Professional Documents
Culture Documents
PFA / SAC
Contractor Responsible
Person:
Safety Officer
Consulted:
Sign-on:
Sign-on:
Sign-off (Consulted):
Location: MRSS
Brief description:
POWER UP OF 33KV FROM
MRSS BREAKER TO SAC
FESI#2 33KV TRANSFORMER
Yes/No
Excavation permit
Lifting competency
YES
Electrical competency
Task Specific Training
LOTO Training
Yes/No
YES
YES
YES
Spot the hazards: (Visit the job site to ensure all hazards are identified, if potential impact on the job/task check the box
and implement control measures)
Gravity(Suspended load, work at
height )
Lighting
Contaminants emanation
(smoke, vapor, gas, dust)
Environment
Noise (Machine,
equipment)
Housekeeping (tripping,
slipping, obstruction)
Weather conditions
Risks
Control measures
2 Breaker failure
3 Fire / Explosion
4 Wrong communication
5 Residual Energy
Personal Protective
Equipment (PPE)
Fall Arrestor
Yes/No
PPE
Yes/No
Ear protection
YES
Normex Clothing
YES
Other (Specify)
Respirator / Mask
Project specific PPE (Safety Shoes, Safety Glass, Safety Helmet, Hand Gloves & Body Reflectors)
YES
Before starting the job: Discuss & Review this JHA with the work crew to identify and implement control measures
Every person involved in the job must sign-on this JHA before starting the job and sign-off once job completed.
Crew name
Supervisor Name
Sign-on
Time
Sign-Off
Time
Date
Time