JOB HAZARD ANALYSIS

JHA Preparation Date : Working Date: Work Duration : PTW No : XXXX

Job Title : WORKING AT HEIGHT HER No : XXXX

Ethylene / Polyethylene
Plant Area : Equip. Tag No. : Service / Medium : EAI No : XXXX

ZETO RULES

Permit to Work? Safety Critical Equipment? Working at Height? Excavation? Ignition Source Control?

Energy Isolation? Confined Space Entry? Chemical Handling? Lifting Operations? Driving Safety?

References used in this JHA Legislations :  Job Method Statement (JMS)  Noise Exposure Monitoring Report
(Tick if applicable)  Hazard & Effect Register (HER)  Health Risk Assessment (HRA) Report
 OSHA  FMA  EQA  BOMBA  AELA
 Environmental Aspect & Impact (EAI)  Local Exhaust Ventilation (LEV) Report
 PTS: __________________________________  Guidelines (Specify): __________________________________
 HAZOP  Safety Data Sheet (SDS)
 Company Procedure (Specify): ____________________________________________________  Environmental Impact Assessment (EIA) Report  Chemical Reactivity Matrix
_____________________________________  COP (Specify): ______________________________________  QRA Report  Others Report :
 CIMAH Report
_____________________________________ ____________________________________________________ _________________________________
 Chemical Health Risk Assessment (CHRA) report
 Others (Specify): _____________________________________  Chemical Exposure Monitoring Report _________________________________
 Company / PETRONAS Memo / Notice:
____________________________________________________ _________________________________
_____________________________________

EMERGENCY RESPONSE / RESCUE PLAN

Emergency Escape Route & Nearest Assembly Point: Nearest Break Glass Location:
Emergency Notification: Nearest Fire Extinguisher Location:
Nearest Emergency Eyewash / Shower: Nearest Hose Reel/Hydrant Location:

RECEIVING AUTHORITY (RA) JHA REVIEWED BY SUBJECT MATTER

WORK LEADER (WL) JHA APPROVAL BY AREA OWNER
The JHA reviewed and will ensure EXPERT (SME) or HSE
The JHA has been discussed and understood The JHA Reviewed and Approved to use
the control measures are in place (For special activities only)

Signature: Signature: Signature: Signature:

Name: Name: Name: Name:

Dept./ Company: Dept.: Position / Dept.: Position / Dept.:

Date: Date: Date: Date:

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JHA RISK MATRIX

SEVERITY
SEVERITY NO DESCRIPTION
1 2 3 4 5
Insignificant Minor Moderate Major Catastrophic 1. First aid injury or slight health effects not affecting work performance or causing disability e.g. first aid injury, exposure to
non-hazardous dusts.
E 1
E1 E2 E3 E4 E5 INSIGNIFICANT 1. Spill/leak causing negligible impact to local environment, contained within the secondary containment and does not reach
Almost Certain water and soil, and no volatilization to atmosphere.
2. Noise, air emission, discharges not exceeding company or legislative limits.
LIKELIHOOD

D
D1 D2 D3 D4 D5
Likely 1. Medical Treatment Case , Restricted Work Case, Lost Time Injury or minor health effects (involving health hazards
capable of minor health effects which are reversible, e.g. irritant agents, defatting agents, food poisoning bacteria) affecting
work performance, such as restriction to work activities or a need to take a few days to fully recover.
C
C1 C2 C3 C4 C5 2
Possible MINOR 1. Spill/leak contained within secondary containment causing volatilization to atmosphere causing limited contamination of
soil or water within the containment area causing non-permanent impacts to the environment.
B 2. Noise, air emission, discharges not exceeding legislative limit but exceeding company limit (where available).
B1 B2 B3 B4 B5 3. No immediate cumulative and/or delayed effect.
Unlikely
1. Permanent Partial Disability, significant health effects (capable of irreversible health damage without loss of life, e.g. noise,
A poor manual handling tasks, hand/arm vibration, chemicals causing systemic effects, sensitizers), exposure to possible
A1 A2 A3 A4 A5 human or animal carcinogens, or results of injury/illness in the lower categories (category 1 & 2 above) which affect
Remotely likely performance in the longer term such as prolonged absence from work for more than 4 days.
to happen
1. Spill/leak causing limited contamination to soil or water outside the secondary containment but remain contained within
3 facility perimeter (for onshore operation) ** OR resulting in Potential Consequence A, B or C below;
MODERATE
RISK CATEGORY 2. Noise , air emission, discharges exceeding legislative limit OR resulting in Potential Consequence as below;
Note:
Descriptions Potential Consequence
a) Cumulative and/or delayed environmental impact,
Work should not be started until the risk has been reduced. Considerable resources shall be b) Short term recovery action < 1 month
VERY HIGH allocated to reduce the risk. Where the risk involves work in progress, urgent action c) Rehabilitation period < 6 months
(immediately, minimum admin control shall be taken)

Efforts SHALL be made to reduce the risk. Risk reduction measures should be implemented 1. Permanent Total Disability, single fatality from accident or occupational illness or major health effects caused by health
HIGH hazards capable of irreversible damage with serious disability or death e.g. exposure to corrosives, probable human
within a defined time period.
carcinogens, extreme heat and cold, psychosocial risk factors
Efforts MAY be made to reduce the risk. Risk reduction measures should be implemented within
MEDIUM
a defined time period. 1. Spill/leak spreading outside the facility perimeter, managed to be contained/recovered but causing major contamination OR
resulting in Potential Consequence A, B or C below;
4
LOW No additional controls required. Monitoring required to ensure existing controls are maintained. 2. Noise , air emission, discharges exceeding legislative limit with possible prosecution OR resulting in Potential
MAJOR Consequence as below;
Note:
Potential Consequence
a) Immediate effect with serious damage to environment
b) Medium term recovery action (1- 3 months)
LIKELIHOOD c) Rehabilitation period 6 – 12 month
Descriptions
Multiple fatalities or Multiple Permanent Total Disability from accident or occupational illness caused by health hazards with
ALMOST CERTAIN (E) Happens several times per year at PCE/PCPSB the potential to cause multiple fatalities, e.g. chemicals with acute toxic effects (hydrogen sulphide, carbon monoxide), known
human carcinogens.

LIKELY (D) Happens several times per year in PETRONAS

1. Spill/leak spreading outside the facility perimeter, causing massive contamination OR resulting in Potential Consequence
A, B or C below;
POSSIBLE(C) Incident has occurred in our PETRONAS 5
2. Noise , air emission, discharges resulting in legal prosecution with possible shutdown of facility, OR resulting in Potential
CATASTROPHIC Consequence as below;
UNLIKELY (B) Heard of incident in Oil & Gas / Petrochemical Industry Note:
Potential Consequence
REMOTELY LIKELY TO HAPPEN (A) Never heard of in Oil & Gas / Petrochemical Industry a) Severe environmental damage
b) Long term recovery action (> 3 months)
c) Rehabilitation period > 12 month

PTW No.: A3 / A4 - ……………………………………………………

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STEP POTENTIAL HAZARDS & RISK ASSESSMENT RESPONSIBLE ACCOUNTABLE
BASIC JOB STEPS CONTROLS TO AVOID HAZARDS DEADLINE
NO. CONSEQUENCE Likelihood Severity Risk Cat. PERSON PERSON
1 Preparation General Precaution Refer JHA Mobilization &
Preparation of tool and equipment Demobilization
and mobilization to work place
2 Working at height performs work / Personnel fall from height D 4 High Scaffolding structure to be Prior to WL Supervisor
inspection / testing.  Personal injury inspected by competent start work
Bekerja di tempat tinggi untuk  Fatality scaffolding inspector, weekly
kerja-kerja pemeriksaan Pekerja jatuh dari tempat inspection.
tinggi Struktur perancah diperiksa
 Kecederaan tinggi oleh pemeriksa yang bertauliah
 kematian (Pemeriksa level 3)

Compliance to approved design

/ sketching for scaffolding >40
meter
Untuk perancah yang melebihi
40m, reka bentuk hendaklah
mendapat pengesahan dari
Jurutera professional

Install railing at working

platform
Memasang penghalang yang
rigid di platform kerja

To verify competency of all

scaffolders. (minimum level 1
scaffolders)
Pastikan pekerjayang
memasang perancah
mempunyai skurang-kurangnya
Kelas 1 Scaffolder

Install life line / SRL (Self

Retractable Line) for non-
anchorage area eg on top of
lorries/roof
Sediakan tali keselamatan/SRL
jika bekerja di atas atap/lori

Harness to be inspected by HSE

prior to usage (valid tag)
HSE memeriksa abah-abah
(mesti mendapat pelekat yang
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sah)

Proper container/storage for

tools (to avoid falling object)
Menyimpan bahan yang tidak
digunakan dalam bekas yang
sesuai

Install Netting (for WAH

>40m)
Memasang jaring keselamatan
untuk WAH >40m

100% tie-in to secured

point/Hook lanyard at strong
anchorage point, e.g.
scaffolding tube
Menyangkut abah-abah pada
tempat yang sesuai/kukuh.

Double barricade the area and

display signage ‘WORKING
AT HEIGHT IN PROGRESS’
Double barricade kawasan
kerja dan menggunakan papan
tanda

Working team identified and

setup RESCUE PLAN, if
required
Sediakan Pelan Menyelamat
dan Pasukan Penyelamat
sekiranya perlu

Wear and secure safety body

harness (while working at
permanent
structure,scaffolding). Harness
with double lanyard and shock
absorber (100% tie off)
Memakai abah-abah

Secure properly the safety

helmet (chin strap) to avoid
from falling.
Topi keselamatan dipakai
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 JOB HAZARD ANALYSIS
dengan chin strap untuk
mengelakkan topi jatuh

Structure is approved safe (with

valid green tag) prior using the
structure
Struktur perancah mempunyai
tag hijau

Personnel who working within

6ft or 1.8m of a roof edge or
work platform without
guardrail, must wear body
harness
Pekerja hendaklah memakai
abah-abah sekiranya bekerja
1.8m dari hujung atap atau
platform kerja yang tidak
dipasang guardrail

Personnel working on
permanent structure are
required to wear a harness if the
work requires any body parts to
be introduced outside working
platform.
Pekerja yang bekerja di
struktur loji (permanent
platform) memakai abah-abah

Slippery surface D 3 High Ensure work place to provide

 Trip/fall/stumble with proper working platform.
 Personal injury Pastikan kawasan kerja
Permukaan licin mempunyai platform kerja
 Jatuh yang sesuai.
 Kecederaan
Ensure working platform free
from water, grease, oil or other
substance.
Pastikan kawasan kerja bebas
dari bahan yang licin (cth air,
minyak)

Wear appropriate PPE i.e.

ensure safety boot in good
condition.
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 JOB HAZARD ANALYSIS
Memakai kasut keselamatan

Remove unused materials from

walkway/passage and use right
tool for the job.
Mengasingkan bahan yang
tidak digunakan dari laluan
pejalan kaki dan menggunakan
peralatan yang sesuai.

3 point contacts when

ascending/descending the
ladder.
Aplikasikan kaedah 3 titik
semasa memanjat/menurun
tangga.

Unsafe scaffold structure D 4 High Scaffolding structure to be

 Scaffold platform inspected by competent
collapse scaffolding inspector and
 Personal injury/death approved safe (green tag) prior
Struktur perancah yang tidak use.
selamat Struktur perancah telah
 Perancah runtuh diperiksa oleh orang yang
 Kecederaan bertauliah dan mempunyai tag
 Kematian hijau.

Scaffolding structure erected to

support heavy equipment for
installation purposes,
calculation and design to be
approved by professional
engineer or equivalent
competent person as required
by the law.
Perancah yang digunakan
untuk mengangkat beban yng
berat, reka bentuknya
hendaklah mendapat kelulusan
dari jurutera yag bertauliah.

Any modification to be done by

qualified scaffolders and
structure to be re-inspected for
its fitness.
Sebarang perubahan yng
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 JOB HAZARD ANALYSIS
dilakukan terhadap perancah,
hendaklah diperiksa semula
keadaannya oleh orang yang
bertauliah (inspector level 3)

During adverse weather

condition, all scaffolding
structure to be re-inspected and
re-approved for use.
Selepas cuaca buruk,
pemeriksa bertauliah
hendaklah memeriksa semula
perancah.

Users do self-inspection first

before use scaffold. If unsafe,
remove tag & immediately
inform to RA.
Pengguna perancah hendaklah
melakukan pemeriksaan
kendiri. Jika tidak selamat,
hendaklah memberitahu
supervisor/RA.

Adverse weather D 2 Medium Stop work during threatening

 Falling load weather and report to work
Cuaca buruk supervisor. It will be on a case
 Beban jatuh to case basis upon judgment by
supervisor, RA and AA.
Berhenti kerja dan maklumkan
kpada supervisor bergantung
kepada penilaian supervisor,
RA dan AA.

Sharp object D 3 High Wear minimum leather gloves.

 Personal injury Memakai sekurang-kurangnya
Objek tajam sarung tangan kulit
 Kecederaan
Remove our blunt sharp object
from work area.
Mengasingkan objek tajam dari
kawasan kerja

Ergonomic hazard C 3 Medium Right body posture during

 Back injury working activities

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Ergonomik Mengaplikasi postur badan yag
 Sakit belakang betul semasa bekerja

Avoid twisting the spine when

handling tools
Elakkan daripada mmusing
tulang belakang

Heat stress E 2 High Avoid prolong exposure to heat

 Dehydration Elakkan terdedah di bawah
Kepanasan melampau matahari berpanjangan tanpa
 Kekurangan air rehat
dalam badan
Do rotation of workers
Bekerja secara bergilir-gilir

Take adequate quantity of

water at rest shelter
Minum air secukupnya di
tempat yang telah disediakan

4 Demobilize material from work Refer JHA Mobilize

place

5 Housekeeping. Refer JHA Housekeeping

PTW No.: A3 / A4 - ……………………………………………………

THIS JHA HAS BEEN DEVELOPED BY (Name of Team Members)

NO. POSITION / COMPANY INITIAL DATE
Minimum Team Members shall consisting a Job Owner and Area Owner Reps.
1. (JHA LEADER)
2.

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3.
4.
5.
6.
7.
8.
9.
10.

JHA requirements have been communicated by WL / RA and understood by every person working on the job.
Name Signature Date Name Signature Date
1. 14.
2. 15.
3. 16.
4. 17.
5. 18.
6. 19.
7. 20.
8. 21.
9. 22.
10. 23.
11. 24.
12. 25.
13. 26.

PTW No.: A3 / A4 - ……………………………………………………

HAZARD IDENTIFICATION FORM

(Before or During Working)

BAHAYA (HAZARD) & LANGKAH KAWALAN TINDAKAN OLEH DIKEMASKINI OLEH

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KESAN (CONSEQUENCE) NAMA & JABATAN MASA & TARIKH

PERHATIAN
1. Borang ini hendaklah dikepilkan bersama PTW dan JHA dan dipamerkan di tempat kerja.
2. Perubahan Minor: Penemuan Hazad baru dan langkah kawalan yang diperlukan mencukupi – Auditor berbincang dengan WL dan RA. Kemas kini borang dan beritahu Approving Authority (AA) / Shift
Supervisor.
3. Perubahan Major: Perubahan dalan langkah kerja (STEP) ATAU penemuan Hazad baru yang mempunyai risiko yang tinggi dan memerlukan langkah kawalan yang lebih efektif – Auditor berbincang dengan
WL atau RA. Hentikan kerja dan beritahu Approving Authority (AA) / Shift Supervisor untuk tidakan selanjutnya. PTW perlu ditahan sementara dan JHA baru diperlukan sebelum boleh dibenarkan untuk
memulakan kerja semula.
4. JHA asal hendaklah dikemaskini dengan memasukkan maklumat yang terdapat di dalam borang ini semasa hendak memperbaharui PTW (Renew PTW).

PTW No.: A3 / A4 - ……………………………………………………

TOOLS, VEHICLES AND MOBILE EQUIPMENT

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TOOLS REQUIRED INSPECTION EXPIRY DATE

 HAND - Type of tools :

 PNEUMATIC - Type of tools :

 LOW VOLTAGE TEST EQUIPMENT :

 NON EX/IS TEST EQUIPMENT :

 OTHER (specify) :

VEHICLES AND MOBILE EQUIPMENT REQUIRED INSPECTION EXPIRY DATE

 CRANE :

 HYDRAULIC LIFT :

 COMPRESSOR :

 WELDING MACHINE :

 OTHER (Specify) :

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PTW No.: A3 / A4 - ……………………………………………………
JOB HAZARD ANALYSIS (JHA) CHECKLIST
The intent of this checklist is to assist the identification of hazards related to job and the preparation of the JHA. Prior to
performing a JHA, check each item on the list that applies. All applicable items must be addressed in JHA.

PHYSICAL HAZARDS ENVIRONMENTAL ORGANIZATIONAL FACTORS

  Slippery Floor   Extreme Conditions (e.g. Heat /   Training (Competency)
  Soft Surface Cold / Heavy Rain)   Language / Communication
  Sharp Objects   Noise   Supervision
  Falling Object   Radiation   Rules & Procedures
  Hot Surfaces   Controls
  Moving Vehicle   New Employee
  Rotating Parts HAZARDOUS CONDITIONS   Work Permit (Visa)
  Collapse (Soil)   High Elevation   Competent Person
  Poor Lighting
  Extreme Weather
PHYSIOLOGICAL & ERGONOMIC Abnormal Temperature WORK ENVIRONMENT
  Wrong Posture High Wind   Access / Egress / Escape Routes
  Personal Disability Rain / Storm Scaffolds
  Claustrophobia Abnormal Humidity Suspended Access
  Workplace Fatigue Lightning Mobile Platforms
Inadequate rest time between   Temporary Facilities Ladders / Lightweight Staging
a work set   Non Breathable Conditions (e.g. Main Storm Drain
Long hours of work in a Nitrogen, Above PEL etc.)
single shift   Heavy / Abnormal Vibration   General Workplace Conditions
Long hours of work across   Limited Access Workspace
a work set   Chemical Reaction Light
Inadequate breaks within a Heat / Cold Stress
single shift Noise & Vibration
Changes to rosters HAZARDOUS ACTIVITIES Weather / Atmosphere
  Working in Confined Space Special Workplace Conditions
  Excavation Work At Heights
CHEMICAL   Lifting Over Water
  Hydrocarbon under pressure   Climbing / Working at Height In Excavations
  Toxic substances   Handling Hazardous Chemical On or Near Live Plant
  Pyrophoric Materials   High Pressure Water Jetting (HPWJ)
  Flammable   Driving   Plant and Equipment
  Corrosive (Acid / Alkaline)   Manual Handling Portable Tools
  Use of Tools and Machinery Abrasive Wheels
  Walking Through or Standing Cartridge-operated Tools
BIOLOGICAL Close to Moving Object / Hand Tools
  Bacteria / Air Borne Virus Rotating Equipment
  Marin Growth   Working on Machines and Doing   Services & Consumables
  Animal (e.g. Dog, Boar, Lizards etc.) Crushing, Cutting, Tearing, Electricity
  Venomous Insect (e.g. Bee, wasp, Shearing items or equipment Compressed Air
Centipede, scorpion etc.) Steam
Consumables (e.g. LPG, Petrol /
TASK FACTORS Gasoline etc.
ELECTRICAL   Workload Hazardous Substances
  High Voltage   Workplace, Effort, Exertion Process Fluids and Solids
  Electrical Current   Skill, Knowledge & Experience Dusts, Mists, Smoke and Fumes
  Short Circuit   Complexity Construction Materials
  Electrical Fire   Time, Timing
  Static   Decision Making
  Loss of Power   Repetitiveness   LEGAL REQUIREMENTS
  Radiological   Authority Notification
  Ionizing Radiation   Medical Surveillance
  Electromagnetic Field   OTHERS   Chemical/Noise Exposure Monitoring
  Laser Beam    Chemical Health Risk Assessment
   Scheduled Waste


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