JOB HAZARD ANALYSIS [JHA] WORKSHEET
JHA NO. PTW NO WORK PERMIT TYPE □HOT /□COLD
FACILITY LOCATION SPECIFIC WORKSTATION
EQUIPMENT NO. WORK backfilling for cable trench
DESCRIPTION
NOTE
1. JHA shall be applicable for all work activities which requires PTW.
2. The pre-prepared JHA and JHA prompters will be used as a reference/guide during the development of JHA.
3. 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.
4. Prior to commencement of work (after PTW has been approved), 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 POTENTIAL
DESCRIPTION OF JOB STEP POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
STEP HAZARD
1 Entry of workers & mobilize Inexperienced Plant or equipment shut down. Attend Induction Safety briefing. Supervisor/Safety Dept. Inform Control Room. Supervisor
excavator/equipment to site workers disturbing
the equipment Damage to the equipment/plant Work leader to lead and supervise Retraining if required.
Moving vehicle Physical Injury. Drivers must have a valid driving license. All Workers Inform Control Room. Supervisor / 1st Aider
Equipment/property damage Adhere to the speed limit in the plant. First aid treatment.
Walk face the incoming vehicles.
2 Manual excavation & pilot digging Strike the Injury To get the latest drawing on the location of Supervisor / Site First aid Supervisor / 1st Aider
underground the underground utilities Engineer
utilities Damage the property Inform CSR on duty
Pilot digging and shoveling
Proper supervision on site
3 Start up the JCB Spark – Source of Fire To carry out gas test & certified free from AGT/Supervisor Inform CCR Supervisor
ignition combustible gas
Training/Prepare for evacuation
Fire watcher and extinguisher to be on stand
by
Watch out if the equipment is overheated
Rotating parts Physical injury PPE- Safety helmet, shoes, spec & coverall All Workers/ First aid Supervisor/JCB
Supervisor/ JCB Operator/ 1st Aider
Equipment to be inspected & certified safe for Operator Safety awareness
use
Operator to check equipment
The protective guards are in place before using
Stand by person must be on the look out
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4 Mechanical excavation on the work site Hit or strike by Physical injury Put up proper signage at strategic point Supervisor First aid Supervisor / 1st Aider
moving excavator
Damage to equipment or plant Barricade the work area properly Inform CCR
Stand by person must stay vigilant at all time
Strike the Injury Do get the latest drawing on the location of Supervisor / Site First aid Supervisor / 1st Aider
underground the underground utilities Engineer
utilities Damage the property Inform CCR
Pilot digging and shoveling
Proper supervision on site
Noise Hearing loss PPE-Ear plug All Workers Medical treatment Medic
Do not expose too long to high noise level
from the engine
5 Shoring work for the excavated pit Cave in (Collapse Trapped Proper shoring must be put in place and the Supervisor Inform CCR Supervisor / ERT
of soil/sand) material must be rigid.
Search & rescue team to be
Access and egress shall be adequate notified immediately
Stand by person to monitor the work & to
report & seek immediate assistant
Slippery or Slip and trip Clean/dry up wet surface where possible All Workers First Aider on site. Supervisor / 1st Aider
uneven surface
Ensure the safety boot is in good condition Monitor & make work site safe to
work on
Proper housekeeping & remove all
obstruction
Bury workers or some Make sure everyone keep far away from Retaining if required
6 Backfilling the trench collapse Operator Supervisor
equipment the trench
Retaining if required
The excavator/ Person injury , cover the workers Make sure the ground is level and avoid
Operator stop the vehicle and secure Supervisor
shovel turn over or turn over into the trench danger operation
the load
Hit person who
Keep all personnel far away from the
near the shovel Body ,head injury
backfilling area Operator First Aid treatment Supervisor
or excavator
7 Moving Keep all personnel far away from the
Compaction Bump the people ,body injury All Worker/Supervisor First Aid treatment 1st Aider
machinery backfilling area
Make sure the earth is enough hard for
Collapse The machinery sink into earth All Worker/Supervisor First aid
the machinery Supervisor
Sharp edges Hand and finger injury Wear appropriate hand glove. All Worker/Supervisor First aid Kit Supervisor/Medic
All sharp edges shall be protected or Supervisor / work leader
remove by bending
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Slip, trip and fall Injury to workers Ensure all materials / equipment been All Worker/Supervisor/ First aid Supervisor/Medic
kept at appropriate area and away from Vehicle Operator sent to medic
work area or access. Removed any Supervisor / work leader
tripping hazards. Full Supervision
8 House keeping work Moving weight Back strain from repetitive Identify high risk activities All Workers First aid Supervisor / 1st Aider
when loading manual lifting
Use trolley or manual handling aids Training on manual lifting
techniques
Two person or team lifting
Reduce/split the loads into manageable
weight
Slippery work Slip Clean up slippery surface All Workers First aid Supervisor / 1st Aider
area
Dry off the wet area immediately
Use hand rail provided
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JHA APPROVAL DURING PTW APPLICATION
ACCEPTED BY RECEIVING AUTHORITY APPROVED BY APPROVING AUTHORITY
NAME NAME
DESIGNATION DESIGNATION
SIGNATURE SIGNATURE
DATE DATE
AFTER PTW HAS BEEN APPROVED
WORK TEAM (CONFIRMATION THAT JHA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OF PRE-JOB/TOOLBOX MEETING - AFTER PTW HAS BEEN APPROVED)
Name(s) Designation Signature Name(s) Designation Signature
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