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1RINDIN1
HOW TO USE THIS FORM : 1) Crew performing task reviews !! generi" #H "onsi$erations% &) Review previo's #H 'p$ate(s) for 'sef') information w*i"* wi)) *e)p t*is task% +) Create new #H 'p$ate wit* generi" form an$ !! "onsi$erations for t*is task% ,) Carr- o't task as per p)an% If an- "on$itions "*ange ...STO/ 0 RE. SSESS% 1) Fi)e #H 'p$ate for f't're referen"e% WOR+ A($I,I$Y A. SAFE$Y. O((/"A$IONAL AND EN,IRON0EN$AL HAZARD JOB DES(RI"$ION OF JOB S$E" "O$EN$IAL HAZARD/S S$E" 1 Prepare Structural / Piping Materials for grinding Perform grinding or! - Manual handling
"I"E FI$$ERS
Installation/Facility Location Associated Wo ! "e #it $y%e Associated Wo ! "e #it N&#'e Elect ical Isolation (e ti)icate N&#'e "*ysical Isolation (e ti)icate N&#'e JHA ( oss-Re)e ence N&#'e : : : : : : :
"a3e 4 o) 5
L 2 2 2 2 2 2 2
S 0 2 ) 2 2 2 1
R 2 4 * + + + 2
L 1
S 1
R 1
RES/L$ Acceptable
- "igh speed rotating abrasi#e disc - Sharp ob$ects - Pressuri%ed air hoset - &bstruction to or!ers '"oses(
- P,-, PPE, .se appro#ed disc ith correct RPM rating, e/uipment, safet0 chec!list, competent personnel,, house!eeping
Acceptable
B. (LASSIFI(A$ION L-LI+ELIHOOD S-SE,ERI$Y (A$E1ORY DEFINI$ION (A$E1ORY DEFINI$ION 3o 1 Remote 3o 1 4o 5n$ur0 4o 6amage 4o Pollution Med 2 Possible Med 2 4on 3,5 Minor 6amage Minor Pollution "igh ) Probable "igh ) 3ost ,ime 5n$ur0 Ma$or 6amage Ma$or Pollution IS $HERE ANY SAFER WAY $O (O0"LE$E $HE JOB2 ARE $HERE AL$ERNA$I,ES WI$H LESS RIS+2
" M 3
R- RA$IN1 ) * 2 + 1 2 3 M LI+ELIHOOD
1 * ) "
SE,ERI$ Y
REF. NO.
JHA
We hereby confirmed that this JHA review meeting has been conducted with the personnel involved with the task and the tools, equipment, layout, arrangement and preparation are complete in good working order and that the area is free and safety warnings/signs have been erected. NOTE: JHA to be read out to the workers and other related personnel during Tool Box Session.
DAYANG ENTERPRISE SDN BHD ANGSI TCOT PIPELINE PROJECT CH2/C3/2006/DFHD/354 Provi io! "or Hoo#$%& '!( Co))i io!i!* o" CARIGALI "'+i,i-i. "or Y.'r 200/ $ 2000
JOB HAZARD ANALYSIS $as! Na#e: $ea# (o#%osition:
RE, : A
1RINDIN1
"I"E FI$$ERS
Date $*is JHA Last Re6ised :
"a3e 5 o) 5
(. E7/I"0EN$ IN,OL,ED WOR+ A($I,I$Y E7/I"0EN$ $y%e o) E8&i%#ent 0an&)act& e $a3 No. " ecise Wo ! Site
D. "ERSONNEL IN,OL,ED Na#e WOR+ A($I,I$Y "AR$I(I"AN$S Disci%line "osition "e )o #ed Jo' Be)o e2 Na#e $HIS JHA IS (REA$ED BY Disci%line "osition
E. A""RO,AL AND A/$HORI$Y WOR+ A($I,I$Y RES"ONSIBILI$Y WOR+ LEADER Na#e : Si3n : Date : $i#e :
We hereby confirmed that this JHA review meeting has been conducted with the personnel involved with the task and the tools, equipment, layout, arrangement and preparation are complete in good working order and that the area is free and safety warnings/signs have been erected. NOTE: JHA to be read out to the workers and other related personnel during Tool Box Session.