APPENDIX II JOB HAZARD ANALYSIS

HOW TO USE THIS FORM : 1) Crew performing task reviews ALL generic JHA considerations. 2) Review previous JHA update(s) for useful information which will help this task. 3) Create new JHA update with generic form and ALL considerations for this task. 4) Carry out task as per plan. If any conditions change ---STOP & RE-ASSESS. 5) File JHA update for future reference. WORK ACTIVITY Site Visit For ADV Upgrading Job Preparation Job Step 1 Description of Job Step Preparation for PTW Potential Hazard/s Failure will cause damage to equipment and personnel Failure of equipment / tools used can cause accident and personal injury Fail to identify hazards associated with the job Panic Fail to procedure L S R Installation/Facility Location Associated Work Permit Type Associated Work Permit Number Electrical Isolation Certificate Number Physical Isolation Certificate Number JHA Cross-Reference Number Control / Recovery Measures Applicant, authorizing, approval, signatories be familiar with the job. Competent personnel to conduct the operation Correct tools to be used Stop work Access the situation Work in pair Muster at mustering station L S

CARIGALI

PETRONAS

PMO

Result

Acceptable

Tools / equipment preparation Step Back 2x2

1 1 1

1 1 1

1 1 1

Acceptable Acceptable Acceptable

3
4

2 2

3 3

6 6

Emergency while working

follow

emergency

CARIGALI

PETRONAS

JOB HAZARD ANALYSIS

L - LIKELIHOOD S - SEVERITY
S E V E R I T Y

R - RATING

RESULT

CATEGORY LOW MEDIUM HIGH 1 2 3

DEFINITIO N Remote Possible Probable

CATEGORY LOW MEDIUM HIGH 1 2 3 No Injury Non LTI Lost Time Injury

DEFINITIONS No Damage Minor Damage Major Damage No Pollution Minor Pollution Major Pollution

H M L

3 2 1 L

6 4 2 M

9 6 3 H

6-9 3-4 1-2

UNACCEPTABLE TOLERABLE ACCEPTABLE

IS THERE A SAFER WAY TO COMPLETE THE JOB ?

ARE THERE ALTERNATIVES WITH LESS RISK ?

LIKELIHOOD

JHA Number

TASK SAFETY MANAGEMENT OUTLINE

WORK ACTIVITY EQUIPMENT Tag. No.

Date This JHA Created : 1st Sept, 2012 Date JHA Last Revised : 1st Sept, 2012

Type of Equipment

Manufacturer

Precise Work Site

Glycol Reboiler
Name

PROSER
WORK ACTIVITY PARTICIPANTS Discipline Position Performed Job Before?

Glycol Reboiler
Name THIS JHA CREATED BY Discipline Position

Mechanical
WORK ACTIVITY RESPONSIBILITY WORK LEADER Name : Signature :Date :Time :-

Engineer
Name Signature :Date :Time :-

No
JHA SUBMITTED BY RECEIVING AUTHORITY Name :-

Instrument

Manager

JHA ACCEPTED BY APPROVING AUTHORITY Signature :Date :Time :-