Photo Taking JHA

 JHA WORKSHEET Installation/Facility

HOW TO USE THIS FORM: 1) Crew performing tasks reviews ALL generic considerations.

Location

2) Review previous JHA update(s) for useful information which will help this task.

Associated Work Permit Type

3) Create new JHA update with generic form and ALL considerations for this task.

Associated Work Permit Number

4) Carry out task as per plan .If any conditions change ... STOP & RE-ASSESS

Electrical Isolation Certificate Number

N/A

5) File JHA update for future reference.

Physical Isolation Certificate Number

N/A

WORK ACTIVITY  Perform Photo Taking for PASR Auditing

JHA Cross-Reference Number

 Job Step

1

2

Description of Job Step

Potential Hazards

Potential Impact L

Walk Walkin ing g at at wor work k sit site. e.

1. Slip Slippe pery ry Area Area 1. Trip Trip/s /sli lip p 2. Hot Hot sur surfa face ce 2. Body Body inju injury ry

Came Camera ra batt battery ery oper operat ated ed..

1. Batt Batter ery y migh mightt 1. Expl Explos osio ion n nea nearr cause work area. explosion.

2

S

2

Control Measures

R

2

2

Recovery Measures

1. Iden Identi tify fy any any obstruction walk way. 1. Barr Barric icad ade e the the 4 2. Make Make sure sure the the area. area is safe for carry out photo taking

1.

4

Use rechargeable battery.

Hot Work Permit

1. Make Make sure sure the the battery is in good condition before use.

L

1

S

2

1

R

1

1

Result

Acceptabl e

1 Acceptabl e

 JHA WORKSHEET

3

1. Hazardous area for usage 1. Back pain and ergonomics

Taking photography

L-LIKEHOOD CATEGORY

2

S-SEVERITY

DEFINITION

CATEGORY

2

1. Make sure the area free from 1. Flash light off. any gases. 2. Inform site 4 2. Required gas operation test before before perform taking any the job. photos

 

DEFINITIONS

LOW

1

Remote

LOW

1

No injury

No Damage

No Pollution

MEDIUM

2

Possible

MEDIUM

2

Non LTI

Minor Damage

Minor Pollution

HIGH

3

Probable

HIGH

3

Lost Time Injury

Major Damage

Major Pollution

IS T HERE A SAFE R WAY TO COMPLETE THE JOB?

ARE THERE ALTE RNAT IVES WITH L ESS RIS K?

S E V E R I T  Y 

1

2

R-RATING

1

Acceptabl e

RESULT

H

3

6

9

6-9

M

2

4

6

3-4

TOLERABLE

L

1

2

3

1-2

ACCEPTABLE

L

M

H

LIKELI HOOD

UNACCEPTABLE

 JHA WORKSHEET  JHA Number

TASK SAFETY MANAGEMENT OUTLINE

Date This JHA Created : 16/06/2011

 JHA WORKSHEET Date JHA Last Revised : 16/06/2011 WORK ACTIVITY EQUIPMENT Type of Equipment

Manufacturer

Tag No.

Precise Work Site

Camera

WORK ACTIVITY PARTICIPANTS Name

Discipline

THIS JHA CREATED BY  

Position

Performed Job Before

Name

Discipline

WORK ACTIVITY RESPONSIBILITY WORK LEADER

JHA SUBMITTED BY  RECEIVING AUTHORITY

Name :

Name :

REVIEWED BY  APPROVING AUTHORITY REPS Name :

Signature :

Signature :

Signature :

Signature :

Date :

Date :

Date :

Date :

 Time :

 Time :

 

Time :

Time :

Position

 JHA ACCEPTED BY  APPROVING AUTHORITY Name :