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SECTION A: JOB HAZARD ANALYSIS COVER SHEET

SEKSYEN A: MUKA DEPAN ANALISA HAZAD KERJA
Job Title (Tajuk Kerja): EARTHING AND LIGHTNING PROTECTION SYSTEM AT GURUN REGIONAL OFFICE (NORTHERN OPERATION) – BLOCK VALVE
STATION
Location/Lokasi: M1 / M2
Tag No/Equipment No: PTW No:

ZETO RULES
Overriding or Lifting
Permit to Work / N/A Working at Height N/A N/A Ignition Source Control /
Disabling SCE Operations
Hazardous
Confined Space
Energy Isolation N/A N/A Chemical N/A Excavation / Driving /
Entry
Handling
Risk Category of the Job:(Refer Risk Matrix in appendix VI)
Kategori Risiko Kerja: (Rujuk Matriks Risiko)
Low Medium / High Very High

Prepared By Reviewed By
Maintenance
Work Leader RA HSE ABT Others
Engineer

Signature

Name Mohd Kairol Basri Isa

M Lutfi Mahali
Designation
Workleader Technician Executive Executive
Department / Company AMT SOLUTIONS SDN BHD

Date
06/10/2020

Name Designation Signature Date Time

APPROVED BY*
Kahar Jupry AA
Note:
*In the event of very high risk activities, the reviewer shall be performed by AA and approved by Operation Head.
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SECTION B: JHA WORK SHEET TASK

ANALYSIS SEKSYEN B: ANALISA HAZAD
LANGKAH KERJA

Job / Kerja: EARTHING AND LIGHTNING PROTECTION SYSTEM

Who or What might

be Harmed (PEAR) Control and/ or Recovery Action/
Description of Potential Hazards & Consequences Apa/siapa yang
Step Measures Responsible
Task/Step Hazad dan Akibat akan terancam
No Langkah Kawalan dan/ Person(s)
Langkah Kerja (Orang, Alam Pemulihan Tindakan oleh
Sekitar, Aset,
Reputasi)
1 Equipment and Physical Hazard: P : Slight Injury ● Wear mandatory PPE i.e. WL, RA, And Workers
Material i. Pitch point/ sharp edge E : N/A Coverall, Safety Helmet,
mobilization, ii. Heavy equipment, tools, A : Slight damage Safety Shoes, and Hand
loading, unloading materials R : N/A Gloves
and storage iii. Slippery/ uneven surface ● Work with buddy
iv. Unauthorized/ unfit vehicle ● Correct hand placement
within RO ● Prepare list of tools and
Consequences: equipment to be mob
● Ensure correct lifting
i. Personal Injury (hands, finger
and etc.) ● Beware of ground &
surrounding
ii. Asset damage and personal ● Supervision by Work
injuries
Leader/ Supervisor
iii. Trip and fall ● Vehicle to be inspected by
iv. Vehicle related accident PGB personnel and fill in
vehicle entry certificate
Physiological & Ergonomic P : Minor Injury ● Position with good body WL, RA, And Workers
i. Wrong Posture E : N/A posture
i. Workplace Fatigue - inadequate A : N/A ● Use correct lifting technique
rest time between a work set
R : N/A ● Work with buddy
Consequences: ● Sufficient intermittent rest
i. Back pain and slip disc caused by for long working hours
wrong posture ● Ensure meet the law
requirement on daily/
ii. Workplace fatigue lead to loss of weekly working hours
energy to perform task
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Biological Hazard P : Minor Injury / ● Visual inspection at WL, RA, And

Wild Reptile/Insect Health impact surrounding area prior to Workers
E : N/A start work
A : N/A ● Be alert with surrounding
Pandemic COVID-19 virus
R : N/A condition
transmission ● Ensure First Aid Box
available
● Identify nearest medical
Consequences: services
Stung by wild reptile/insect COVID 19 pandemic
● All person must wear either
COVID-19 virus may spread among 3 ply surgical mask, N95 or
KN95 Mask during the work
workers, PETRONAS Staff and even
activity.
to public ● To do daily health
declaration before start of
work.
● To take necessary personal
information such as phone
number, home address etc.
● To do temperature
screening. Whoever
personnel with 37.5 degree
celcius body temperature or
more, cannot proceed to
work.
● To provide sanitizer at site
and remind all personnel to
Sanitize
● To provide control post for
worker rest area and covid-
19 screening post at Main
Entrance
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Adverse Condition Hazard P: Minor Injury ● Wear mandatory PPE i.e. WL, RA, And
i. Extreme Conditions (e.g. Heat, E: N/A Coverall, Safety Helmet, Workers
Heavy Rain etc.) A: N/A and Safety Shoes
ii. High Noise
R: N/A ● STOP WORK during heavy
rain, lightning or excessive
heat
Consequences:
● Take rest and drink plenty
i. Struck by lightning and heat of water
stroke ● Wear ear plug at noisy
ii. Hearing impairment environment
Chemical Hazard N/A N/A N/A
Not Applicable
Trench / Physical Hazard: P : Minor Injury WL,RA, And
excavation for i. Pitch point/ sharp edge E : N/A ● Wear mandatory PPE i.e
Workers
CBSC8 A : Slight damage Coverall, Safety
2 equipment, tools, material
conductor R : N/A Helmet,Safety shoes,
installation ii. Trench / excavation (in depth) Gloves
iii. Uneven/ slippery surface ● Beware of ground &
- Manual trenching iv. Existing underground cable/ surrounding
excavation using piping ● Barricade the area of
hand tool i.e. hoe, v. Uneven ground surface and excavation
shovel, etc limited pathway through working ● Only manual tools allowed
area at trenching route. for excavation
● Ensure underground
Consequences:
scanning already completed
i. Personal Injury (hands, finger to ensure no existing cable/
and etc.) and existing cable/ piping in the excavation
utilities piping damage location
ii. Asset damage and personal ● To update existing drawing
injuries as per MOC requirement
iii. Trip and fall ● Aware of working area
surrounding
iv. Personnel injuries caused by
uncontrollable machineries

Psychological & Ergonomic P : Minor Injury WL,RA, And

i. Wrong Posture E : NA ● Position with good body Workers
A : NA posture prior to handling the
ii. Workplace Fatigue –
R : NA equipment/material
Inadequate rest time between a ● Work with buddy
work set
● Sufficient rest
Consequences:
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i. Wrong posture performing task
lead to back pain and slip disc
ii. Workplace fatigue lead to loss
of energy to perform task

Biological Hazard P : Minor Injury / ● Visual inspection at WL,RA, And Workers

Wild Reptile/Insect Health impact surrounding area prior to
E : N/A start work
A : N/A ● Be alert with surrounding
Pandemic COVID-19 virus
R : N/A condition
transmission ● Ensure First Aid Box
available
● Identify nearest medical
Consequences: services
Stung by wild reptile/insect COVID 19 pandemic
● All person must wear either
COVID-19 virus may spread among 3 ply surgical mask, N95 or
workers, PETRONAS Staff and even KN95 Mask during the work
activity.
to public
● To do daily health
declaration before start of
work.
● To take necessary personal
information such as phone
number, home address etc.
● To do temperature
screening. Whoever
personnel with 37.5 degree
celcius body temperature or
more, cannot proceed to
work.
● To provide sanitizer at site
and remind all personnel to
Sanitize.
● To provide control post for
worker rest area and covid-
19 screening post at Main
Entrance
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Adverse Condition Hazard P: Minor Injury ● Wear mandatory PPE i.e. WL,RA, And Workers
i. Extreme Conditions (e.g. Heat, E: NA Coverall, Safety Helmet,
Heavy Rain etc.) A: NA and Safety Shoes
i. Noise R: NA

● STOP WORK during heavy

Consequences: rain, lightning or excessive
i. Struck by lightning and heat heat
● Take rest and drink plenty
stroke
of water
i. Hearing impairment ● Wear ear plug at noisy
environment
Chemical Hazard N/A N/A N/A
Not Applicable
Electrical Hazard N/A N/A N/A
Not Applicable
3 Backfilling for Physical Hazard: P : Minor Injury ● Wear mandatory PPE i.e. WL,RA, And Workers
CBSC8 conductor i. Pitch point/ sharp edge E : N/A Coverall, Safety Helmet,
installation equipment, tools, material A : Slight damage Safety Shoes, and Hand
- Manual backfilling ii. Trench / excavation (in depth) R : N/A Gloves
using hand tool i.e. iii. Uneven/ slippery surface ● Beware of ground &
hoe surrounding
Consequences: ● Barricade the area of
i. Personal Injury (hands, finger unfinished backfilled
and etc.) ● Only manual tools allowed
ii. Asset damage and personal for backfilling
injuries
iii. Trip and fall

Psychological & Ergonomic P : Minor Injury ● Position with good body WL,RA, And
i. Wrong Posture E : NA posture prior to handling the Workers
ii. Workplace Fatigue – Inadequate A : NA equipment/material
rest time between a work set R : NA ● Work with buddy
Consequences: ● Sufficient rest
i. Wrong posture performing
task lead to back pain and slip
disc
ii. Workplace fatigue lead to loss
of energy to perform task
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Biological Hazard P : Minor Injury / ● Visual inspection at WL,RA, And Workers
Wild Reptile/Insect Health impact surrounding area prior to
E : N/A start work
A : N/A ● Be alert with surrounding
Pandemic COVID-19 virus
R : N/A condition
transmission ● Ensure First Aid Box
available
● Identify nearest
Consequences: medical services
Stung by wild reptile/insect COVID 19 pandemic
● All person must wear either
COVID-19 virus may spread among 3 ply surgical mask, N95 or
workers, PETRONAS Staff and even KN95 Mask during the work
activity.
to public
● To do daily health
declaration before start of
work.
● To take necessary personal
information such as phone
number, home address etc.
● To do temperature
screening. Whoever
personnel with 37.5 degree
celcius body temperature or
more, cannot proceed to
work.
● To provide sanitizer at site
and remind all personnel to
sanitize
● To provide control post for
worker rest area and covid
19 screening post at Main
Entrance
Adverse Condition Hazard P: Minor Injury ● Wear mandatory PPE i.e. WL,RA, And Workers
i. Extreme Conditions (e.g. Heat, E: NA Coverall, Safety Helmet,
Heavy Rain etc.) A: NA and Safety Shoes
R: NA
i. Noise
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Consequences: ● STOP WORK during heavy

i. Struck by lightning and heat rain, lightning or excessive
stroke heat
● Take rest and drink plenty
ii. Hearing impairment
of water
● Wear ear plug at noisy
environment
Chemical Hazard N/A N/A N/A
Not Applicable
Electrical Hazard N/A N/A N/A
Not Applicable
4 Exerthormic Physical Hazard: P : Major Injury ● Wear mandatory PPE i.e. WL,RA, Fire
method (cadweld) i. Pitch point/ sharp edge E : N/A Coverall, Safety Helmet, Watcher And
between CBSC8 equipment, tools, material A : Minor damage Safety Shoes, and Hand Workers
conductor with ii. Uneven/ slippery surface R : N/A Gloves
cadweld iii. Fire and burn ● Beware of ground &
connections surrounding
Consequences: ● Gas tested by AGT
i. Personal Injury (hands, finger prior to start work
and etc.) ● Fire watcher to
ii. Flame and burnt standby all times
● HAC Radius R9000
prior to Hot Work
Activity
Psychological & Ergonomic P : Minor Injury ● Position with good body WL,RA, And
i. Wrong Posture E : NA posture prior to handling the Workers
A : NA equipment/material
ii. Workplace Fatigue –
Inadequate rest time between
R : NA ● Work with buddy
a work set ● Sufficient rest

Consequences:
i. Wrong posture performing task
lead to back pain and slip disc
i. Workplace fatigue lead to loss
of energy to perform task
Biological Hazard P : Minor Injury / ● Visual inspection at WL,RA, And
Wild Reptile/Insect Health impact surrounding area prior to Workers
E : N/A start work
Pandemic COVID-19 virus
A : N/A ● Be alert with surrounding
R : N/A condition
transmission
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● Ensure First Aid Box

available
Consequences: ● Identify nearest medical
Stung by wild reptile/insect services
COVID 19 pandemic
● All person must wear either
COVID-19 virus may spread among
3 ply surgical mask, N95 or
workers, PETRONAS Staff and even KN95 Mask during the work
to public activity.
● To do daily health
declaration before start of
work.
● To take necessary personal
information such as phone
number, home address etc.
● To do temperature
screening. Whoever
personnel with 37.5 degree
celcius body temperature or
more, cannot proceed to
work.
● To provide sanitizer at site
and remind all personnel to
Sanitize
● To provide control post for
worker rest area and covid
19 screening post at Main
Entrance
Adverse Condition Hazard P: Major Injury ● Wear mandatory PPE i.e. WL,RA, And Workers
E: NA Coverall, Safety Helmet,
i. Extreme conditions (eg A: Major and Safety Shoes
Heat, Fire,Heavy Rain etc.) DamageR: NA ● STOP WORK during heavy
ii. Noise rain, lightning or excessive
iii. Improper exothermic heat
method ● Take rest and drink plenty
of water
● Wear ear plug at noisy
Consequences: environment
i. Struck by fire from ignitor source

Chemical Hazard N/A ● N/A N/A

Not Applicable
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Electrical Hazard P : Minor Injury ● Ensure installation is done Project engineer / owner
● Unsuitable electrical connection E : N/A as per approved design
or installation / A : Minor damage
● under rated equipment R : N/A ● Ensure MOC requirement is
● Out dated drawing fulfill
● Ensure existing drawing
Consequences: document is updated
● MOC non compliance
● Drawing not updated leading to
miscommunication in future

5 Cable Earthing Physical Hazard: P : Minor Injury ● Wear mandatory PPE i.e. WL,RA, And
Installation and i. Pitch point/ sharp edge E : N/A Coverall, Safety Helmet, Workers
termination at PT equipment, tools, material A : Slight damage Safety Shoes, and Hand
and Junction Box ii. Uneven/ slippery surface R : N/A Gloves
- ● Beware of ground &
Consequences: surrounding
i. Personal Injury (hands, finger
and etc.)
ii. Trip and fall
Psychological & Ergonomic P : Minor Injury ● Position with good body WL,RA, And
i. Wrong Posture E : NA posture prior to handling the Workers
A : NA equipment/material
ii. Workplace Fatigue –
Inadequate rest time between
R : NA ● Work with buddy
a work set ● Sufficient rest

Consequences:
i. Wrong posture performing task
lead to back pain and slip disc
i. Workplace fatigue lead to loss
of energy to perform task
Biological Hazard P : Minor Injury / ● Visual inspection at WL,RA, And
Wild Reptile/Insect Health impact surrounding area prior to Workers
E : N/A start work
Pandemic COVID-19 virus A : N/A ● Be alert with surrounding
R : N/A condition
transmission
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● Ensure First Aid Box

available
Consequences: ● Identify nearest medical
Stung by wild reptile/insect services
COVID 19 pandemic
● All person must wear either
COVID-19 virus may spread among
3 ply surgical mask, N95 or
workers, PETRONAS Staff and even KN95 Mask during the work
to public activity.
● To do daily health
declaration before start of
work.
● To take necessary personal
information such as phone
number, home address etc.
● To do temperature
screening. Whoever
personnel with 37.5 degree
celcius body temperature or
more, cannot proceed to
work.
● To provide sanitizer at site
and remind all personnel to
sanitize
● To provide control post for
worker rest area and covid
19 screening post at Main
Entrance
Adverse Condition Hazard P: Minor Injury ● Wear mandatory PPE i.e. WL,RA, And Workers
i. Extreme Conditions (e.g. Heat, E: NA Coverall, Safety Helmet,
Heavy Rain etc.) A: NA and Safety Shoes
ii. Noise R: NA ● STOP WORK during heavy
rain, lightning or excessive
heat
Consequences: ● Take rest and drink plenty
i. Struck by lightning and heat stroke of water
ii. Hearing impairment ● Wear ear plug at noisy
environment
Chemical Hazard N/A N/A N/A
Not Applicable
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Electrical Hazard P : N/A ● Ensure that all cable has WL,RA, And Workers
i. Wrongly terminated cable E : N/A being continuity test or
A : Minor Damage
6 Housekeeping Physical Hazard P : Minor Injury ● Wear mandatory PPE i.e. WL,RA, And Workers
i. Sharp/edge and hard objects E : N/A Coverall, Safety Helmet,
i. Pinch Point A : N/A and Safety Shoes, including
R : N/A hand gloves
iii. Tripping Hazard & Slippery
● Ensure that work area is
condition
free from water stagnant.
iv. Heavy equipment & material ● Secured all material/
equipment after work
Consequences: completed
i. Direct contact with sharp object ● Work with buddy
without protection and wrong ● Correct hand placement.
technique ● Beware of uneven ground &
ii. Slippery condition lead to slip and surrounding
fall ● Use correct access pathway
iii. Injury to workers
Physiological & Ergonomic P : Minor Injury ● Position with good body WL,RA, And Workers
i. Wrong Posture E : N/A posture prior to handling the
ii. Workplace Fatigue – A : N/A signage
iii. Inadequate rest time between a
R : N/A ● Work with buddy
work set ● Sufficient rest
Consequences:
i. Wrong posture performing task
lead to back pain and slip disc
ii. Workplace fatigue lead to loss of
energy to perform task
Biological Hazard P : Minor Injury / ● Visual inspection at WL,RA, And Workers
Wild Reptile/Insect Health impact surrounding area prior to
E : N/A start work
Pandemic COVID-19 virus A : N/A ● Be alert with surrounding
R : N/A condition
transmission
● Ensure First Aid Box
available
● Identify nearest medical
Consequences: services
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Stung by wild reptile/insect COVID 19 pandemic

● All person must wear either
COVID-19 virus may spread among 3 ply surgical mask, N95 or
workers, PETRONAS Staff and even KN95 Mask during the work
activity.
to public
● To do daily health
declaration before start of
work.
● To take necessary personal
information such as phone
number, home address etc.
● To do temperature
screening. Whoever
personnel with 37.5 degree
celcius body temperature or
more, cannot proceed to
work.
● To provide sanitizer at site
and remind all personnel to
sanitize
● To provide control post for
worker rest area and covid
19 screening post at Main
Entrance
Adverse Condition Hazard P: Minor Injury ● Wear mandatory PPE i.e. WL,RA, And Workers
i. Extreme Conditions (e.g. Heat, E: N/A Coverall, Safety Helmet,
Heavy Rain etc.) A: N/A and Safety Shoes
ii. High Noise R: N/A ● STOP WORK during heavy
rain, lightning or excessive
heat
Consequences: ● Take rest and drink plenty
i. Struck by lightning and heat of water
stroke ● Wear ear plug at noisy
ii. Hearing impairment environment
Chemical Hazard P: Minor Injury ● Ensure all chemical are WL,RA, And Workers
Used chemical E: N/A properly stored and labelled
Schedule waste generation A: Minor impact ● Ensure all waste and
R: N/A scheduled waste are
Consequences:
disposed as per legal
Environmental pollution requirement
Electrical Hazard N/A N/A N/A
Not Applicable
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SECTION C: JHA TOOL BOX BRIEFING FORM

SEKSYEN C: BORANG TAKLIMAT ANALISA HAZAD
KERJA
Following subject matter of JHA shall be executed by Work Leader
Perkara di bawah wajib dilaksanakan oleh Ketua Kerja
Date / Daily checklist
Description / Penerangan

1. I have conducted daily site-specific hazard assessment (Fill in Section D in case additional
hazard encountered)
☐ ☐ ☐ ☐ ☐ ☐ ☐
Saya telah mengenal pasti bahaya spesifik di tapak kerja pada hari ini (Isi Seksyen D jika
ada tambahan hazad)
2. I have brief all the task activities to all workers
Saya telah memberi taklimat mengenai langkah kerja kepada semua pekerja ☐ ☐ ☐ ☐ ☐ ☐ ☐
3. I have brief all hazards related with task activities, consequences and who might be
harmed/impacted (PEAR)
Saya telah memberi taklimat mengenai hazad berkaitan dengan langkah kerja dan akibatnya ☐ ☐ ☐ ☐ ☐ ☐ ☐
terhadap orang,
alam sekitar, aset, dan reputasi syarikat.
4. I have brief all control and/ or recovery measures
Saya telah memberi taklimat mengenai langkah kawalan dan/ pemulihan ☐ ☐ ☐ ☐ ☐ ☐ ☐
5. I have brief all actions in case of any emergency
Saya telah memberi taklimat mengenai langkah-langkah yang perlu diambil semasa kecemasan ☐ ☐ ☐ ☐ ☐ ☐ ☐

Declaration: We understood the scope of work, hazard and risk associated with it. We understand the reasons for risk control measures
Deklarasi: Kami memahami segala skop kerja, hazad, dan risiko yang berkaitan dengannya. Kami memahami sebab-sebab langkah kawalan risiko
yang perlu diambil

Designation Name Company/Dept Signature

1 Work Leader
2 RA
Working Team (Group of Technicians/ Workers) / Kumpulan
Pekerja
1.
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2.
3.
4.
5.
6.
7.
8.
9.
10.

SECTION D: SITE SPECIFIC HAZARD

SEKSYEN D: PENGENAL PASTIAN HAZAD DI LOKASI
KERJA
This Site Specific Hazard Form is required to be filled up by WL, WL, RA/RAR & AA/AAR.
Borang Pengenal Pastian Hazad di Lokasi Kerja ini wajib diisi oleh WL, RA/RAR & AA/AAR.
Control and/ or Recovery Action/ Remark
No. Identified Hazard / Hazad yang dikenal pasti Measures Responsible
Catatan
Langkah Kawalan dan/ Pemulihan Person(s)
Tindakan oleh
1. Physical Hazard / Hazad Fizikal
€ Hot/slippery surface /
Permukaan panas/licin
€ Unsafe route / Laluan tidak selamat
€ Electrical Risk / Bahaya elektrik
€ Radiation / Radiasi
€ Dust / Debu/habuk
€ Compressor/pressurized machine /
Mesin pemampat/ bertekanan tinggi
€ ……………………………………….
2. Chemical Hazard / Hazad Kimia
€ Solvent / Bahan pelarut
€ Hazardous acid/alkaline /
Asid/alkali berbahaya
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€ ……………………………………..…
3. Ergonomic Hazard / Hazad Ergonomik
€ Out of reach / Capaian tinggi
€ Limited space / Ruangan sempit
€ …………………................................
4. Lain-lain Hazad / Other Hazards

Prepared By Reviewed By Approved

By
Signature

Name Mohd Kairol Basri Isa M Lutfi Mahali

Designation Work Leader M.E
Department/Company AMT SOLUTIONS SDN BHD MTS/GTR
Date 06/10/2020 06/10/2020