JOB HAZARD ANALYSIS
PT TECHNIC (M)
HOW TO USE THIS FORM :
1) Crew performing task reviews ALL generic JHA considerations.
2) Review previous JHA update(s) for useful information which will help this task.
3) Create new JHA update with generic form and ALL considerations for this task.
4) Carry out task as per plan. If any conditions change ---STOP & RE-ASSESS.
5) File JHA update for future reference.
WORK ACTIVITY
Installation/Facility
Location
Associated Work Permit Type
Associated Work Permit Number
Electrical Isolation Certificate Number
Physical Isolation Certificate Number
POST WELD HEAT TREATMENT
Job
Step
1
Description of
Job Step
Burn Pipes
(PWHT)
Potential
Hazards
Fire source
Potential
Impact
L
S
R
Control
Measures

Fire,
explosion



Presence of
Fire,
flammable gas. explosion
2
Housekeeping
Sparks from
faulty
equipment
Leak of electric
cables
Fire,
explosion
Tripping
hazard
Slips, body
injury
2
3
3







Electrocution,
fatality
1
2
2
JHA Cross-Reference Number



Previously approved work permit
before starting work
Keep flammable materials away
from the work area
Prepare a fire extinguisher
Fire watch must be kept at the
workplace during work (PWHT) is
performed
Make sure gas source have been
closed
Put the barricade/signage
Changing the damaged equipment
Make checks on all equipment used
Change the damage electric cable
Always check the cable use
Only competent person are
authorized to do the work
Wear the proper PPE
Clean all the unused material
Put the barricade and signage
Recovery
Measures
L
S
R
Result
1
2
2
Acceptable
1
1
1
Acceptable
Evacuate to
safe area
Immediately
report incident
to BOMBA
First aid, first
aider
JOB HAZARD ANALYSIS
PT TECHNIC (M)
JHA Number:
TASK SAFETY MANAGEMENT OUTLINE
Date This JHA Created :
Date JHA Last Revised :
WORK ACTIVITY EQUIPMENT
Manufacturer
Type of Equipment
Tag. No.
WORK ACTIVITY PARTICIPANTS
Name
Discipline
THIS JHA CREATED BY
Performed
Job Before?
Position
Precise Work Site
Name
Discipline/Position
Sign
SHAMIM B SHAHRANI
SAFETY
SSS
WORK ACTIVITY RESPONSIBILITY
JHA SUBMITTED BY
JHA ACCEPTED BY
WORK LEADER
RECEIVING AUTHORITY
APPROVING AUTHORITY
Name :-
Name
Name :-
Signature :-
Signature :-
Signature :-
Date :-
Date :-
Date :-
Time :-
Time :-
Time :-