Reference Number-

JOB SAFETY / HAZARD ANALYSIS &

RISK ASSESSMENT FORM
UNIVERSITY OF KUALA LUMPUR
(MICET)

 Safety data sheets for NEW chemicals used in your project (and NOT available in the
laboratory) need to be attached WITH this form.
 Once this assessment has been signed by you, a technician, your project supervisor and
safety health officer; an assigned reference number will be given, please submit:
 the original document of this assessment to be kept by you.
 The copy of the document of this assessment to TECHNICIAN IN-CHARGED [TIC]
of main laboratory used; to be kept in the laboratory safety file.
 If more than one laboratory used in this project, submit a copy of this document to
the TIC to be kept in the laboratory safety file.
 Ensure this assessment is resubmitted for approval when work out of office hour.
 Ensure this assessment is read and signed annually by all concerned.
 Postgraduate student is required to submit After hours risk management procedure
together with this submission.
 Ensure this assessment is reviewed annually by the project supervisor for posrgraduate.
Remember that anything that you put in this form you must follow!

1. Title of Research Project

Preparation of Filter Medium from Sawdust Cellulose for Surface Water

2. Name of Supervisor

Supervisor Dr. Indok Nurul Hasyimah Binti Mohd Amin

Co supervisor

JSA FORM revision 8 ( Feb 2017) 1

3. Details information
Name Mohamad Nazrin Bin Rahmad
Researcher Identification No. Student ID: 55213115038

[Student ID – UniKL MICET or I/C No: 940504-14-5167

IC No – others]
Contact No. 0176415980
UniKL MICET (Program) PROCESS
External Researcher
( School/College/University/Company)
Fyp Starting Time Sem: 6 Year: 2018
Expiry Date Date: 2019
(Diploma – 1 semester;
Degree – 2 semester
Master – 2 years; PhD: 4 years
External – as specified in Letter of intention)

4. Methods / Procedures
Experimental procedure

4.1 Extraction Of Cellulose

4.1.1 Materials

a) Sawdust
b) Dimethyl Sulfoxide

4.1.2 Procedures

a) Preparation of sawdust
The Scaphium spp. wood sample can obtain from furnishing shop around Alor Gajah.
First, the sample needs to dry directly to sunlight and cut into a small piece. Next, the
small pieces of wood chips will ground into powder using a grinder. Then, the sawdust
will dry overnight in a vacuum oven at 100˚C before using.

b) Dissolution of wood
Prepare the Dimethyl Sulfoxide (DMSO) in liquid form and stir with the sawdust. In
dissolution process, prepare 5 different mass of sawdust which is 2g, 4g, 6g, 8g, and
10g. Then, all the samples will disperse with 190g of DMSO in 100ml beaker. Stir the
mixture with a magnetic stirrer on a hot plate at 50˚C in the open atmosphere with speed
of 3 about 1.5 hours. A dark and viscous wood suspension with about 5 wt% wood
concentration will obtain.

JSA FORM revision 8 ( Feb 2017) 2

 c) The extraction of cellulose and lignin
After the dissolution process, all the samples will filter through filter paper to remove
undissolved residue which the cellulose-rich extract. The some of the extract and
undissolved residue will go through drying process overnight in a vacuum oven at
100˚C for later use. While the clear brownish liquid is lignin.

4.2 Preparation of Filter Medium

4.2.1 Materials

a) Cellulose with water content of 50 wt%

b) Chitosan from shrimp shell
c) Polyethylene glycol
d) Acetic acid (96 %)
e) Sulfuric acid (98 %)

4.2.2 Procedures

a) Purification of cellulose
Prepare the cellulose by acid hydrolysis of cellulose following the Sulfuric Acid
hydrolysis with minor modification. Hydrolyze the sludge with 63.5% Sulfuric Acid
for 104 minutes at 45˚C. The resulting undergo series of centrifugation, washing with
deionized water and sonication step to collect the cellulose in the supernatant. It will
neutralize by dialysis and store until further use in the form of aqueous suspensions.
Concentrate the cellulose by dialysis against Polyethylene Glycol (PEG) to a
concentration of 4.2 wt.% prior to use for membrane fabrication.

b) Preparation of membrane
Firstly, dissolve the chitosan in 2 wt.% Acetic Acid follow by addition of deionized
water to form a solution of 1 wt.%. Mix the cellulose with chitosan with a ratio of 9:1
and the total concentration of mixture is 2 wt.%. Pour the mixture of chitosan and
cellulose into petri plate and put into fume hoot for drying and solidify. Leave the
samples about 24 hours. Bring the sample for analysis.

4.3 Analysis

4.3.1 Chemical Characteristics (Fourier Transform Infrared Spectroscopy)

a) Scanning imulsion X will give one pattern of peak while scanning imulsion Y which
consist of imulsion X plus impurities will give another pattern of peak.
b) By substracting the peaks of sample, the remaining peaks are the pattern for the
impurities.
c) Searching this patern it can be determine the compounds in the impurities.
d) Using ATD is the best recommended for this final year project.
e) Next will be insert carefully ATD and ensure the source of light is turned on.
f) The instrument will scan the background and scan the sample X.
g) As a result, the data will be print and compare to identify the impurities by plotting
the graph.

JSA FORM revision 8 ( Feb 2017) 3

4.3.2 Porosity

Porosity is a method to identify the empty space in a material and defined as the pore
volume divided by the total volume of the membrane with a unit of percentage (%). Below
is the equation of porosity of membrane, P%

(𝑊𝑤 − 𝑊𝑑) × 𝐷𝑐
𝑃% = × 100%
(𝑊𝑤 − 𝑊𝑑) × 𝐷𝑐 + 𝑊𝑑 × 𝐷𝑖

Where :
Ww : Mass of wet membrane in Water
Wd : Mass of dry membrane (g)
Di : Water density (1.0 g/cm3)
Dc : Cellulose density (1.5 g/cm3)

From the equation, the process needs to identify the mass of filter membrane samples in
wet and dry state. All the mass value will insert to the equation above to find the value P%.

4.3.3 Mechanical Properties (Universal Testing Machine)

a) Perform start-up procedure.

b) Open the testing software on the computer.
c) Choose the method for testing and new file.
d) Click “Insert New Test Icon” and click the EZ & Plus Service.
e) Put the sample and press re-zero button on the control panel beside the equipment.
f) Press the start button and then check the parameter back. After that press OK to
start the test.
g) Repeat the steps from C for new sample with new parameter.
h) Repeat the steps from E for new sample with same sample.
i) After complete the test print-up all test result.

4.3.4 Flux Measurement (Stirred-Cell Membrane Filtration)

a) A dead-end stirred-cell membrane filtration system connected to an N2 gas cylinder

was used to evaluate flux performance with the capacity of 300 ml.
b) Place the stirred-cell membrane on magnetic stirrer to reduce solid cake build up on
the membrane surface.
c) The filter membrane needs to install into the holder to begin the process.
d) Set the operation condition with the pressure of 0.196 MPa in the system was
maintained by nitrogen gas.
e) Leave the filter membrane for one day prior to measurement of water flux.
f) Calculate water flux by observing the amount of solvent passing through the
membrane under applied pressure within a fixed time interval.

JSA FORM revision 8 ( Feb 2017) 4

5 Type of hazards identified in this project.
i. All hazards must be identified during sampling in & out the campus, performing the experiment in the laboratory and analyzing of results.
ii. If your experiment is going to be carried out at external laboratory, it is a requirement to do hazard identification at those laboratories.

Type of hazards Table to be completed Potential Hazards

Yes No
Physical hazards Please fill in table 5a 
Biological hazards Please fill in table 5b 
Chemical hazards Please fill in table 5c 

5a Hazards that have potential to cause harm (potential hazard)

( Do not forget to include ergonomic hazards AND all the physical hazards)
Physical hazards identified Precautions / Emergency action
[at ALL sites; sampling site, laboratory etc]
1. Handle properly
Broken Glassware
2. Inform to person in charge if any incident happens.
1. Use the proper glove when using this type of equipment.
Handling with hot equipment
2. Get the First Aid for pretreatment and inform to person in-charge for further treatment.
1. Hand must be dry before handling the electrical appliance.
Electrical Shock
2. Switch off the electrical power supply and call the assistance instantly.
1. Wear safety shoes with non-skid sole and keep floor free from water.
Slips, trips and falls
2. Report to supervisor or technician any repair needed to nonslip tiling or products.

JSA FORM revision 8 ( Feb 2017) 5

5b Hazards that have potential to cause harm (potential hazard)
( All the biological hazards)
Biological hazards identified Precautions / Emergency action
[at ALL sites; sampling site, laboratory etc]

5c. Substances used which have potential to cause harm (potential hazard)
NB: This section is concerned with hazards inherent in the substances rather than the way they might be used in this procedure. All columns must be filled
according to Safety Data Sheet.

Substance Hazards identified EXPOSURE LIMIT Precautions in handling Emergency action

Dimethyl sulfoxide
JSA FORM revision 8 ( Feb 2017)
(e.g. toxic, flammable) (MEL or OEL) (if (if gloves required state type) in the event of spillage etc.
assigned- do not quote
LD50 etc.)
Potential Acute Health Not Avalable. Precautions: Eye Contact:
Effects: Keep away from heat. Keep Check for and remove any
Slightly hazardous in away from sources of ignition. contact lenses. Immediately
case of inhalation (lung Ground all equipment containing flush eyes with running water
irritant). Slightly material. Do not ingest. Do not for at least 15 minutes, keeping
hazardous in case of skin breathe gas/fumes/ vapor/spray. eyelids open. Cold water may
contact (irritant, Wear suitable protective be used. Get medical attention
permeator), of eye clothing. In case of insufficient if irritation occurs.
contact (irritant), of ventilation, wear suitable Skin Contact:
ingestion. respiratory equipment. If Wash with soap and water.
ingested, seek medical advice Cover the irritated skin with an
6

Acetic acid
JSA FORM revision 8 ( Feb 2017)
Potential Chronic immediately and show the emollient. Get medical
Health Effects: container or the label. Keep attention if irritation develops.
Slightly hazardous in away from incompatibles such as Cold water may be used.
case of skin contact oxidizing agents. Serious Skin Contact: Not
(irritant, sensitizer, Storage: available.
permeator), of ingestion. Keep container in a cool, well- Inhalation:
CARCINOGENIC ventilated area. Keep container If inhaled, remove to fresh air.
EFFECTS: tightly closed and sealed until If not breathing, give artificial
Not available. ready for use. Avoid all possible respiration. If breathing is
MUTAGENIC sources of ignition (spark or difficult, give oxygen. Get
EFFECTS: Mutagenic flame). Hygroscopic. Sensitive medical attention.
for mammalian somatic to light. Store in light-resistant Serious Inhalation: Not
cells. Mutagenic for containers. available.
bacteria and/or yeast. Ingestion:
TERATOGENIC Do NOT induce vomiting
EFFECTS: Not available. unless directed to do so by
DEVELOPMENTAL medical personnel. Never give
TOXICITY: Not anything by mouth to an
available. The substance unconscious person. Loosen
may be toxic to tight clothing such as a collar,
blood, kidneys, liver, tie, belt or waistband. Get
mucous membranes, medical attention if symptoms
skin, eyes. Repeated or appear.
prolonged exposure to Serious Ingestion: Not
the substance can available.
produce target
organs damage.
Potential Acute Health Precautions: Eye Contact:
Effects: TWA: 10 ppm (25 mg/m3) Keep away from heat. Keep Check for and remove any
Very hazardous in case away from sources of ignition. contact lenses. In case of
of skin contact (irritant), Ground all equipment containing contact, immediately flush
of eye contact (irritant), material. Do not ingest. Do not eyes with plenty of water for at
of ingestion, of breathe gas/fumes/ vapor/spray. least 15 minutes. Cold water
inhalation. Hazardous in Never add water to this product.
7
 case of skin contact In case of insufficient may be used. Get medical
(corrosive, permeator), of ventilation, wear suitable attention immediately.
eye contact (corrosive). respiratory equipment. If Skin Contact:
Liquid or spray mist may ingested, seek medical advice In case of contact, immediately
produce tissue damage immediately and show the flush skin with plenty of water
particularly on mucous container or the label. Avoid for at least 15 minutes while
membranes of eyes, contact with skin and eyes. Keep removing contaminated
mouth and respiratory away from incompatibles such as clothing and shoes. Cover the
tract. Skin contact may oxidizing agents, reducing irritated skin with an emollient.
produce burns. Inhalation agents, metals, acids, alkalis. Cold water may be used. Wash
of the spray mist may Storage: clothing before reuse.
produce severe irritation Store in a segregated and Thoroughly clean shoes before
of respiratory tract, approved area. Keep container in reuse. Get medical attention
characterized by a cool, well-ventilated area. immediately.
coughing, choking, or Keep container tightly closed Serious Skin Contact:
shortness of breath. and sealed until ready for use. Wash with a disinfectant soap
Inflammation of the eye Avoid all possible sources of and cover the contaminated
is characterized by ignition (spark or flame). skin with an anti-bacterial
redness, watering, and cream. Seek immediate
itching. Skin medical attention.
inflammation is Inhalation:
characterized by itching, If inhaled, remove to fresh air.
scaling, reddening, or, If not breathing, give artificial
occasionally, blistering. respiration. If breathing is
Potential Chronic difficult, give oxygen. Get
Health Effects: medical attention immediately.
Hazardous in case of skin Serious Inhalation:
contact (irritant), of Evacuate the victim to a safe
ingestion, of inhalation. area as soon as possible.
CARCINOGENIC Loosen tight clothing such as a
EFFECTS: Not available. collar, tie, belt or waistband. If
MUTAGENIC breathing is difficult,
EFFECTS: Mutagenic administer oxygen. If the
for mammalian somatic victim is not breathing,
JSA FORM revision 8 ( Feb 2017) 8
 cells. Mutagenic for perform mouth-to-mouth
bacteria and/or yeast. resuscitation. WARNING: It
TERATOGENIC may be hazardous to the
EFFECTS: Not available. person providing aid to give
DEVELOPMENTAL mouth-to-mouth resuscitation
TOXICITY: Not when the inhaled material is
available. The substance toxic, infectious or corrosive.
may be toxic to kidneys, Seek immediate medical
mucous membranes, attention.
skin, teeth. Repeated or Ingestion:
prolonged exposure to Do NOT induce vomiting
the substance can unless directed to do so by
produce target organs medical personnel. Never give
damage. Repeated p. 2 anything by mouth to an
or prolonged contact with unconscious person. Loosen
spray mist may produce tight clothing such as a collar,
chronic eye irritation and tie, belt or waistband. Get
severe skin irritation. medical attention if symptoms
Repeated or prolonged appear. Serious Ingestion: Not
exposure to spray mist available.
may produce respiratory
tract irritation leading to
frequent attacks of
bronchial infection.
Glutaraldehyde Potential Acute Health Precautions: Eye Contact:
Effects: TWA: 0.2 ppm (0.82 mg/m3) Keep locked up. Do not ingest. Check for and remove any
Hazardous in case of skin Do not breathe gas/fumes/ contact lenses. In case of
contact (irritant), of eye vapor/spray. Wear suitable contact, immediately flush
contact (irritant), of protective clothing. In case of eyes with plenty of water for at
ingestion, of inhalation insufficient ventilation, wear least 15 minutes. Cold water
(lung irritant, lung suitable respiratory equipment. If may be used. Get medical
sensitizer). Slightly ingested, seek medical advice attention immediately.
hazardous in case of skin immediately and show the Skin Contact:

JSA FORM revision 8 ( Feb 2017) 9

 contact (sensitizer, container or the label. Avoid In case of contact, immediately
permeator). contact with skin and eyes. Keep flush skin with plenty of water.
Potential Chronic away from incompatibles such as Cover the irritated skin with an
Health Effects: oxidizing agents, alkalis. emollient. Remove
CARCINOGENIC Storage: contaminated clothing and
EFFECTS: Classified A4 Light Sensitive. Refrigerate. shoes. Cold water may be
(Not classifiable for Store in light-resistant used.Wash clothing before
human or animal.) by containers. Keep containers reuse. Thoroughly clean shoes
ACGIH tightly closed. Keep containers before reuse. Get medical
[Glutaraldehyde]. in a cool, well ventilated attention.
MUTAGENIC area. Serious Skin Contact:
EFFECTS: Mutagenic Wash with a disinfectant soap
for mammalian somatic and cover the contaminated
cells. [Glutaraldehyde]. skin with an anti-bacterial
Mutagenic for bacteria cream. Seek immediate
and/or yeast. medical attention.
[Glutaraldehyde]. Inhalation:
TERATOGENIC If inhaled, remove to fresh air.
EFFECTS: Not available. If not breathing, give artificial
respiration. If breathing is
difficult, give oxygen. Get
medical attention immediately.
Serious Inhalation:
Evacuate the victim to a safe
area as soon as possible.
Loosen tight clothing such as a
collar, tie, belt or waistband. If
breathing is difficult,
administer oxygen. If the
victim is not breathing,
perform mouth-to-mouth
resuscitation. WARNING: It
may be hazardous to the
person providing aid to give
JSA FORM revision 8 ( Feb 2017) 10

Polyethylene glycol
JSA FORM revision 8 ( Feb 2017)
mouth-to-mouth resuscitation
when the inhaled material is
toxic, infectious or corrosive.
Seek immediate medical
attention.
Ingestion:
If swallowed, do not induce
vomiting unless directed to do
so by medical personnel.
Never give anything by mouth
to an unconscious person.
Loosen tight clothing such as a
collar, tie, belt or waistband.
Get medical attention
immediately. Serious
Ingestion: Not available.
Potential Acute Health Precautions: Eye Contact:
Effects: TWA: 10 mg/m3 Keep away from heat. Keep Check for and remove any
Slightly hazardous in away from sources of ignition. contact lenses. In case of
case of skin contact Ground all equipment containing contact, immediately flush
(irritant, permeator), of material. Do not ingest. Do not eyes with plenty of water for at
eye contact (irritant), of breathe gas/fumes/ vapor/spray. least 15 minutes. Cold water
ingestion, of inhalation. Wear suitable protective may be used. Get medical
Potential Chronic clothing. If ingested, seek attention if irritation occurs.
Health Effects: medical advice immediately and Skin Contact:
CARCINOGENIC show the container or the label. Wash with soap and water.
EFFECTS: Not available. Keep away from incompatibles Cover the irritated skin with an
MUTAGENIC such as oxidizing agents, acids, emollient. Get medical
EFFECTS: Not available. alkalis. attention if irritation develops.
TERATOGENIC Storage: Cold water may be used.
EFFECTS: Not available. Keep container tightly closed. Serious Skin Contact: Not
DEVELOPMENTAL Keep container in a cool, well- available.
TOXICITY: Not ventilated area. Inhalation:
available. Repeated or
11

Sulfuric acid
JSA FORM revision 8 ( Feb 2017)
prolonged exposure is If inhaled, remove to fresh air.
not known to aggravate If not breathing, give artificial
medical condition. respiration. If breathing is
difficult, give oxygen. Get
medical attention.
Serious Inhalation: Not
available.
Ingestion:
Do NOT induce vomiting
unless directed to do so by
medical personnel. Never give
anything by mouth to an
unconscious person. If large
quantities of this material are
swallowed, call a physician
immediately. Loosen tight
clothing such as a collar,
tie, belt or waistband.
Serious Ingestion: Not
available.
Potential Acute Health Precautions: Eye Contact:
Effects: TWA: 3 mg/m3 Keep locked up. Keep container Check for and remove any
Very hazardous in case dry. Do not ingest. Do not contact lenses. In case of
of skin contact breathe gas/fumes/ vapor/spray. contact, immediately flush
(corrosive, irritant, Never add water to this product. eyes with plenty of water for at
permeator), of eye In case of insufficient least 15 minutes. Cold water
contact (irritant, ventilation, wear suitable may be used. Get medical
corrosive), of ingestion, respiratory equipment. If attention immediately.
of inhalation. Liquid or ingested, seek medical advice Skin Contact:
spray mist may produce immediately and show In case of contact, immediately
tissue damage the container or the label. Avoid flush skin with plenty of water
particularly on mucous contact with skin and eyes. for at least 15 minutes while
membranes of eyes, Storage: removing contaminated
mouth and respiratory clothing and shoes. Cover the
12
 tract. Skin contact may Hygroscopic. Reacts. violently irritated skin with an emollient.
produce burns. Inhalation with water. Keep container Cold water may be used.Wash
of the spray mist may tightly closed. Keep container in clothing before reuse.
produce severe irritation a cool, well-ventilated area. Do Thoroughly clean shoes before
of respiratory tract, not store above 23°C (73.4°F). reuse. Get medical attention
characterized by immediately. Serious Skin
coughing, choking, or Contact:
shortness of breath. Wash with a disinfectant soap
Potential Chronic and cover the contaminated
Health Effects: skin with an anti-bacterial
CARCINOGENIC cream. Seek immediate
EFFECTS: Classified 1 medical attention.
(Proven for human.) by Inhalation:
IARC, + (Proven.) by If inhaled, remove to fresh air.
OSHA. Classified A2 If not breathing, give artificial
(Suspected for respiration. If breathing is
human.) by ACGIH. difficult, give oxygen. Get
MUTAGENIC medical attention immediately.
EFFECTS: Not available. Serious Inhalation:
TERATOGENIC Evacuate the victim to a safe
EFFECTS: Not available. area as soon as possible.
DEVELOPMENTAL Loosen tight clothing such as a
TOXICITY: Not collar, tie, belt or waistband. If
available. The substance breathing is difficult,
may be toxic to kidneys, administer oxygen. If the
lungs, heart, victim is not breathing,
cardiovascular system, perform mouth-to-mouth
upper respiratory tract, resuscitation. WARNING: It
eyes, teeth. may be hazardous to the
person providing aid to give
mouth-to-mouth resuscitation
when the inhaled material is
toxic, infectious or corrosive.

JSA FORM revision 8 ( Feb 2017) 13

 Seek immediate medical
attention.
Ingestion:
Do NOT induce vomiting
unless directed to do so by
medical personnel. Never give
anything by mouth to an
unconscious person. Loosen
tight clothing such as a collar,
tie, belt or waistband. Get
medical attention if symptoms
appear.
Serious Ingestion: Not
available.

Skin Contact – Flush with copious amounts of water for at least 15 minutes. Remove contaminated clothing and wash before reuse. Unless contact has been
slight obtain medical attention.
Inhalation – Remove to fresh air, rest and keep warm. If breathing is difficult give artificial respiration and obtain medical attention.
Eye contact – Irrigate with copious amounts of eye wash or water for at least 15 minutes. Assure adequate flushing by separating the eyelids with fingers.
Obtain medical attention
Ingestion – Do not induce vomiting. If conscious provide water for person to thoroughly wash out mouth (and sip if required). Obtain medical attention.

Full safety data sheets for the above chemicals must available in file at the laboratory in use.
Please ensure data sheets for any previously unused chemical are added to the laboratory's safety file.
Nomenclature
CoSHH: Control of Substances Hazardous to Health MEL: Maximum exposure limit TWA: Time weighted average

SDS : Safety Data Sheet [or the old term is called OEL: Occupational exposure limit TLV: Threshold limit value
CSDS-CHEMICAL SAFETY DATA SHEET or
MSDS-MATERIAL SAFETY DATA SHEET

JSA FORM revision 8 ( Feb 2017) 14

5d. Equipment used in the procedure which may cause harm
NB: This section is concerned with hazards inherent in the equipment rather than the way it might
be used in this procedure.
Equipment
Oven
Magnetic Stirrer
Fourier Transform Infrared
Spectroscopy
Universal Testing Machine
Stirred-Cell Membrane Filtration
NOTE:
ALL EQUIPMENTS USED ELECTRICAL POWER WILL HAVE ELECTRICAL HAZARDS.
6. Laboratories required
PILOT PLANT
LAB 15 (Polymer Processing Testing & Analysis)
LAB 2B (Analytical Chemistry)
LAB 2C (Analytical Chemistry)
JSA FORM revision 8 ( Feb 2017)
Nature of hazard Precautions to be taken
Electrical shock : Make sure
Electrical shock
work area and hand is dry.
Hot surface
Fume Hot surface : Ware the proper
glove in handling the hot
equipment.
Fume : Ware the mask while
opening and closing the oven.
Hot surface : Ware the proper
Hot surface
glove in handling the hot
Electrical shock equipment.
Splashing of hazardous material
Electrical shock : Ensure that
work area and hand is dry.
Splashing of hazardous
material : Waring the lab cot to
cover skin.
Ensure the spectrometer is
Electrical shock
properly grounded and all the
cables are properly insulated.
Check that the area around is
clean and dry before operating
the spectrometer.
Electrical shock : Check that
Electrical shock
area around the meachine clean
Mechanical exposure and dry before start the operation
Mechanical exposure : Keep
distance safely while the machine
is operate.
Take the fresh air. Get the
Asphyxiant
medical attention immediately if
Expose to nitrogen gas getting worse.
15
6a. First Aid & Fire Fighting Equipment (FAFFE) Available

LABORATORY: LABORATORY: LABORATORY: LABORATORY:

FAFFE
PILOT PLANT LAB 15 LAB 2B LAB 2C
Eye wash & Model: Haw’s Model: Haw’s Model: Haw’s Model: Haw’s
emergency Coperation 8300 Coperation 8300 Coperation 8300 Coperation 8300
shower
Last date checked: Last date Last date Last date
19/2/2018 checked: checked: checked:
14/2/2018 19/2/2018 19/2/2018
Condition:
GOOD Condition: Condition: Condition:
GOOD GOOD GOOD
Antiseptic
Expire: 10/2020 Expire: 7/2018 Expire: 10/2020 Expire: 10/2020
cream
Dressing Cotton Bud Natural Cotton Tweezers Tweezers
Triangular Triangular Plaster Strip Plaster Strip
Bandage Bandage (handy plass) (handy plass)
Elastic Gauze Bandage Safety Pin Safety Pin
Comforming
Bandage
Gauze Swabs Gauze Swabs W.O.W Bandage W.O.W Bandage
Cosmoplast Melolin Wooden Splint Wooden Splint
Plaster
Elastic Crepe Thermometer Cotton Bud Cotton Bud
Bandage
W.O.W. Bandage Wooden Splint Alcohol Swab Alcohol Swab
Wooden Splint Scissors Scissors
Gauze Swab Gauze Swab
Triangular Triangular
Bandage Bandage
Surgical Tape Surgical Tape
Eyemo Not Available Not Available Not Available Not Available
Yellow lotion Expire: 8/2017 Not Available Expire: 1/2018 Expire: 1/2018
Dettol Expire: Not Expire: 1/2020 Expire: 1/2020 Expire: 1/2020
Available
Chemical
Available Available Available Available
spill kit
Fire Checked on: Checked on: Checked on: Checked on:
Extinguisher 19/2/2018 14/2/2018 19/2/2018 19/2/2018

Next checking on: Next checking on: Next checking on: Next checking on:
13/12/2018 29/12/2018 20/9/2018 20/9/2018

JSA FORM revision 8 ( Feb 2017) 16

 FAFFE LABORATORY: Lab 1C
Eye wash & emergency Model: Haw’s Coperation
shower 8300

Last date checked:

7/2/2018

Condition: GOOD

Antiseptic cream Expire: 10/2020

Dressing Surgical Tape
Gauze Bandage
Elastic Comforming
Bandage
Fabric Strip
Alcohol Pads
Crepe Bandage
Eyemo Not Available
Yellow lotion Expire: 8/2017
Dettol Expire: 1/2020
Chemical spill kit Available
Fire Extinguisher Checked on: 17/3/2018

Next checking on:

28/11/2018

JSA FORM revision 8 ( Feb 2017) 17

7. Disposal routes for waste materials
Tick [ ] or complete appropriate box for each category of waste WITH reference to FIRST
SCHEDULE of ENVIRONMENTAL QUALITY (SCHEDULED WASTES) REGULATIONS 2005.

Route for disposal:

Nature of Black Solvent drum Sharps Other
Black
waste: Sink bin (e.g. (SW311; route
bag SW322; SW323) bin
SW410) (specify)
Dissolved lignin  (SW 3)

Cellulose waste   (SW 3)

Tissue, glove,

face mask, filter 
(SW 410)
paper

Used sawdust

cellulose filter 
(SW 4)
membrane

NOTE:The following list of scheduled wastes are not exhausted, the above regulation must be
referred to complete this section.

SW109 Waste containing mercury or its compound

SW206 Spent inorganic acids
SW311 Waste of oil or oily sludge
SW322 Waste of non-halogenated organic solvents
SW323 Waste of halogenated organic solvents
SW421 Rags, plastics, papers or filters contaminated with scheduled wastes

NOTE:
PLEASE SPECIFY YOUR BIOHAZARD WASTE - ROUTE OF DISPOSAL

8. Specific risk assessment for procedure and precautions to be

taken
During handling the machine, lab equipment, lab apparatus and etc, make sure that personal
protective equipment (PPE) must be wear appropriately according to the equipment that will be
handle and all precaution in table 5a, 5c and 5d must be followed. In preparation of cellulose, there
is a LOW risk of contact with hazardous chemicals. Waring the right glove when handling the hot
equipment. Ensure hand are dried when handling the electrical equipment. Before start the
experiment, make sure all the apparatus in good condition, dried and clean workplace and proper
wiring for electrical equipment. Thus, during the experiment ensure take extra care in handling
apparatus and chemical to avoid broke and chemical spillage. Make sure that student fully
understands the standard operating procedure when using the machine and lab equipment. During
handling acid, alkali and hazardous chemical, workplace must be well-ventilated area and know
where the FAFFE is placed. In cellulose filter process, there is a MINOR risk of contact with the
hazardous chemical. Waring proper PPE will avoid any injury during handling this process. During
the analysis, there is LOW risk of contact with hazardous chemicals because it will become filter
medium in a dried condition. After following all above preparations the overall risk assessment for
this procedure is LOW.
JSA FORM revision 8 ( Feb 2017) 18
9. Level of supervision required and suitability for out-of-hours work
Please mark box [  ] to indicate appropriate supervision category for this procedure.
work may not be carried out except under the direct supervision of a
Category A specified member of staff who is present continuously
work may not be started without the supervisor's advice and approval, some
 Category B additional training and initial direct supervision
work may not be started without the supervisor's advice and approval and
Category C some additional training - no direct supervision required
although extra care must be observed, workers should already be competent
 Category D
and adequately-trained for this task
risks are insignificant and supervision unnecessary
Category E

9a. Is this procedure authorised for out-of-hours work?

YES :___ NO: 

[TO BE FILLED FOR WORK TO BE DONE OUT OF OFFICE HOURS ]

Date and time Supervisor Approval HOS Approval SHO Approval

10. Emergency Contact

No NAME CONTACT NO

1. Security Guard 06-5512054

2. Safety Executive 016-6459211

Name: MOHD NAQUIB BIN
MOHAMMAD
3. Safety and Health Officer 019-2436965
Name: NOR AINI BTE BUROK
4. Supervisor 012-6447422
Name: Dr. Indok Nurul Hasyimah Binti
Mohd Amin
5. Co-supervisor (if any)
Name:
Note:
Supervisor is required to make hourly phone calls to check on students when they work out of office
hour

JSA FORM revision 8 ( Feb 2017) 19

11. Signature of technician involved in the project.

Form Checked By Mohd Zamzuri Bin Ismail Signature

(Technician):- (Date)
Form Checked By Ahmad Faiz Bin Daud Signature
(Technician):- (Date)
Form Checked By Mohd Fadil Bin Mohd Amin Signature
(Technician):- (Date)
Form Checked By Mohd Sukri Bin Rahmat Signature
(Technician):- (Date)

12. Signature of academic supervisor and co supervisor

Note that this assessment needs to be reviewed and signed annually to take into account any developments of the procedure [if the project is
more than one year, eg postgraduate].
Supervisor (Name): Dr. Indok Nurul Hasyimah Binti Signature
Mohd Amin (Date)
Co-Supervisor (Name): Signature
(Date)

13. Signature of authorised signatory for JSA approval

Signature Name

Date

JSA FORM revision 8 ( Feb 2017) 20

14. Signature and contact number of workers involved with this procedure
Please sign annually to say you have read the attached document and understood it.
# Name of other student Signature & # Name of other student Signature &
involved Contact No. involved Contact No.
(Date) (Date)
1 2
3 4
5 6
7 8
9 10
11 12
JSA reference number of other JSA reference number
student involved of other student involved

JSA FORM revision 8 ( Feb 2017) 21

Review Section [TO BE FILLED BY POSTGRADUATE ONLY].

15. Signature of the reviewer/s

Note that this assessment needs to be reviewed and signed ANNUALLY to take into account any developments of the procedure
(This section should be signed by the technician/s in charge of the areas where the work is to be done)

Signature Could any less Signature Could any less

(Date) hazardous substance or (Date) hazardous substance or
procedure be used? procedure be used?

JSA FORM revision 8 ( Feb 2017) 22