Jha Lin Filling
Jha Lin Filling
Jha Lin Filling
Job
Step
Description of
Job Step
Potential
Hazards
Potential
Impact
Installation/Facility
Location
Associated Work Permit Type
Associated Work Permit Number
Electrical Isolation Certificate Number
Physical Isolation Certificate Number
JHA Cross-Reference Number
People / Assets /
Reputation
Personal Injury
Noisy Area
Personal Injury
Congested Area
Personal Injury
Equipment
Damaged or broken
equipment
Control
Measures
Result
Acceptable
Acceptable
Acceptable
Acceptable
Tolerable
Acceptable
Acceptable
Verify Worksite
Mobilization of Liquid N2
Lorry from Gate 1 to N2
Plant
Road Accident
1. Property Damage
(N2 Release)
2. Personal Injury
Unauthorized Personal
Entry
Expose to hazards
associate with activity
Dust
Manual Handling
5.
Personal Injury
Respiratory Problem
2.Supervisor and worker jointly review the procedure and plan activites
To Supply Dust Mask for all workers
1.Personnel made aware of Manual Handling
Hazards.
Acceptable
Acceptable
Acceptable
Personal Injury
Pinch
Acceptable
2
3
3
2
6
6
1
1
3
2
3
2
Tolerable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Falling material
Body injury
2.Supervisor and worker jointly review the procedure and plan activites
1. N2 Gas Release
Loose Hose
Connection
4. Cold Burn
6.
1. N2 Gas Release
Purging
Untightened bolt & Nut
3. Cold Burn
Uncontrolled Pressure
Release.
Vessel Failure
Personal Injury
Equipment Damage
N2 Release
Hose Rupture
Uncontrolled Pressure
Release.
Personal Injury
N2 Release
Fitting Failure
Incompetent Operator
Physical Injury
Personal injury
Manual Handling
Personal injury
Personal Injury
Acceptable
Acceptable
2
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
N2 Release
7.
Equipment Damage
Pre-cooling
&
Transfering Liquid N2 from
the lorry to N2 Liquid
Storage
Uncontrolled Pressure
Release.
Hose Rupture
Fitting Failure
High Pressure
1. N2 Gas Release
Loose Hose
Connection
4. Cold Burn
Untightened bolt & Nut
1. N2 Gas Release
2. Personal Injury due
Personal Injury
.
1. Access to area restricted
2. Wear correct PPE
3. Assign watchman to patrol area.
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
1. Trained Personnel.
2. All equipment checked for suitability.
3. Check condition of hand tools before use
Acceptable
Acceptable
Acceptable
Acceptable
Equipment Damage
N2 Release
. N2 Gas Release
Burst at release valve
3. Cold Burn
Manual Handling
10
Housekeeping
Cold burn
Cold burn
Personal Injury
Personal injury
Cold Burn
Heat stress
-Dehydration
-Loss of conciseness
-heat stroke
Obstruction
2.Supervisor and worker jointly review the procedure and plan activites
Dust
-Respiratory problem
L - LIKELIHOOD
CATEGORY
walkway
2. Personnel to vigilant during work
1. Supervisor to supply dust mask for all
workers
2. Supervisor to ensure the road access
include in watering (truck water spray)
route
DEFINITION
CATEGORY
LOW
Remote
LOW
MEDIUM
Possible
MEDIU
M
HIGH
Probable
HIGH
DEFINITIONS
No Injury
No Damage
No Pollution
Minor Damage
Major Damage
Minor Pollution
Major Pollution
Acceptable
RESULT
R - RATING
S - SEVERITY
6-9
UNACCEPTABLE
3-4
TOLERABLE
1-2
ACCEPTABLE
LIKELIHOOD
Type of Equipment
Name
JHA SUBMITTED BY
Performed
Job Before?
JHA CHECKED BY
WORK LEADER
SUBCONT HSE
Tag. No.
Name
JHA REVIEWED BY
CONSORTIUM HSE
RECEIVING AUTHORITY
Position
ENDORSED BY
APPROVING AUTHORITY
Name :-
Name :
Name :
Name :-
Name :-
Signature :-
Signature :
Signature :-
Signature :-
Signature :-
Date :-
Date :
Date :-
Date :-
Date :-
Time :-
Date :
Time :-
Time :-
Time :-