damage
-Conduct pre talk or toolbox before
start the activities
-Break fire call point during
emergency
-unstable parking
condition
-Trained and skilled workers need
to perform this job
-poor visibility
-barricade and signage must be
displayed
-Evacuate to a safe area
when necessary and
proceed to the nearest
assembly point when plant
siren is triggered
-limited space
-overturning
-can cause sky lift topple
-poor communication
-flagman to control the traffic
problems
-follow safe procedure working at
height activities
-walkie talkie for communication
-monitor and supervise by UEMS
person in charge
-wear PPE as per Permit to work
recommendation
5
JOB HAZARD ANALYSIS
Document no :
HSSE-GSP-P012-F01
Page 6 of 6
HRCPD
Housekeeping
-trip, slip and fall
-chemical spillage
S/H
-physical injury
-remove the unwanted material or
waste from passage way
-water and pollution
-dispose all waste at designated
area
-Stop work immediately and
make safe the work area, all
machinery and equipment
-Break fire call point during
emergency
-Evacuate to a safe area
when necessary and
proceed to the nearest
assembly point when plant
siren is triggered
Management Endorsement:
(For RED Risk Job)
………………………………
Authorization
(Fire Hazard Signatory)
6
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