RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Date:
Will the work involve any of the activities below? (Circle any that apply)
Prepared by: If ‘YES’ a Permit must be obtained

Company: ENOTEK ENGINEERING SDN BHD Hot work in Hazardous areas Confined space entry Excavation >/=1.2 m
Work on Flammable Gas
Retail Station Address: Inerting or Gas Freeing Live Electrical Work
Systems
Other (specify):
Asbestos Work Explosive Blasting

JHA Reference No.: ENO/JHA/SHELL/001 JHA Review No.: Rev 003 (4 August 2017) Review by: Project Manager
Wan Anwar Faiz
Making Predetermined JHA shall be verified and reviewed on site every day before performing the work
Approve by: HSSE Executive(HOD)
Description of work: Cutting And Excavation Work At Non-hazardous area
Nazrul Afiq Ramlan

No Job Steps No. Potential Hazards No Control Action

WORK PREPARATION
1.1.1 Ensure the green zone is establish at safe area

1.1.2 Ensure the emergency rescue plan is well establish

1 Mobilization to the work site 1.1 Injuries to the workers and public
Ensure all Equipment gas tester, Fire Retardant cloth,
1.1.3 First aid box, MSDS, Fire Extinguisher, Fire blankets,
and others equipment is in good conditions

All the power tools need to be inspected and green tag

2 Work Equipment Preparation
3 Obtain work authorization
Improper equipment can create injuries due to
2.1 2.1.1 must be tag on the equipment is safe to use. Red tags
electrocution, electrical failure, fire etc.
must be tag if the equipment is damage.
Interference with operations or construction activities
Obtains Works clearance form & others related
3.1 could exposes the public and also the workers to 3.1.1
document that should be in place
hazards

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 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Isolated the working area including barricade and
4 4.1
proper signage
5 Identify The temporary debris keeping area 5.1
4.1.1 Make sure the workers are wearing the visible vest
Traffic flow may cause an accident A trained flagman to be available is there a traffic at
4.1.2
site
5.1.1 Make sure workers do housekeeping regularly
Debris thrown away may cause trip
5.1.2 Barricade and proper signage display

EXECUTION OF WORKS
Make sure the workers are wearing the high visible
6.1.1
vest
A trained flagman to be available is there a traffic at
6 Mapping and Marking the working area 6.1 Traffic flow may cause an accident 6.1.2
site

6.1.3 Isolation work area by using hard barricade.

Proper planning and site work scooping and also refer

Damages to the underground utilities can cause
7.1 LOPC, Properties damages, loss and hazards to
workers and also to the public
7 Cutting concrete surface using diamond cutter
Dust flying around when cutting may cause workers
7.2
or public have breathing problems.
Friction between the machinery and concrete
7.3
surface can cause spark
7.1.1
to previous site drawing
Use underground metal detector to check if there are
7.1.2 any underground utilities and underground pipe or
cable
Obtain as built underground pipe & utilities drawing
7.1.3 from previous contractor to identified the location of
underground pipe or utilities
7.2.1 Wet the working area to prevent dust from spreading
Proper type of barricade or additional shielding or
7.2.2 cover to be in place to avoid dust spread out from
working area
Make sure workers involving to the work wearing dust
7.2.3
mask, eye protection and face shield.
Wet the cutting disc and also the concrete surface to
7.3.1
cool out the heat
Cutting work is not allowed to be done continuously to
7.3.2
avoid the machine overheat.

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 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

7.3.3 Standby fire extinguisher near the working area.

Proper type of barricade or additional shielding or

8.1.1 cover to be in place to avoid flying object fly out from
Flying object from the excavation work can cause working area
8.1
injury to the workers and public.
Ensure only the involved workers standing at the
8.1.2
excavations area
Ensure the operator is checking the machinery in daily
8.2.1
Failure hydraulic system can cause the property basis.
8.2
damage and injuries. Green tags must be tags as a prove inspection already
8.2.2
Hacking and soil remove the trench area using back being carried out
8
hoe
8.3.1 Concrete surface will be wet to prevent spark and heat
Friction between the machinery and concrete
8.3
surface can cause spark
8.3.2 Standby fire extinguisher near to working area.

Heat/spark from the machinery exhaust can cause Spark arrestor will be equipped at the machinery
8.4 8.4.1
fire or explosion exhaust
Operator backhoe failed to hacking at designated Provide dedicated banksman to control backhoe
8.5 8.5.1
area and can cause damage to station properties. operation.

AFTER COMPLETE WORK

9 Remove all debris from work area 9.1 Debris thrown away may cause people to trip 9.1.1 Make sure workers do housekeeping regularly

Opening from the excavation will cause damages to Trench will be temporary backfill using sand to avoid
10 Temporary cover to the trench 10.1 10.1.1
the vehicle damages to the public vehicle
Lack of communication regarding closure of
11 Close work authorization 11.1 commissioning activity could expose public or station 11.1.1 Close work clearance form
workers to hazards

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 RETAIL PERMIT TO WORK SYSTEM –JOB HAZARD ANALYSIS

Personal Protective Equipment (PPE) appropriate to the task at hand shall be worn/used at all times.
Tick box any PPE that applies to this job

Any additional PPE appropriate to the task :

List required equipment / tools (e.g hand tools, mechanical tools, plant etc.):

Additional Requirements ( Please indicate by marking “√ “ or “ X “ ) :

Barricading / Sign Fire Blanket Others
Oil Spill Kit / Stand Fire Extinguisher _____________________________
First Aid Kid ______________________________

The work crew acknowledges that they understand and will comply with the precautions listed above

NAME: SIGNATURE: NAME: SIGNATURE:

NAME: SIGNATURE: NAME: SIGNATURE:

NAME: SIGNATURE: NAME: SIGNATURE:

NAME: SIGNATURE: NAME: SIGNATURE:

NAME: SIGNATURE: NAME: SIGNATURE:

NAME: SIGNATURE: NAME: SIGNATURE:

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