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SECTION A: JOB HAZARD ANALYSIS COVER SHEET

SEKSYEN A: MUKA DEPAN ANALISA HAZAD KERJA
Job Title (Tajuk Kerja): REINSTATEMENT AND TURFING WORK

Location/Lokasi: KP 188+700 Tag No/Equipment No: PTW No:

ZETO RULES
Overriding or Lifting Ignition Source
Permit to Work √ Working at Height
Disabling SCE Operations Control
Hazardous
Confined Space
Energy Isolation Chemical Excavation Driving
Entry
Handling
Risk Category of the Job:(Refer Risk Matrix in appendix VI) Very
Low Medium High
Kategori Risiko Kerja: (Rujuk Matriks Risiko) High

Prepared By Reviewed By
Signature

Name

Designation
Work Leader Inspector SSS/SHO SSS/SHO SSS/SHO
Department / Company
SYSB PMT SYSB PMT PGB
Date

Name Designation Signature Date Time

APPROVED BY*

Note:
*In the event of very high risk activities, the reviewer shall be performed by AA and approved by Operation Head.
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SECTION B: JHA WORK SHEET TASK ANALYSIS

SEKSYEN B: ANALISA HAZAD LANGKAH KERJA

Job / Kerja: REINSTATEMENT AND TURFING WORK AT KP 188 +700

Who or What
might be Harmed
Action/
(PEAR) Control and/ or Recovery
Description of Potential Hazards & Consequences Responsible
Step Apa/siapa yang Measures
Task/Step Hazad dan Akibat Person(s)
No akan terancam Langkah Kawalan dan/
Langkah Kerja Tindakan oleh
(Orang, Alam Pemulihan
Sekitar, Aset,
Reputasi)
1 Mobilization of i. Incompetent driver i. Personnel injury i. Site personnel, i. To have experience i. Operator,
Manpower and ii. Slippery & dusty roads ii. Traffic Accident assets, and skill driver ii. Driver /
Machinery (Excavator) iii. Uninspected iii. Property Damage, environment ii. To have defensive Supervisor
equipment/vehicle used Personnel hit by ii. Site personnel , driving awareness iii.Work Leader/
for the activity equipment Assets, training Supervisor
environment iii. All Equipment, tools
iii. Site personnel , and machineries
Assets, involved in the activity
environment shall be inspected and
fit to be used.

GAS TRANSMISSION & REGASIFICATION
JOB HAZARD ANALYSIS
2 To carry out i. Hot Weather Condition
Reinstatement and and constraint
turfing work ii. Ergonomics (Manual
Handling)
iii. Improper materials
arrangement
iv. Biological Hazards
v. Wrong tools/ Defective
Tools
vi. Work space restriction
vii. Slippery slope
i. Heat stress/ stroke,
Dehydration and Fatigue
ii. Muscle and back pain
iii. Slip, trip and fall and
property damages
iv. Insects and animal
bites
v. Personal Injury
vi. Personal injury
vii. Slip, Trip and fall
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i. Site personnel i. Sufficient drinking water i. Site Engineer,
(workers, and Provide proper Site Supervisor,
operator, temporary shelter Operators
ii. Work rotation, practice
supervisors)
right technique, lifting only
ii. workers, ii. Site Engineer,
allowed not exceeding body
operator Site Supervisor.
weight and practice buddy
iii. Site personnel
system when carrying heavy
(Workers, iii. Site Engineer,
weight.
operators, Site Supervisor.
iii. Proper arrangement and
supervisors) and
staking of materials on site
assets iv. Site Engineer,
iv. To assess the
iv. Site personnel Site Supervisor,.
surrounding prior to work
(Workers,
and prepare insect repellent
operators, v. Site Engineer,
/ first aid kit.
supervisors) Site Supervisor.
v. Inspection tools prior to
v. Site personnel
work as well as use proper
(Workers, vi. Site Engineer,
and correct tools for the
operators, Site Supervisor.
right job.
supervisors) and
vi. Limit the number of
assets vii. Site Engineer,
workers working in limited
vi. Site personnel Site Supervisor.
space and keep safe
(Workers,
distance from each other
operators,
vii. Provide safe access and
supervisors) and
egress
assets
vii. Site personnel
(Workers,
operators,
supervisors) and
assets
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3 Housekeeping and i. Incompetent Operator i. Accident i. Site personnel i. Ensure no unauthorized i. Work Leader/
demobilization & Driver. ii. Vehicle and (workers) personnel in the vicinity Supervisor
ii. Uneven ground machinery topple ii. Site personnel of loading/unloading ii. Work Leader/
Surface. iii. Muscle and back
and assets area Supervisor
iii. Manual Handling pain
iv. Property Damage, iii. Site personnel ii. All loading and iii. work leader/
iv. Obstruction of access.
Slip, trip and fall. and assets unloading to be done on Supervisor
iv. Site personnel stable and even ground iv. Work Leader/
and assets iii. Work rotation, practice Supervisor
right technique, lifting
only allowed not
exceeding body weight
and practice buddy
system when carrying
heavy weight.
iv. Practice good
housekeeping and
provide designated
temporary storage area
for materials and waste.
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SECTION C: JHA TOOL BOX BRIEFING FORM

SEKSYEN C: BORANG TAKLIMAT ANALISA HAZAD KERJA
Following subject matter of JHA shall be executed by Work Leader
Perkara di bawah wajib dilaksanakan oleh Ketua Kerja
Date / Daily checklist
Description / Penerangan

1. I have conducted daily site specific hazard assessment (Fill in Section D in case additional hazard
encountered)
□ □ □ □ □ □ □
Saya telah mengenal pasti bahaya spesifik di tapak kerja pada hari ini (Isi Seksyen D jika ada
tambahan hazad)
2. I have brief all the task activities to all workers
□ □ □ □ □ □ □
Saya telah memberi taklimat mengenai langkah kerja kepada semua pekerja
3. I have brief all hazards related with task activities, consequences and who might be harmed/impacted
(PEAR)
□ □ □ □ □ □ □
Saya telah memberi taklimat mengenai hazad berkaitan dengan langkah kerja dan akibatnya terhadap
orang, alam sekitar, aset, dan reputasi syarikat.
4. I have brief all control and/ or recovery measures
□ □ □ □ □ □ □
Saya telah memberi taklimat mengenai langkah kawalan dan/ pemulihan
5. I have brief all actions in case of any emergency
□ □ □ □ □ □ □
Saya telah memberi taklimat mengenai langkah-langkah yang perlu diambil semasa kecemasan

Declaration: We understood the scope of work, hazard and risk associated with it. We understand the reasons for risk control measures
Deklarasi: Kami memahami segala skop kerja, hazad, dan risiko yang berkaitan dengannya. Kami memahami sebab-sebab langkah kawalan risiko yang
perlu diambil
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Designation Name Company/Dept Signature

1 RA
2 Work Leader
Working Team (Group of Technicians/ Workers) / Kumpulan Pekerja
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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SECTION D: SITE SPECIFIC HAZARD

SEKSYEN D: PENGENAL PASTIAN HAZAD DI LOKASI KERJA

This Site Specific Hazard Form is required to be filled up by WL, WL,RA/RAR & AA/AAR.
Borang Pengenal Pastian Hazad di Lokasi Kerja ini wajib diisi oleh WL,RA/RAR & AA/AAR.
Control and/ or Recovery Action/ Responsible
Remark
No. Identified Hazard / Hazad yang dikenal pasti Measures Person(s)
Catatan
Langkah Kawalan dan/ Pemulihan Tindakan oleh
1. Physical Hazard / Hazad Fizikal
 Hot/slippery surface / Permukaan panas/licin
 Unsafe route / Laluan tidak selamat
 Electrical Risk / Bahaya elektrik
 Radiation / Radiasi
 Dust / Debu/habuk
 Compressor/pressurized machine / Mesin
pemampat/ bertekanan tinggi
 ……………………………………….
2. Chemical Hazard / Hazad Kimia
 Solvent / Bahan pelarut
 Hazardous acid/alkaline / Asid/alkali berbahaya
 ……………………………………..…
3. Ergonomic Hazard / Hazad Ergonomik
 Out of reach / Capaian tinggi
 Limited space / Ruangan sempit
 …………………................................
4. Lain-lain Hazad / Other Hazards
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Prepared By Reviewed By Approved By

Signature

Name

Designation

Department/Company

Date