JHA NO.

PFCE/F-HSE-JHA-031
REV 0
JOB HAZARD ANALYSIS DATE
PAGE 1 OF 3

HOW TO USE THIS FORM: Installation/ Facility

1. Crew performing task reviews ALL generic JHA consideration. Location
2. Review previous JHA updates(s) for useful information which will help this task. Associated Work Permit Type
3. Create new JHA update with generic form and ALL consideration for this task.
4. Carry out task as per plan. If any conditions change – STOP & RE-ASSESS. Associated Work Permit No.
5. File JHA update for future reference. Electrical Isolation Cert. No
Physical Isolation Cert. No.
WORK DESCRIPTION Gangway Installation
JHA Cross-Reference No.
JOB DESCRIPTION POTENTIAL RECOVERY
POTENTIAL HAZARD/S L S R CONTROL MEASURES L S R RESULT
STEP OF JOB STEP IMPACT MEASURES

Supervisor explains the method to

All crews are
all crews before start work (toolbox
not permitted
meeting).
to stand under
Crews not fully Wrong method. 2 3 6 All personnel must wear full ppe 1 2 2 Acceptable
the lifting
understand the task. (safety glass, helmet. Safety boot,
object due the
safety glove and life jacket).
lifting progress.
Stand by lifebuoy at the worksite.
Worksite
1.
Preparation
All crews are
Use walkie talkie. not permitted
Cannot deliver
Signalman has to give clear to stand under
any messages/ 2 3 6 1 2 2 Acceptable
Poor communication. instruction (signal) to the crane the lifting
instruction.
operator. object due the
lifting progress.

Highlight in toolbox meeting about Provide first aid

the hand & finger injury. box.
Sharp edges. Finger injuries. 2 2 4 1 1 1 Acceptable
Use safety glove (ppe) during the
work progress.

Falling object,
Pre- lifting,
Sling, hook, shackle and equipment Replace damage
tension lift and Check the lifting equipment before
2. lifting equipment under crack and 2 3 6 equipment. 1 1 1 Acceptable
check equipment use.
tension. material
for lifting.
damage.

L- LIKELIHOOD S - SEVERITY R - RATINGS RESULT

CATEGORY DEFINITIONS CATEGORY DEFINITIONS H 3 6 9 POINT DESCRIPTIONS
LOW 1 Remote LOW 1 No Injury No Damage No Pollution M 2 4 6 6-9 UNACCEPTABLE
MEDIUM 2 Possible MEDIUM 2 First Aid Injury Minor Damage Minor Pollution L 1 2 3 3-4 TOLERABE
HIGH 3 Probable HIGH 3 Lost Time Injury Major Damage Major Pollution L M H 1-2 ACCEPTABLE
IS THERE ANY OTHER BETTER WAY TO COMPLETE THE JOB? ARE THERE ALTERNATIVES WITH LESSER RISK? LIKELIHOOD
 JHA NO. PFCE/F-HSE-JHA-031
REV 0
JOB HAZARD ANALYSIS DATE
PAGE 2 OF 3

Use walkie talkie.

Signalman has to give clear All crews are not
Lift/ transfer
instruction (signal) to the crane permitted to stand
gangway to
3. Falling object (gangway.) Personnel injury. 2 3 6 operator. under the lifting 1 2 2 Acceptable
designated
Don’t block the crane operation object due the
location.
view due the work progress. lifting progress.

Highlight in toolbox meeting about

Provide first aid
Sharp edges. the hand & finger injury.
Finger injuries 2 2 4 box. 1 1 1 Acceptable
Use safety glove (ppe) during the
work progress.
Disassemble the
equipment and
4.
housekeeping.
Beware of the environment (wave)
while disassemble the equipment.
Personnel falling down Personnel/ body
2 3 6 Check the equipment after use. Standby lifebuoy. 1 2 2 Acceptable
injury
Store the equipment at the storage
area.

TASK SAFETY MANAGEMENT OUTLINE

WORK ACTIVITY EQUIPMENT
Type of Equipment Manufacturer Tag. No. Precise Work Site

L- LIKELIHOOD S - SEVERITY R - RATINGS RESULT

CATEGORY DEFINITIONS CATEGORY DEFINITIONS H 3 6 9 POINT DESCRIPTIONS
LOW 1 Remote LOW 1 No Injury No Damage No Pollution M 2 4 6 6-9 UNACCEPTABLE
MEDIUM 2 Possible MEDIUM 2 First Aid Injury Minor Damage Minor Pollution L 1 2 3 3-4 TOLERABE
HIGH 3 Probable HIGH 3 Lost Time Injury Major Damage Major Pollution L M H 1-2 ACCEPTABLE
IS THERE ANY OTHER BETTER WAY TO COMPLETE THE JOB? ARE THERE ALTERNATIVES WITH LESSER RISK? LIKELIHOOD
 JHA NO. PFCE/F-HSE-JHA-031
REV 0
JOB HAZARD ANALYSIS DATE
PAGE 3 OF 3

WORK ACTIVITY PARTICIPANTS THIS JHA IS CREATED BY PFC ENGINEERING SDN BHD
Has Performed
Name Discipline Position Signature Rev Date Name Discipline Position
Similar Job Before?

WORK ACTIVITY RESPONSIBILITY JHA SUBMITTED BY (PFCE) JHA ACCEPTED BY (CLIENT)

WORK LEADER RECEIVING AUTHORITY APPROVING AUTHORITY
Signature :- Signature :- Signature :-

Name: Name: Name:

Date: Date: Date:

L- LIKELIHOOD S - SEVERITY R - RATINGS RESULT

CATEGORY DEFINITIONS CATEGORY DEFINITIONS H 3 6 9 POINT DESCRIPTIONS
LOW 1 Remote LOW 1 No Injury No Damage No Pollution M 2 4 6 6-9 UNACCEPTABLE
MEDIUM 2 Possible MEDIUM 2 First Aid Injury Minor Damage Minor Pollution L 1 2 3 3-4 TOLERABE
HIGH 3 Probable HIGH 3 Lost Time Injury Major Damage Major Pollution L M H 1-2 ACCEPTABLE
IS THERE ANY OTHER BETTER WAY TO COMPLETE THE JOB? ARE THERE ALTERNATIVES WITH LESSER RISK? LIKELIHOOD