Serial No.

NBSB/MM/HSE/JHA/0
05
JOB HAZARD ANALYSIS (JHA) WORKSHEET
Revision No.
000

SCOPE OF WORK / JOB TITLE: INSTALL NEW AGOGO BAR

AREA / LOCATION: TAG / EQUIPMENT NO.: SERVICE / MEDIUM / METHOD :

WARM@MESRA PS SIMPANG PULAI ARAH
SELATAN

Name Department Company Date Signature

MOHD NASARUDIN BAKAR Project Director NBSB 14/02/2022
MOHD JAMSARI Site Supervisor NBSB 14/02/2022
NUREEN AISAR ASILA Project Engineer NBSB 14/02/2022
ALIA ZULAIKHA Project Engineer NBSB 14/02/2022

JHA MEMBERS: SYAZANA SAFWA Site Safety Supervisor NBSB 14/02/2022

JHA TEAM LEADER

ASHARI BAKAR SAFETY & HEALTH OFFICER PD&T 14/02/2022

REVEIWED BY
HAFIZUDDIN AZFAR HSE Engineer PD&T 14/02/2022

APPROVED BY: M SYAHARUDDIN B MOHD YUSUF Project Engineer PD&T

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Step Potential Hazards & Consequence

Step Description Control and /or Recovery Measures
No (P/E/A/R)

1 Preparation 1.1 Wrong location as mention (P) 1.1.1 To inform and discuss with PDB authorized personal before
-Application for PTW start work
-Authorization to entry work area
-Pre-Job Briefing/ Tool Box briefing 1.2 Unauthorized person at site (P) 1.2.1 To wear appropriate safety protective equipmentasrequired
in PDB safety regulation and PTW

1.3 Execution work without 1.3.1 Work shall not commence without presence of RA and Valid
authorization(P,A) PTW

1.4 Using battery operated device in 1.4.1 Only authorized person shall be allowed for permit entry to
HAC zone (P,E) the fenced/ cordoned area.
1.4.2 Using battery operated device within safezone

1.5 Crowded place (P) - Exposed to 1.5.1 All workers to record temperature screening andattendance
Covid-19 (P,R) before entering PDB Project.

1.5.2 Cover mouth when coughing/sneezing withtissues or a

flexed elbow.

1.5.3 Keep social distancing 1 meter from each other

1.5.4 Wear a correct face mask when entering, workingin or exiting

the PDB PROJECT
2. Erect mini scaffolding 2.1 Tools/ Object falling from height 2.1.1 Establish safe working area (barricade and signs).
for dismantling work. (P,R)
2.1.2 No unauthorized persons near the work zone

2.1.3 Toe-board installation

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2.1.4 Helmet chinstrap fasten & no loose items carried when

at height

2.1.5 Hand tools are secured/ wearing tool bag

2.2 Working on height - erecting 2.2.1 Only trained workers – undergone WAH training
scaffold (P,A,R)
2.2.2 Tie off 100% of the time when wearing personal
fall protection equipment

2.2.3 Inspect personal fall protection equipment prior to

and after each use

2.2.4 Secure body harness to the lifeline

2.3 Gaining access to work at 2.3.1 Work with approved scaffold

height(P,A,R)
2.3.2 Scaffold inspected by competent person – green
tag displayed on beam of scaffold

2.3.3 Scaffold access ladder installed & secured

2.3.4 When climbing ladders, use the 3-point rule

2.4 Unsecure scaffold platform (P,A,R) 2.4.1 Work from permanent work platforms provided
with guardrails and toe boards

2.5 Scaffold collapse (P,A,R) 2.5.1 Erect scaffold as per approved standard

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2.5.2 Scaffold erected by trained workers & supervised

by competent person

2.5.3 Only approved scaffold (displayed green tag) allowed use

2.6 Scaffold imbalance 2.6.1 Outriggers of scaffolding should be tight and in

/overload (P,A,R) good condition

2.6.2 Only limited person allowed on work platform

2.6.3 Castor wheel locked type

2.6.4 Flat working surface & installed base plat

2.7 Scaffold parts & components 2.7.1 All scaffold parts should be secured – competent person
loosen (P,A,R to verify

2.7.2 Scaffold materials inspected before installed by erector

2.8 Access ladder (P,A) 2.8.1 The ladder inside should be incline installation (45° from
base point).

2.9 Rupture or rusty scaffold frame & 2.9.1 Scaffold components & frames inspected before bringing
components (P,A,R) to the site

2.9.2 Scaffold frame & equipment maintenance regimes

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3 LOTO at DB Board 3.1 Starting work on electrical 3.1.1 Ensure that all means of isolation are used where possible.
systems without isolating
relevant electrical system.
3.1.2 Always assume that there are live services present on site
(P,A)

3.1.3 Treat all services found as Live.

3.1.4 Ensure that all services are physically located and

marked by means of location equipment.

3.1.5 Carry out LMRA

3.2 Technician competence 3.2.1 Technicians are competent and appropriate training is
gaps (training provided on specific tools/equipment
& experience)(P,A,R)
3.2.2 Technician awareness of potentially electrical hazard etc.

3.3 LOTO not applied- residue 3.3.1 Lock Out / Tag Out / Test Out applied to electrical
current (P,A,R) supply and systems checked to ensure “No
Pressure/energy”

3.3.2 Communicate to all relevant parties -includes retailer

3.3.3 MHT high- risk (LOTOTO) checklist followed & complied

3.4 Faulty test equipment (P) 3.4.1 Ensure the tools& equipment to be used are free
from defect

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3.4.2 The testing equipment’s are calibrated accordingly

4 Installation of C-Store lighting 4.1 Slippery surfaces (P,R) 4.1.1 Barricade/signal the dangerous area.

4.1.2 Clean up the spill

4.2 Poor planning/job execution (P,R) 4.2.1 Eliminate manual handling where possible

4.2.2 Provide periodic training to workers to identify ergonomic

hazards

4.3 Improper handling(P) 4.3.1 Use the equipment properly and in accordance with
the manufacturer’s instructions

4.3.2 To have at least 2 workers for air conditioner during install.

4.4 Property damage (P,R) 4.4.1 Ensure asset put at secure place before installation begin

4.5 Tools machine not operate 4.5.1 Make sure check and tagging by using of month color
properly (P,A,R) with checklist

4.6 Tools/ Object falling from height 4.1.1 Establish safe working area (barricade and signs).
(P,R)

4.1.2 No unauthorized persons near the work zone

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4.1.3 Toe-board installation

4.1.4 Helmet chinstrap fasten & no loose items carried when

at height

4.1.5 Hand tools are secured/ wearing tool bag

5. Housekeeping and 5.1 Improper isolation may cause 5.1.1 The proper hard barricade and necessary signage must
isolate the working area serious injuries to the public be display
(P,R)

6 Closed PTW 6.1 PTW has not been hand over or 6.1.1 Supervisor shall ensure PTW are closed and hand over
closed (P,A) after job completed

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TOOLBOX TALK ATTENDANCE SHEET

Declaration: Work Leader / Supervisor

As the Work Supervisor/Leader, with reference to the JHA, I have conducted the toolbox talk and briefed all workers and relevant parties on the:
• Scope of work and explained the tasks’ objectives and expectations.
• Specific hazards of the tasks.
• Required control/recovery measures and identified the individual(s) responsible for implementing the controls.
• Required PPE and inspected workers’ PPE to ensure they are sufficient and fit for purpose.

Sebagai Penyelia Kerja, dengan merujuk kepada JHA, saya telah mengadakan toolbox talk dan menerangkan kepada semua pekerja dan pihak berkaitan tentang:
• Skop kerja dan objektif tugasan.
• Hazad khusus kepada tugasan.
• Kawalan-kawalan keselamatan yang perlu diambil dan mengenalpasti individu-individu yang bertanggungjawab untuk melaksanakannya.
• PPE yang perlu digunakan dan memeriksa PPE pekerja untuk memastikan ia cukup dan sesuai untuk penggunaan.
No Name Designation / Position Department / Company Date Time Signature
1.
2.
Declaration: Workers / Relevant Party
As the Worker/relevant party, I have been briefed on the contents described in the JHA by the Work Supervisor/Leader. I understand and accept what has been briefed in the
toolbox talk and will ask my Supervisor if I am in doubt when executing the job. I shall exercise my Stop Work Authority if I cannot immediately address any hazards
that may endanger myself or others around me, and report to my Work Supervisor/Leader.

Sebagai pekerja/pihak berkaitan, saya telah diterangkan tentang isi kandungan JHA oleh Penyelia Kerja. Saya faham dan menerima apa yang diterangkan dalam toolbox talk dan akan bertanya
kepada Penyelia saya sekiranya ada keraguan semasa menjalankan tugas. Saya akan menguatkuasakan Stop Work Authority jika tidak dapat mengendalikan hazad yang boleh membahayakan saya atau
orang lain, dan melaporkan kepada Penyelia Kerja.
No Name Designation / Position Department / Company Date Signature
1.
2.
3.
4.
5.
6.