PERMIT TO WORK SYSTEM
Job Hazard Analysis
Date:
Company:
Address:
Description of work:
INSTALLATION OF SHORING LEAN CONCRETING, INSTALLATION OF REBAR and FORMWORKS for OWS 2
Step No. Job Step Job Step Hazard Job Step Control
1 Preparation of tools, Physical handling of materials (pinch Pre-Job Safety Briefing for all workers.
applicable for the scheduled points, sharp objects). Potential for Require appropriate hand gloves for handling of materials.
activity. (Masonry tools, personnel injury.
carpentry tools, pliers, Use a hard hat, safety eye glasses, long sleeves, pants, safety shoes, cotton
deformed bars, etc.) or working gloves.
Hauling of sand and Gravel, Provide adequate manpower
sand and cement prior for Have a proper conversation of doing the work.
concreting Avoid horse playing
Proper lifting technique
Reduce carrying and holding forces by:
o converting the operation into a pushing or pulling task
o providing carts or trolleys
o evaluating the work flow – determine if heavy loads can be
moved mechanically over any distance
o providing grips or handles on loads
o limiting the distance over which the load is move
Slips and trips during hauling of materials.
Stay focus on the given task and maintain good eye sight on the access
way.
If load will block your vision, get help (buddy system)
Be aware of your surroundings.
Maintain proper footing & body positioning at all times
2 Entry on confined space Insufficient supply of air / oxygen, Conduct gas testing @ shell manhole/s and nozzles before entering the
possible heat stress / stroke, suffocation, confined space. Ensure O2 reading must range from 19.5%-23% and
and respiratory irritation. Possible LEL=0.
presence of hazardous or flammable Closed supervision
vapors. Provide ladder as access
3 Installation of shoring Manual handling. Use buddy system
Deploy enough manpower
Observe good communication through-out the duration of work
Employees are to be trained on the use of tools. All tools shall be
Cuts and lacerations to improper use of inspected before use
tools Assess sharp and pointed edges/tip of tools and materials.
Sharp and pointed edges/tip of tools and Observe good communication through-out the duration of work, workers
materials. using hammer will ensure that his work area is clear of other workers prior
to swinging the hammer.
Proper PPE shall be worn by adjacent personnel, as required by their
proximity to the work task.
Heavy & Bulky tools and materials. Use buddy system
Excavation Deploy enough manpower
Observe proper positioning when lifting.
Slippery work area. Isolation of the excavated area using barricade Installation of proper
access to the excavation Warning signs at the excavation area
Stepping on sharp objects Assess the area before doing the job.
Wear safety boots with spike to avoid slipping
Safety boots with steel toecaps and mid-soles provided to all workers.
Proper housekeeping
Inspect the site at start, after any breaks, or any change or event such as
Possible cave-in of wall resulting for rain, earthquake, new equipment, etc
serious injury Close supervision
4 Lean concreting using one Possible mechanical malfunction that Equipment tender to check one bagger mixer prior to use
bagger mixer may cause fire and explosion. Ensure that firefighting equipment is functioning and present at the area.
Possible cause of deafness to the Wear earplug during motorized equipment is running.
equipment operator and workers nearby
the area due to frequent exposure to high
noise level of running equipment
Possibility of toxic and flammable gas
Carry out gas test before start of work.
Gas test monitoring. Conduct gas testing reading must be 0% LEL, Oxygen
Possible cause of diesel spillage and/or between 19.5% and 23%, CO<25ppm, H2S<10ppm
fire and explosion during refueling of
equipment.
Turn off equipment during refueling. Use manual hand pump with drip
buckets to transfer diesel from container to equipment.
Possible dust inhalation from
cement/sand Provide SDS for cement and discuss to workers and wear N95 respirator/
dust mask
Possible caught in between moving
Cement mixer located on firm, level ground.
mechanical parts (belt and pulley/bucket
Mixer is fully guarded and guards in place during operation.
and gear)
Possible cause of lower back injury Always maintain proper ergonomics
Buddy system
Possible fall of worker in the excavated Install cover on the excavated area(if needed)
area.
Manual handling (workers could suffer
from back injury and long-term pain if Always maintain proper ergonomics
regularly lifting/ carrying heavy or
awkward objects.)
Good housekeeping maintained at all times.
Slips and trips (workers may suffer Waste including debris must be disposed.
sprains or fractures if they trip over Safety footwear provided to all workers.
waste. Safety boots with steel toecaps and mid-soles provided to all workers.
Stepping on nails and sharp objects (All Waste disposed of in skips.
workers could suffer foot injuries.)
Risk of dermatitis or cement burns and precautions explained to all
Hazardous substances, mortar (Direct workers.
skin contact with the mortar could also Use cement or cement containing products within the use-by date.
cause worker contact dermatitis and Direct skin contact to be avoided, use PPE’s
burns.)
Must have emergency eyewash
Dust exposure could cause silicosis.
5 Installing of rebar Possible hand injury due to sharp edge of Observe careful hand placement.
cut steel bars Watch out for ends of tie-wire and sharp edges of rebar.
The use of working gloves is required.
Clean work area as needed during the day. Pick-up tie-wire, dunnage and
Slips, trips and falls excess materials as work in progresses.
Stay focus on the given task and maintain good eye sight on the access
way.
If load will block your vision, get help (buddy system)
Be aware of your surroundings.
Maintain proper footing & body positioning at all times
6 Installation of formworks Manual handling. Use buddy system
Deploy enough manpower
Observe good communication through-out the duration of work
Employees are to be trained on the use of tools. All tools shall be
Cuts and lacerations to improper use of inspected before use
tools Assess sharp and pointed edges/tip of tools and materials.
Sharp and pointed edges/tip of tools and
Observe good communication through-out the duration of work, workers
materials.
using hammer will ensure that his work area is clear of other workers prior
to swinging the hammer.
Proper PPE shall be worn by adjacent personnel, as required by their
proximity to the work task.
Use buddy system
Heavy & Bulky tools and materials.
Fall from Excavated area Deploy enough manpower
Observe proper positioning when lifting.
Isolation of the excavated area using barricade Installation of proper
Slippery work area. access to the excavation Warning signs at the excavation area
Assess the area before doing the job.
Stepping on nails and sharp objects
Wear safety boots with spike to avoid slipping
Safety boots with steel toecaps and mid-soles provided to all workers.
Proper housekeeping
7 Dismantling, pull out of form Shoulder, lower back, body injury. Maintain proper body positioning.
works and back filling of soil Possible hand injury due to sharp objects. Enforce manpower rotation.
Caught in between the rebar’s and form Stay focus on the given task and always be aware on the pinch points.
works
Heavy load and repetitive movement Proper lifting technique (bent your knees lift with your legs)
Keep focus on your work and always have presence of mind
Enforce buddy system
Get one command to lift heavy load to avoid misunderstanding
Potential for workforce injury or fatality. bring stick to check area for wildlife before working
Contact with biological hazards, e.g. work permitting system
snake, monkeys, rodents, insects. discuss during tool box meetings
proper housekeeping
Extreme physical conditions (heat &
humidity). Working outside in high Establish rest areas in the vicinity of the work area
temperature Establish rest break and hydration frequency
Potential for workforce injury from heat
related disorders
Poor relationship between workers Avoid horse playing, establish house rules, defined roles and
Potential for workforce injury, property responsibilities, discuss any potential conflicts during tool box meetings
damage.
8 Housekeeping Manual Material handling. Physical Asses sharp, pointed edges/tip & pinch points of tools & materials.
injuries due to caught in between. Sharp Assess hole, protruding objects on walkways. Remove obstruction
& pointed edges/tip of tools Practice and follow 5S
Uneven ground surface
List of tools / equipment required List required safety equipment/PPE
Carpentry tools shovel Hard hat Welding mask
Masonry tools Safety Eye glass N95 Respirator
One bagger mixer Long sleeve shirt/jacket Face shield
Fire extinguisher Long pants Safety shoes
Signage’s Rubber gloves APRON
The work crew acknowledges that they understand and will comply with the precautions listed above.
Name: Name: Name: Name:
Signature: Signature: Signature: Signature:
Name: Name: Name: Name:
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Name: Name: Name: Name:
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