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    Job Hazard Analysis (Jha) Worksheet

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    ridhwan6339
    This document provides a template for a Job Hazard Analysis (JHA) worksheet to identify potential hazards and mitigation measures for specific jobs. The summary includes: 1) The JHA worksheet is used to obtain a work permit and identify hazards for jobs conducted under the permit. 2) All personnel working under the permit must be familiar with the work procedures and mitigations described in the JHA. 3) The JHA must be discussed among the work team before starting work to ensure all hazards and controls are understood.

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    Job Hazard Analysis (Jha) Worksheet

    Uploaded by

    ridhwan6339
    82 views3 pages
    This document provides a template for a Job Hazard Analysis (JHA) worksheet to identify potential hazards and mitigation measures for specific jobs. The summary includes: 1) The JHA worksheet is used to obtain a work permit and identify hazards for jobs conducted under the permit. 2) All personnel working under the permit must be familiar with the work procedures and mitigations described in the JHA. 3) The JHA must be discussed among the work team before starting work to ensure all hazards and controls are understood.

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    This document provides a template for a Job Hazard Analysis (JHA) worksheet to identify potential hazards and mitigation measures for specific jobs. The summary includes: 1) The JHA worksheet is used to obtain a work permit and identify hazards for jobs conducted under the permit. 2) All personnel working under the permit must be familiar with the work procedures and mitigations described in the JHA. 3) The JHA must be discussed among the work team before starting work to ensure all hazards and controls are understood.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    82 views3 pages

    Job Hazard Analysis (Jha) Worksheet

    Uploaded by

    ridhwan6339
    This document provides a template for a Job Hazard Analysis (JHA) worksheet to identify potential hazards and mitigation measures for specific jobs. The summary includes: 1) The JHA worksheet is used to obtain a work permit and identify hazards for jobs conducted under the permit. 2) All personnel working under the permit must be familiar with the work procedures and mitigations described in the JHA. 3) The JHA must be discussed among the work team before starting work to ensure all hazards and controls are understood.

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    JOB HAZARD ANALYSIS [JHA] WORKSHEET

    JHA NO. PTW NO WORK PERMIT TYPE HOT/ COLD

    FACILITY LOCATION 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.

    JOB POTENTIAL POTENTIAL


    DESCRIPTION OF JOB STEP CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
    STEP HAZARD CONSEQUENCES

    Page 1
    JOB POTENTIAL POTENTIAL
    DESCRIPTION OF JOB STEP CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
    STEP HAZARD CONSEQUENCES

    Page 2
    JHA NO.

    PTW NO

    WORK PERMIT TYPE


    Hot Work
    FACILITY
    Terminal
    LOCATION
    MCOT
    SPECIFIC WORKSITE
    Process Area
    EQUIPMENT NO.

    WORK DESCRIPTION
    Video Shooting for MCOT Safety Video

    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

    Page 3

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