JOB HAZARD ANALYSIS (JHA) APPENDIX A Company name : Date :01-June-2017
Title: EARTH WORK
Project Name:
Ref no.: Revision :
Prepared b!
J'+ D%"CR*P(*'N:
Step , A*ti'it
1."ite Preparation
P"#iti"$
Si%$at&re
Re'ieed b
Re'ieed b
Re'ieed b
Appr"'ed b "$#tr&*ti"$ +a$a%er
Name:
Name: Y!Y
Name:
Name :
Position: "ite #ana$er
Position : !"% #ana$er
Position: !"% #N&%R
Position : C'N"(R)C(*'N #N&%R
"i$nature:
"i$nature:
"i$nature:
"i$nature:
Date:
Date
Date:
Date:
%,C(*'N %,C(*'N +C/**N& C'#PC(*'N
W"r- Ta#-
P"te$tial Ha.ard
1.1 P( app3yin$
1.1.1 !a4ar5s an5 safety precautions uni5entifie5
1.2 (oo3s e9uipment *nspection
1.2. 1.2.1 1 *mp *mpro rope perr ;o5y ;o5y post postur ure e
1.2.2 "arp e5$es
1.2. 1.2.? ? )nce )ncert rtif ifie ie5 5 e9ui e9uipm pmen entt
1.? #ateria3s e9uipment preparation
1.?.1 a au3ty e9 e9uipment
Revision : 0
"$#e/&e$*e#
-*ncomp3iance 6it P(" permits to 6or8 re9uirements. -P( is not $rante5 -Do6n time -+ac -+ac8 8 *nj *njur ury y or muscu3os8e3eta3 5isor5er -Pysica3 injury
Ri#A##e##0 e$t I L R 2
D
#
2
D
#
2
D
#
-%9u -%9uip ipme ment nt not not $rante5 to use
2
D
-Pysica3 in injury -or8 5e3aye5
2
D
Ha.ard "$tr"l
-Competent P( coor5inator assi$ne5. -"upervisors are traine5 P(
- *mp3ement proper ;o5y posture
-)se proper e9uipment for te jo; # -a33 e9uipment must ;e in $oo5 con5ition -No mo5ification on too3s an5 e9uipment are a33o6e5 to ;e inspect -(oo3s -(oo3s an5 e9uipment to ;e cec8e5 ;y # competent person an5 in $oo5 con5ition for use -Reinspect te e9uipment after 5o a maintenance
Re#id&al Ri#I
L
R
2
+
2
+
2
+
Addi titi"$al "$tr"l !
A*ti"$ Re/&ired b !
Refreser P( trainin$.
"ite "upervisor
%r$o %r$ono nomi mic c tra train inin in$ $
"ite "ite "upervisor
Refreser tr trainin$ =an5 injury>
"ite "upervisor
2
+
@uater co3our co5in$ system ;e imp3emente5
"ite "upervisor
2
+
@uater co3our co5in$ system ;e imp3emente5
"ite "upervisor
JOB HAZARD ANALYSIS (JHA) J'+ D%"CR*P(*'N:
Step , A*ti'it
12 E3*a'ati"$
%,C(*'N %,C(*'N +C/**N& C'#PC(*'N
W"r- Ta#-
2.1 %Acavation B1. m
P"te$tial Ha.ard
Revision : 0
"$#e/&e$*e#
Ri#A##e##0 e$t I L R
Ha.ard "$tr"l
Re#id&al Ri#I
L
R
2.1.1 )neAperience eAcavator operator
-Pysica3 *njury -Property 5ama$e5
C
!
-'n3 -'n3y y eApe eAperi rien ence ce an5 an5 cer certi tifi fie5 e5 ope opera rato torr a33o6e5
?
+
2.1. 2.1.2 2 ai3 ai3ur ure e eAca eAcava vato tor< r|
-or -or8 8 5e3a 5e3aye ye5. 5.
?
C
#
-'n3 -'n3y y e5a9 e5a9ua uate te eAca eAcava vato tor< r|
?
+
2.1.? &roun5 con5ition not surveye5
-Pysica3 *njury -Property 5ama$e5
?
C
#
-Proper survey must ;e imp3emente5
?
+
2.1. "oi3 stoc8 5istance to e5$e of eAcavation B eAcavation 5ept
-Pro -Prope pert rty y 5ama 5ama$e $e5 5
?
C
#
-"oi -"oi33 stoc stoc8 8 5ist 5istan ance ce to e5$e e5$e must must ;e $reater tan eAcavation 5ept
?
+
2.1. %Acavator near te e5$e of eAcavation
-Pysica3 *njury -Property 5ama$e5
?
C
#
-%Ac -%Acav avat ator or must must not not ;e ;e pos posit itio ione ne5 5 6it 6iti in n 2 m to e5$e. -3a$man must ;e assist macinery fu33 time
?
+
2.1. "oi3 transport means route near e5$e
-P ys ys ica 3 * nj nju ry ry
?
C
#
-e i i c3 c3e ro ut ute 5 is ta ta nc nce t o e 5$ 5$e mu st st n ot ot ; e 6itin 2 m
?
+
2 .1 .1 .E .E Pe Peo p3 p3 e i n t e e Ac Aca va va titio n
-P ys ys ica 3 * nj nju ry ry
C
!
-No pe pe op op 3e in in eA eA ca ca va va titi on on 5u 5u riri n$ n$ eA eA ca ca va va to tor 6or8in$ -3a$man must ;e cec8 surroun5in$ area ;efore $ive an instruction to operator
?
+
2.1.7 Peop3e 6itin eAcavator 6or8in$ ra5ius
-Pysica3 *n *njury
C
!
-No pe peop3e 6i 6itin 6o 6or8in$ ra ra5ius of of eAcavator -3a$man active3y 6or8in$ to ensure no;o5y eAcavation area c3ear from any o;stac3e or peop3e.
?
+
2.1.F )nprotecte5 openin$ eAcavation
-Pysica3 *n *njury
?
C
#
-!ar5 ;a ;arrica5in$ an an5 si si$na$e to to ;e ;e insta33e5 proper3y
?
+
Addit Additi" i"$a $all "$ "$tr tr"l "l !
A*ti A*ti"$ "$ Re/& Re/&ir ired ed b !
-a3i5 5rivin$ 3icense -"ite "up. Drivers
Pa$e 2
JOB HAZARD ANALYSIS (JHA) J'+ D%"CR*P(*'N:
Step , A*ti'it
%,C(*'N %,C(*'N +C/**N& C'#PC(*'N
W"r- Ta#-
2.2 %Acavation H1. m
P"te$tial Ha.ard
Revision : 0
"$#e/&e$*e#
Ri#A##e##0 e$t I L R
Ha.ard "$tr"l
Re#id&al Ri#I
L
R
2.1.G Peop3e fa33in$
-Pysica3 *njury
?
C
#
-!ar5 ;arrica5e for te eAcavation H1. meter 5ept 6it proper si$na$e -i$tin$ proper3y for ni$t time -Proper access provi5e5
?
+
2.2.1 No 6ritten eAcavation p3an prepare5 or not fo33o6in$ eAcavation p3an
-)ncomp3iance project re9uirement -ron$ eAcavation
?
C
#
-pp -ppro rove ve5 5 6r 6ritte itten n eAca eAcava vati tion o n p3a p3an n to ;e o;taine5. %Acavation p3an to ;e fo33o6e5 strict3y
?
+
2.2.2 &roun5 con5ition not surveye5
-Pysica3 *njury -Property 5ama$e5
?
C
#
-Proper survey must ;e imp3emente5
?
+
2.2.? "oi3 stoc8 5istance to e5$e of eAcavation B eAcavation 5ept
-"oi3 stoc8< eAcavation co33apse
?
C
#
-"oi -"oi33 sto stoc8 c8 5ist 5istan ance ce to e5$e e5$e must must ;e $reater tan eAcavation 5ept
2.2. %Acavator near te e5$e of eAcavation
-Pysica3 *njury -Property 5ama$e5
C
!
-%Ac -%Acav avat ator or mus mustt not not ;e pos posit itio ione ne5 5 6it 6iti in n2 m to e5$e.
?
+
2.2. "oi3 transport means route near e5$e
-Pysica3 *njury -Property 5ama$e5
C
!
-e -eic ic3e 3e rout route e 5istan s tance ce to e5$ e5$e e mus mustt not not ;e ;e 6itin 2 m
?
+
2.2. !it < struc8 ;y movin$ veic3es
-Pysica3 *njury
C
!
-3a$man to ;e active3y 6or8in$ to contro3 veic3e movin$ an5 surroun5in$ area.
?
+
2.2. 2.2.E E Peop Peop3e 3e in te te eAca eAcava vati tion on
-Py -Pysi sica ca33 *nju *njury ry
?
C
#
-No -No peop peop3e 3e in eAca eAcava vati tion on 5uri 5urin$ n$ eAca eAcava vato torr 6or8in$ -3a$man must ;e cec8 surroun5in$ area ;efore $ive an instruction to operator
?
+
2.2.7 Peop3e 6itin eAcavator 6or8in$ ra5ius
-Pysica3 *njury
C
!
-No -No peo peop3 p3e e 6it 6iti in n 6or 6or8i 8in$ n $ ra5i ra5ius us of eAcavator -3a$man active3y 6or8in$
?
+
Addit Additi" i"$a $all "$ "$tr tr"l "l !
A*ti A*ti"$ "$ Re/& Re/&ir ired ed b !
-"ite "up. -!"% "up. -Drivers
-3a$man an5 operator a6areness trainin$
-3a$man an5 operator a6areness trainin$ -3a$man an5 operator a6areness trainin$
-3a$man an5 operator a6areness trainin$
Pa$e ?
JOB HAZARD ANALYSIS (JHA) J'+ D%"CR*P(*'N:
Step , A*ti'it
?.+C/**N& an5 C'#PC(*'N
%,C(*'N %,C(*'N +C/**N& C'#PC(*'N
W"r- Ta#-
?.1 +ac8fi33in$ eve33in$ an5 Compaction activity
P"te$tial Ha.ard
Revision : 0
"$#e/&e$*e#
Ri#A##e##0 e$t I L R
Ha.ard "$tr"l
Re#id&al Ri#I
L
R
Addit Additi" i"$a $all "$ "$tr tr"l "l !
2.2.F )nprotecte5 openin$ eAcavation
-Pysica3 *njury -Property 5ama$e5
C
!
-!ar -!ar5 5 ;ar ;arri rica ca5i 5in$ n$ an5 an5 si$ si$na na$e $e to ;e insta33e5 proper3y
?
+
2.2.G Peop3e fa33in$ into eAcavation
-Pysica3 *njury
?
C
#
-i$tin$ proper3y for ni$t time -Proper access provi5e5
?
+
2.2. 2.2.10 10 Dust Dust<< mu5 mu5 spi3 spi33a$e 3 a$e
-%nv -%nvir irom omen entt impa impact ctII unea3ty 6or8in$ environment
?
C
#
-Dust
?
+
2.2.11 'verea5 o;struction
-Property 5ama$e5
C
!
?
+
?.1.1 ron$ ron$ ;a8fi33 ;a8fi33in$ in$ proce5u proce5ure re
-or8 -or8 5e3aye5< aye5< Re6or8
?
C
#
-"trict3y fo33o6 #"
?
+
?.1.2 #o #ovin$ e9 e9uipment
-Pysica3 *n *njury
C
!
-3a$man to to ;e ;e ac active3y 6o 6or8in$ -+arrica5in$ te area.No unautori4e5 entry te ;arrica5e5 area.
?
+
-3a$man an5 operator a6areness trainin$
?.1.? "oft ;a8fi33e5 $roun5
-Pysica3 *njury -Pro -Prope pert rty y 5ama 5ama$e $e5 5
C
!
-No -No unau unaut tor ori4 i4e5 e5 ve veic ic3e 3e.. +ar +arri rica ca5e 5e5 5 area area 6it proper si$na$e.
?
+
-3a$man an5 operator a6areness trainin$
?.1. 'penin$ eAcavation
-Pysica3 *njury
C
!
-+arrica5e5 eAcavation
?
+
?.1. or8in$ 5urin$ eAten5e5 ours < 6or8in$ at ni$t
-P ys ys ica 3 * nj nju ry ry
?
C
#
-"u ffff ic ici en en t a cc cce ss ss a n5 n5 3 i$ t t in $ fo r ni $ $ t 6or8 = 0 3uA surroun5in$ 6or8in$ area an5 access to toi3et an5 100 3uA for 6or8in$ area.>
?
+
? .1 .1 .E .E Du Du st st < m u5 u5 sp sp i3i3 3a $e $e
-%n vi vi ro ro me me nt nt im imp ac ac tItI unea3ty 6or8in$ environment
?
C
#
-Dust
?
+
-3a$man must ;e a3ert aroun5 surroun5in$ an5 a;ove o;stac3e. -on3y sma33 ;u335o4er usin$ for ;ac8fi33in$ an5 3eve33in$ un5er pipe rac8 -Pre-jo; assessment nee5 to ;e 5one ;efore start activity
A*ti A*ti"$ "$ Re/& Re/&ir ired ed b !
-3a$man an5 operator a6areness trainin$
-"ite "up. -!"% "up. -Drivers< operators -3a$man -or8ers
Pa$e
JOB HAZARD ANALYSIS (JHA) J'+ D%"CR*P(*'N:
Step , A*ti'it
42 HO5SEKEEPIN6
%,C(*'N %,C(*'N +C/**N& C'#PC(*'N
W"r- Ta#-
.1 !ouse8eepi n$ activity
P"te$tial Ha.ard
Revision : 0
"$#e/&e$*e#
Ri#A##e##0 e$t I L R
I
L
R
?
+
33 surp3us materia3s to ;e c3eare5 proper3y
?
+
-"af -"afe e acc acces ess s an5 an5 e$re e$ress ss to ;e main mainta tain in -Proper materia3 arran$ement -%nsure a33 3oose materia3 8eep in ;a$ an5 container -/eep a33 materia3 at 5esi$nate5 area an5 ;arrica5e 6it a si$na$e -ear proper PP% # -+r ie ie f t o 6or 8e 8e rs rs re $a $a r5 r5 in $ on an an 5 i nj nj ur ur y prevention. - ear proper PP% # -ea r 5 us us t ma s8 s8 =N =NG > >
?
+
2
+
?.1.7 'v 'verea5 o; o;struction
-Property 5a 5ama$e5
C
!
.1.1 "urp3us materia3s not proper3y c3eare5
-No safe access
?
C
#
-Pysica3 *njury -Property 5ama$e
?
C
#
-P ys ys ica 3 in ju ju ry ry
2
D
.1.2 "3ip trip an5 fa33
.1.? "arp o;ject Re sp spi ra ra to to ry ry af aff ec ect e5 e5
2
D
Ha.ard "$tr"l
Re#id&al Ri#-
-3a$man must ;e a3ert aroun5 surroun5in$ an5 a;ove o;stac3e. -'n3y sma33 ;u335o4er usin$ for ;ac8fi33in$ an5 3eve33in$ un5er pipe rac8 -Pre-jo; assessment nee5 to ;e 5one ;efore start activity
2
+
Addit Additi" i"$a $all "$ "$tr tr"l "l !
A*ti A*ti"$ "$ Re/& Re/&ir ired ed b !
-3a$man an5 operator a6areness trainin$
-"ite "up. -or8ers -"ite "upervisor
Refreser tr trainin$ =an5 injury>
"ite "upervisor "ite "upervisor
.1. Dust
Pa$e
JOB HAZARD ANALYSIS (JHA) J'+ D%"CR*P(*'N:
Step , A*ti'it
%,C(*'N %,C(*'N +C/**N& C'#PC(*'N
W"r- Ta#-
P"te$tial Ha.ard
Revision : 0
"$#e/&e$*e#
Ri#A##e##0 e$t I L R
Re#id&al Ri#-
Ha.ard "$tr"l
I
L
Addit Additi" i"$a $all "$ "$tr tr"l "l !
A*ti A*ti"$ "$ Re/& Re/&ir ired ed b !
R
RISK LASSI7IATION +ATRIX Se'erit,+@* C$ F$% I+PAT T8 9:N6,;NH H<=N6,H>5 ?5;
LOW RISK R_i r" t[p
+"derate, a pCi
4 +a"r, LQ$
ata#tr"pi*, N%i0 tr$% +<iple 7atalitie#
Sli%t I$&r
+i$"r I$&r
+a"r I$&r
Si$%le 7atalit
E$'ir"$0e$t,9,' 0Ui tr
%$Sli%t I0pa*t
+i$"r I0pa*t
L"*ali.ed I0pa*t
+a"r I0pa*t
+a##i'e I0pa*t
Sli%t Da0a%e
+i$"r Da0a%e
L"*al Da0a%e
+a"r Da0a%e
Si%$ii*a$t Da0a%e
Sli%t I0pa*t
Li0ited I0pa*t
+a" +a"rr Nat Nati" i"$a $all II0p 0pa* a*tt
Happe$# #e'eral ti0e per ear i$ te l"*ati"$
EG
E1
"$#iderable I0pa*t E
E4
+a" +a"rr II$t $ter er$a $ati ti"$ "$al al I0pa*t E
Happe$# #e'eral ti0e per ear i$ te i$d&#tr
DG
D1
D
D4
D
I$*ide$t a# "**&rred i$ te *"0pa$
G
1
4
Heard " i$*ide$t i$ te i$d&#tr
BG
B1
B
B4
B
Ne'er eard " i$ te i$d&#tr
AG
A1
A
A4
A
Rep&tati"$, D,' da$ ti$% E Al0"#t ertai$, 6$ $ ** *$ D Li-el, R[t \ t] 3C ra P"##ible, \ -C $^$% 3C ra B 5$li-el, KU$% ** 3C ra A Re0"tel Li-el, R[t i0,-\ 3C ra
1 +i$"r, NM
Pe"ple, 9,' $%i A##et#, 9,' tVi #C$
D O O H I L E K I L A R Y ; X 6 N N ; H K
G I$#i%$ii*a$t, $ 3e0 3t
+EDI5+ RISK R_i r" 0@* tr&$% b`$
HI6H RISK R_i r" *a"
ERY HI6H RISK R_i r" r[t *a"
Pa$e E
