JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE HOT/ COLD

FACILITY Platform LOCATION BYDP-B SPECIFIC WORKSTATION
EQUIPMENT NO. WORK
DESCRIPTION

NOTE
1. JHA shall be applicable for all work activities which requires PTW.
2. The pre-prepared JHA and JHA prompters will be used as a reference/guide during the development of JHA.
3. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures developed for the job. The Work/Operating Procedures shall describe, in step-by-step instructions, the correct method of executing the specified work.
4. Prior to commencement of work (after PTW has been approved), the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained therein shall be fully understood and agreed by all involved
personnel.


Page 1
JOB
STEP
DESCRIPTION OF JOB STEP
POTENTIAL
HAZARD
POTENTIAL CONSEQUENCES CONTROL BARRIERS

ACTION PARTY RECOVERY BARRIERS

ACTION PARTY
Preparation of materials
Slip, trip and falls Body injury
Proper arrangement of materials.
Do not block the access way
Adequate lighting system
Wear prescribed PPE

Medical treatment

Manual handling
repetitive
motion and
awkward posture
Uncomfortable to muscle and joint
Work with supervision
Job rotation
Teamwork

Resting period

Erection of base frames, standards and
bracing
Unsupported
frames or
standards being
erected at
ground level.
Frames or standards falls over
striking person erecting scaffold or
other person close to the work
area.
Sole boards to be correct length for soft
ground.
Bracing or team member used to support
first frames or standards.
Base plates or screw jacks used under all
frames and standards.
Foundation to be level or screw jacks to be
used.
Castor wheels locked and fitted correctly

Emergency response

Working at height Body injury Full body harness at all time.
Supervision
Medical treatment
Erection of 2
nd
level frames, standards
and bracing.
Climbing un-
braced scaffold
during erection.
Scaffold tips over causing fall
No climbing un-braced scaffold.
2 persons used to assist in scaffold
erection.
Foundation to be level or screw jacks to be
used

Emergency response


Working at height Body injury Full body harness at all time.
Supervision
Medical treatment
CASEVAC

Base frames or
standards not
adequately
braced or
supported
Instability / collapse of scaffold
causing fall
Scaffold to be built square with plan
bracing installed.
Sufficient and correctly fixed diagonal
bracing

Emergency response


Page 2
JOB
STEP
DESCRIPTION OF JOB STEP
POTENTIAL
HAZARD
POTENTIAL CONSEQUENCES CONTROL BARRIERS

ACTION PARTY RECOVERY BARRIERS

ACTION PARTY
Scaffold exceeds
height to base
ratio.
Scaffold topples over causing a fall
from height
General height of scaffold not to exceed 3
times the base width unless out riggers are
used or the scaffold is tied to a secure
structure

Emergency response

Erection of working platforms
Manual handling.
Strains, sprains or injuries such as
back damage
2 persons used to pass materials to higher
lifts.

Medical treatment

Working at height Body injury Full body harness at all time.
Supervision
Medical treatment
Split (uneven)
decks installed
Step backward off higher deck
causing fall from height Working decks to be at same height.

Medical treatment

Erection of edge protection, ladder and
toe boards
Climbing on the
outside of
scaffold
Scaffold moves unexpectedly or tips
over causing fall
2 persons to assist in scaffold erection
Full body harness

Medical treatment


Working at height Body injury Full body harness at all time.
Supervision

Medical treatment

Movement of
scaffold.
Fall from unprotected working
platform
Scaffold adequately braced to prevent
movement
whilst edge protection is fixed

Medical treatment


Edge protection
incomplete
Fall from the edge of the working
platform
Handrail positioned not below 900mm and
above
1100mm the working platform on all sides.
Mid rail to be installed

Medical treatment

Ladder access
hatch (trap door)
in working deck
Fall through ladder access hatch
Hatch to be closed whilst working on deck

Medical treatment


Inappropriate
access to working
deck.
Fall whilst gaining access to working
platform.
No climbing up or down the outside of the
scaffold.
Ladder access to be installed.
Ladder to be positioned internally for
scaffold more than 3 meters in height and
at the appropriate angle 1:4 i.e. for every 4
metres in height 1 metre out from the
base.
o Ladder to be secured at the top
and bottom.
o Ladder to project at least 1 metre
above the working platform.
o Ladder to access the working
platform through a trap door.

Medical treatment

Unsecured tools
and / or
equipment lying
on working
platform
Injury due to scaffold collapse.
Toe boards to be fitted to the working
platform.
Exclusion zone around scaffold positioned
in a public or work area.
Area around base of scaffold to be
barricaded off.

Medical treatment


Page 3
JOB
STEP
DESCRIPTION OF JOB STEP
POTENTIAL
HAZARD
POTENTIAL CONSEQUENCES CONTROL BARRIERS

ACTION PARTY RECOVERY BARRIERS

ACTION PARTY
Housekeeping
Slip, trip and fall Minor/major body injury
Wearing appropriate PPE
Housekeeping - ensure work areas are
clear from non related materials

Medical treatment


Sharp edges Hand & fingers injury
Wear appropriate hand gloves
Secure the sharp edges by suitable means,
i.e. cotton rags, masking tape.

First aid treatment


Page 4













JHA APPROVAL DURING PTW APPLICATION

REVIEWED BY APPROVED BY
NAME

NAME

DESIGNATION WORK LEADER DESIGNATION PRODUCTION SUPERVISOR / MAINTENANCE SUPERVISOR
SIGNATURE

SIGNATURE

DATE

DATE




AFTER PTW HAS BEEN APPROVED

WORK TEAM (CONFIRMATION THAT JHA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OF PRE-JOB/TOOLBOX MEETING - AFTER PTW HAS BEEN APPROVED)
Name(s) Designation Signature Name(s) Designation Signature








JHA NO.

PTW NO

WORK PERMIT TYPE

FACILITY

LOCATION

SPECIFIC WORKSITE

EQUIPMENT NO.

WORK DESCRIPTION