GABUNGAN BINAAN JURUTENAGA SDN BHD

HEALTH, SAFETY &

ENVIRONMENTAL PLAN

CONTRACT REF. NO.:

PROJECT TITLE:
Supply, Delivery, Installation, Testing and Commissioning of
Grid Connection to SARES station at Telang Usan, Sarawak
(Tender Reference No. RE/64/2023)

Revised date:
20th June 2024
Table of Contents
1 Employer Commitment to Safety and Health................................................................................4
1.1 Safety and Health Policy........................................................................................................4
1.2 Relevant Industry Requirements............................................................................................7
1.3 Health and Safety Roles.........................................................................................................8
1.4 HSE Organization Chart (Safety and Health Committee)......................................................9
1.5 Safety and Health Management Plan...................................................................................10
1.6 Return to Work....................................................................................................................10
2 HSE Planning, Review and Evaluation........................................................................................11
2.1 HSE Objectives....................................................................................................................11
2.2 Monitoring and Reviews......................................................................................................11
3 Risk Management........................................................................................................................12
3.1 Terms and Definition...........................................................................................................12
3.1.1 Hazard..........................................................................................................................12
3.1.2 Hazard Control.............................................................................................................12
3.1.3 Hierarchy of Control....................................................................................................12
3.1.4 Hazard Identification...................................................................................................12
3.1.5 Serious Bodily Injury...................................................................................................12
3.1.6 Risk Assessment..........................................................................................................13
3.1.7 Eliminating Hazards.....................................................................................................13
3.1.8 Isolating Hazards.........................................................................................................13
3.1.9 Minimising Hazards.....................................................................................................13
3.2 Hazard Identification – Tools and Techniques.....................................................................14
3.2.1 Hazard Reporting.........................................................................................................14
3.3 Dealing with Changes..........................................................................................................14
3.4 Personal Protective Equipment............................................................................................15
3.5 Health Monitoring...............................................................................................................15
3.6 Environmental Monitoring...................................................................................................15
3.7 Pre-employment Screening..................................................................................................15
4 Information, Training and Supervision........................................................................................16
4.1 Access to information..........................................................................................................16
4.2 Internal training...................................................................................................................16
4.3 Induction..............................................................................................................................17
4.4 Training Records.................................................................................................................17
4.5 External Training.................................................................................................................17
5 Accident/incident systems...........................................................................................................18
5.1 Responding to Injuries.........................................................................................................18
5.2 Recording Accidents and Near misses.................................................................................18
6 Emergency Readiness..................................................................................................................19
6.1 Emergency Planning............................................................................................................19
6.2 Communicating Emergency Information.............................................................................19
6.3 Wardens and first-aid personnel...........................................................................................19
6.4 Emergency Drill...................................................................................................................19
7 Contractors and Visitors..............................................................................................................20
7.1 Safety and Health of Contractors and Visitors.....................................................................20
7.2 Selection of Contractors.......................................................................................................20
8 Job Safety Analysis.....................................................................................................................21
8.1 Importance of JSA...............................................................................................................21
8.2 Benefit.................................................................................................................................21
9 APPENDIX.................................................................................................................................22
APPENDIX 1..................................................................................................................................22
APPENDIX 2..................................................................................................................................23
APPENDIX 3..................................................................................................................................25
APPENDIX 4..................................................................................................................................26
APPENDIX 5..................................................................................................................................28
APPENDIX 6..................................................................................................................................30
APPENDIX 7..................................................................................................................................31
APPENDIX 8..................................................................................................................................32
APPENDIX 9 (JSA)........................................................................................................................33
APPENDIX 10 (HIRARC)..................................................................Error! Bookmark not defined.
APPENDIX 11 (EAEI)....................................................................................................................46
APPENDIX 12(TOOLBOX)...........................................................................................................53
APPENDIX 13 (ERP) ....................................................................................................................54
APPENDIX 14................................................................................................................................59
APPENDIX 15 (ACCIDENT REPORTING) .................................................................................61
APPENDIX 16 (PTW)....................................................................................................................63
APPENDIX 17 (LINE ROUTE PLAN)..........................................................................................64
1 Employer Commitment to Safety and Health

The COMPANY is responsible for the health, safety & security of its employees,
subcontractors, suppliers and visitors.
We are committed in making this place of work is safe and healthy for personnel and
non-personnel.

1.1 Safety and Health Policy

Management Commitment
Managing Director has signed our safety and health policy, prove of commitment to the
safety and health of the people who are involved in the organization. The policy outlines the
duties of management and employees.
A copy of our safety and health policy is shown on the next page:

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1.2 Relevant Industry Requirements

We aim to meet all of the requirements of the Malaysian legislation, regulations, code of
practices, such as:

 Occupational Safety and Health (Amendment) Act 2022 Act A1648

Factories and Machinery Act 1967 (Act 139), Regulations & Rules
 Environment Quality Act, 1974 & Natural Resources & Environment Ordinance,
1993
 DOSH Guidelines for Public Safety and Health at Construction Sites (1 st Revision),
2007
 DOSH Guidelines for Hazard Identification, Risk Assessment and Risk Control
(HIRARC), 2008
 DOSH Guidelines on Occupational Safety & Health in Construction Industry
(Excavation Work), 2017
 DOSH Guidelines for the Prevention of Falls at Workplace, 2007

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1.3 Health and Safety Roles
The following staff have specific roles and responsibilities relating to health and safety. Their
performance relating to these duties is evaluated annually.

Position Duties
• Set up health and safety plans/objectives
• Initiative annual review
• Ensure injured employees are given planned rehabilitation
• Trains supervisors/managers
Project Manager • Report for any serious injuries to the Department of Labour
• Investigate any accidents or dangerous occurrence
• Chair safety meetings and appoints health and safety
representatives
• Ensure contractors are inducted and managed
• Supervise employees to ensure hazards are in control
• Supervise and implements rehabilitation
• Carries out inspections as necessary
Project Engineer • Supervise visitor and contractors
• Provide training to the employees in induction and safe work
procedures
• Completes accident records (accident register)
• Select contractors (ad hoc)
Site Supervisor • Supervise contractors
• Ensure contractors are well informed of on-site safety
Site Safety • Ensure visitors well informed of safety measures
Supervisor • Ensure contractors go through induction
• Provide or source specialist advice in health and safety matters
• Co-ordinate health and safety reviews
• Initiate rehabilitation plans with injured employees
• Provide assistant in accident investigations when required
• Supervise contractors
• Attend monthly safety meetings
Builders • Comply with all HSE requirement set by the Company.
• Provide assistant in accident investigations when required
• Attend monthly safety meetings when required

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1.4 HSE Organization Chart (Safety and Health Committee)

Safety and Health Committee

Chairman
Project Manager

Secretary
1.Safety & Health Officer
2. Site Safety Supervisor

Employee Representative Security team

1. Foreman General Worker 1. Security 1
2. Excavator Operator 2. Security 2
Employer Representative 3. Security 3
3. Foreman barbender
1. Civil Engineer
4. Foreman carpenter
2. Site Supervisor

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1.5 Safety and Health Management Plan
Our annual safety and health plan is based on SMART objectives which brings the meaning
of specific, measurable, achievable, relevant and time-bound.
Management works with employees through the safety and health committee to set the
company’s safety and health objectives, which are then recorded in our annual safety and
health plan.
The safety and health committee allocates responsibilities to ensure these objectives are met.
Each year, the management and employees review the outcomes to ensure the objectives have
been achieved. If not, management and employees shall take corrective action to ensure the
objectives are met.

1.6 Return to Work

Return to work
In the event of work-related injury or illness, we will ensure our employees receive an
appropriate medical treatment and assessment as soon as possible. GABUNGAN BINAAN
JURUTENAGA SDN BHD will be responsible for establishing and maintaining early
contact regarding all injured or ill employees, regardless of it is a work-related injury or not.

Employees with work-related injuries

If an employee suffers from any injury at work, they shall immediately report to their
supervisor and will be recorded in accident register.
If they require any medical assistance, the employee shall need to present their medical report
issued by doctor or hospital to the management as soon as possible.
Alternative duties may be allocated until the injured employee is fit or healthy to return to
their daily basis duty.
In addition, the injured employee may be able to request for extra assistance. All of these
options should be discussed by the company, the employee, and medical provider as required.

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2 HSE Planning, Review and Evaluation
We are committed in continuous improvement in our safety and health systems.

2.1 HSE Objectives

Adherence to the following strategic HSE objectives is very important to ensure safe
execution of the project:

• To ensure compliance with all related HSE legislation.

• To ensure effective establishment of HSE interaction or communication.
• Conduct hazard identification, risk assessment and risk control (HIRARC) for all
activities on site;
• Encourage active participation from all levels including SUBCONTRACTOR in HSE
awareness and behavioural safety programs and activities;
• Cultivate the “safe working culture” in the project; where everybody shall always take
safety precautions to avoid injury to themselves and others and to avoid property
damage due to activities on site.

2.2 Monitoring and Reviews

These are the methods we are practicing in ensuring all the stated HSE objectives above are
monitored and reviewed:

• Checklist in Appendix 1 is used to monitor and review

• We will monitor for known hazards to determine whether the hazard continue to exist,
and the controls remain effective.

• We will review and update our safety and health plans and objectives annually

• We will review this safety and health manual each year to ensure the policy has been
updated, signed and update on the documentation

• We will review the safety and health responsibilities designated to the staff annually

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3 Risk Management
We have an active process to manage hazards: we identify hazards, assess them for
significance, control the hazard and review our controls and risk management system
regularly.

3.1 Terms and Definition

The following terms are the key definition cited from Occupational Safety & Health Act
1994, Factories & Machinery Act 1967 and DOSH Guidelines for Hazard Identification, Risk
Assessment and Risk Control (HIRARC) 2008 used in our safety and health manual.

3.1.1 Hazard
Hazard means a source or a situation with a potential for harm in terms of human injury or ill
health, damage to property, damage to the environment or a combination of these.
3.1.2 Hazard Control
Hazard control means the process of implementing measures to reduce the risk associated
with a hazard.
3.1.3 Hierarchy of Control
Hierarchy of control means the established priority order for the types of measures to be used
to control risks.
3.1.4 Hazard Identification
Hazard identification means the identification of undesired events that lead to the
materialisation of the hazard and the mechanism by which those undesired events could occur
3.1.5 Serious Bodily Injury
Means any injury listed in the Second Schedule to the Act as follows:
1. Emasculation.
2. Permanent privation of the sight of either eye.
3. Permanent privation of the hearing of either ear.
4. Privation of any member or joint.
5. Destruction or permanent impairing of the powers of any member or joint.
6. Permanent disfiguration of the head or face.
7. Fracture or dislocation of a bone.
8. Any hurt which endangers life, or which causes the sufferer to be, during the space of
twenty days, in severe bodily pain, or unable to follow his ordinary pursuits.

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3.1.6 Risk Assessment
Risk means a combination of the likelihood of an occurrence of a hazardous event with
specified period or in specified circumstances and the severity of injury or damage to the
health of people, property, environment or any combination of these caused by the event
Risk assessment means the process of evaluating the risks to safety and health arising from
hazards at work.
Risk management means the total procedure associated with identifying a hazard, assessing
the risk, putting in place control measures, and reviewing the outcomes
The steps are -

a) To take all practicable steps to minimise the likelihood that the hazard will be a
accuse or source of harm to the employees; and

b) To provide, make accessible to, and ensure the use by employees of suitable clothing
and equipment to protect them from any harm that may be caused by or may arise
out of the hazard.

3.1.7 Eliminating Hazards

Significant hazards to employees to be eliminated if practicable
Where there is a significant hazard to employees at work, the employer shall take all
practicable steps to eliminate it.
3.1.8 Isolating Hazards
Significant hazards to employees to be isolated where elimination impracticable, where -
a) There is a significant hazard to employees at work; and
b) Either -
I. There are no practicable steps that may be taken to eliminate it; or
II. All practicable steps to eliminate it have been taken, but it has not been eliminated
The employer shall take all practicable steps to isolate it from the employees.
3.1.9 Minimising Hazards
Significant hazards to employees to be minimised, and employees to be protected, where
elimination and isolation impracticable
2. Where -

a) There is a significant hazard to employees at work; and

b) Either -

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 I. There are no practicable steps that may be taken to eliminate it; or
II. All practicable steps to eliminate it have been taken, but it has not been
eliminated; and
c) Either -
I. There are no practicable steps that may be taken to isolate it from the
employees; or
II. All practicable steps to isolate it from the employees have been taken, but it has
not been isolated, -
The employer shall take the steps set out in subsection 2.

3.2 Hazard Identification – Tools and Techniques

• Direct observation method:

- Inspections and observations.
• Recall method:
- Previous accident records – frequency, nature of injury, part of body injured,
group of employees injured, age, type of tasks, etc.
- Inspections reports.
- Audit reports.
• Employees’ feedback and complaints.
• Products information – manufacturers’ specifications, chemical safety data sheet
(CSDS), etc

Copies of HIRARC form for all construction activities on site are available in Appendix 11.

3.2.1 Hazard Reporting

We encourage all employees to report for any hazards that they observe by using the hazard
reporting sheet (Appendix 2)

3.3 Dealing with Changes

New or modified equipment, material, services or processes
GABUNGAN BINAAN JURUTENAGA is responsible for assessing new equipment and
modifying or altering existing equipment.
All hazards that may result as an outcome of changes in equipment, material, services or
processes are identified, assessed and controlled, and this information is added.

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3.4 Personal Protective Equipment
Personal protective equipment (PPE) is issued to all employees for specific tasks.
There are two forms (Appendix 3). One is a register that aid us to track and maintain our
PPE. The other is used when we issue PPE. It includes a date of issue and requires employees
to state the training they received which enables them to use the PPE.
GABUNGAN BINAAN JURUTENAGA will train the employees in the appropriate way of
using and maintaining PPE.
A disciplinary action will be taken on any personnel who wears PPE incorrectly.

3.5 Health Monitoring

We use health monitoring programme to identify any health effects of hazardous exposure
and prevent any further harm.
Hazards that require health monitoring as the appropriate means of control are recorded on
the health monitoring form (Appendix 4). This includes identifying the health monitoring
required as the result of an incident or investigation.
The employees will be informed about the results of our health monitoring and the identity of
the individual involved are classified.
We will investigate any results that indicate work-related harm (sub-optimal results) to ensure
that all hazards that contribute to the result are identified and effective controls are in place.
Any new hazards will be added to our hazard register.

3.6 Environmental Monitoring

We monitor the work environment to ensure that we do not exceed the safe limits on things
such as noise, airborne contaminants or particles.

3.7 Pre-employment Screening

Our pre-employment screening aims to ensure that we do not employ anyone who, as the
result of a disability or medical condition, would be at risk in the place of work or put others
at risk.
Our screening process may include the following requirements:

• Certificate from the applicant’s medical practitioner

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• Completing a medical questionnaire

• Examination by our medical practitioner

• Medical tests such as audiometry, eyesight, ECG and lung function test

• Selected personal questionnaires

4 Information, Training and Supervision

We provide information, training and supervision on safety and health to our employee.
This is to ensure that they are prepare and well equipped with required skills and
knowledge to do their job in a safe manner. We will check on our employees to ensure
that they have understood the information and training provided.

4.1 Access to information

All appropriate information, signs, posters and minutes of meeting relating to safety and
health are displayed. Below is the list of information available.

Type of Information Location

Safety and health policy Site Office
Safety and health expectations Site Office
Hazard register Site Office
Accident/incident reporting forms Site Office
Accident/incident register Site Office
Emergency procedure Site Office
Emergency exit Site Entrance
Other hazard warning signs Site Building’s area
Minutes of safety and health or toolbox meeting Assembly point
Safety data sheets, safe operating procedures, Site Office
guidelines and codes of practice

4.2 Internal training

Safety and health training

We provide the following safety and health information and training:

• Safety and health induction for new stuff, visitors, and contractors so that they are aware
of their responsibilities as well as our responsibilities as the employer. This includes
informing employees about how they can participate in safety and health and raise issues
with the safety and health committee

• Hazard awareness

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• Incident and injury reporting

• PPE

• Emergency procedures

• Specific information and training related to the jobs and tasks of an employee, such as
safe operating procedures, codes of practice and certification (if required)

4.3 Induction

Induction training is carried out by Site Safety Supervisor.

The checklist that we use for induction is shown on (Appendix 5).

4.4 Training Records

Training is an important control measure to minimise the effects of exposure to significant

hazards. We have the following procedures to ensure all of our employees are trained to work
safely.

• We keep training records of each of our employee and we update the data annually. The
sample of training record is shown in (Appendix 6)

• Where training is required and not already offered, we establish and implement a training
plan. A copy of our safety training plan follows (Appendix 6).

• Staff who are responsible for training and supervision are either experienced in these
responsibilities or had been given appropriate training. Their responsibilities for training
or supervision are included in their job description.

4.5 External Training

Criteria for using external trainers

Before contracting any external training, we consider the following criteria:

• The provider’s knowledge of the subject

• Their proven competence of presenting training

• If the training aims are consistent with our training objectives

• If the service provider can adapt training to meet our specific needs

• If the training is adequate to ensure effective learning

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• If training is delivered in a cost and time effective manner

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5 Accident/incident systems

We report, record an investigate all accidents/incidents and near misses. We provide

control for any new hazards and make continuous improvements to prevent similar
incidents/accidents or near misses from ever occurring again.

5.1 Responding to Injuries

All of our employees are well trained to ensure they are safe before helping an injured
person. There is more information about emergency procedures in Chapter 6.
Our employees are trained to report for any incident to their supervisor or manager as soon as
possible.

5.2 Recording Accidents and Near misses

Accident Register
All work-related accidents and near misses are recorded in the accident register. An example
of this form is in JKKP 6. This form is used for reporting of accidents to the Department of
Occupational Safety & Health.
If employee is off-site, the accident must be reported as soon as possible. The accident
register is kept at site office.

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6 Emergency Readiness

We have identified the types of emergencies that may affect our company that are fire,
explosion, accident at site, COVID-19 and dengue. Therefore, we developed an
Emergency Response Plan (ERP) to deal with them shown in Appendix 12. The
Emergency Response Plan (ERP) will consist flow chart for all the identified potential
types of emergencies.

6.1 Emergency Planning

Our emergency plan identifies all potential emergency situations and the required responses
for each. The checklist that we used to develop our emergency plan is shown in (Appendix 6)

6.2 Communicating Emergency Information

We have training, emergency drill, meetings and signs to ensure all of our staff are aware of
our emergency plan and procedures.

6.3 Wardens and first-aid personnel

Number of first-aid personnel

We trained first-aid personnel to ensure that we meet the requirements.
List of wardens and first-aid personnel
The wardens and first-aid personnel for each area are displayed at site office
Training
Wardens and first-aid personnel receive regular instruction and training in their roles. This
training is recorded on the safety training plan and on their individual training records. These
are reviewed annually to ensure qualifications are current.

6.4 Emergency Drill

We carry out emergency drill at least once every 6 months equivalent to twice every year. We
will record every detail of emergency drill by using the form shown in (Appendix 7) and
provide a debrief at site office.

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7 Contractors and Visitors

We ensure the safety and health of our contractors and visitors while on-site. They will
not be harmed by our work environment and our employees are not harmed by our
contractor’s work.

7.1 Safety and Health of Contractors and Visitors

All visitors and contractors must report to the office/reception. We will ask them to read and
sign the Safety and Health Rules for Visitors form which is shown in (Appendix 8). Short-
term contractors are inducted and escorted while on-site.
We ensure all restricted areas are clearly sign-posted to protect visitors and contractors.

7.2 Selection of Contractors

We assess all contractors before hiring them. This is to ensure that they are competent person
to work.
They will receive a full induction before they start working on site. Safety induction for
contractor will be recorded by using the form in Appendix 5.
We will monitor and evaluate their performance on safety and health. This is to ensure that
they follow our safety and health practices

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8 Job Safety Analysis
In order to establish evidence for the implementation of HSE plan, records that are generated,
must be maintained. These records must be made available for audit and reviewed.
One of the records is Job Safety Analysis.
Job Safety Analysis (JSA) is a safety tool that can be used to define and control hazards
associated with a certain process, job, or procedure. An example of JSA form that we will use
is shown in Appendix 9.

8.1 Importance of JSA

The purpose of a Job Safety Analysis (JSA) is to help us identify the dangers of specific tasks
within jobs in order to reduce the risk of injury to workers.
Therefore, we will ensure safety standards are achieved, communications are improved, aid
in our safety training, and thus prevent potentially hazardous conditions in worksite.

8.2 Benefit
1. Meet safety standard
We will ensure to identify potential hazards associated with each step of a job that requires safety
concerns as stated below;
- Fall protection.
- Hazard communication.
- Scaffolding, general requirements.
- Respiratory protection.
- Powered industrial trucks.
- Ladders.
- Electrical, wiring methods, components and equipment.
- Electrical systems design, general requirements

2. Improve communication
The Job Safety Analysis records shall be discussed and reviewed with multiple levels in our team.
This review and comment process encourages employees and managers to discuss safety issues
without fear of any repercussion.

By doing so, explaining the JSA will encourage our employees and managers in a positive way,
allowing the “safe working culture” to always be inculcated in worksite.

3. Prevent Hazardous Condition

With this JSA record communicated to the multiple levels of the organizations, it will help to prevent
potential hazardous events from occurring thus preventing any bodily injury or property damage.

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9 APPENDIX

APPENDIX 1

GABUNGAN BINAAN JURUTENAGA SDN BHD

Monitoring and reviews checklist sheet

Task Review date Person(s) Responsible

Monitor known hazards
Monitor workplace
Self-assessment
Review safety and health plan
Review significant events
Review injury data
Review safety and health manual
Review safety and health
responsibilities
Review Safe Operating Procedure
(Covid 19)

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 GABUNGAN BINAAN JURUTENAGA SDN BHD

Personal Protective Equipment Register

Equipment Type of Activity Maintenance Guidelines Replacement (date for

condition)

APPENDIX 2

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 GABUNGAN BINAAN JURUTENAGA SDN BHD
Personal Protective Equipment - Issuing Equipment

Name Equipment Training Provided Issue Date Date Returned

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 GABUNGAN BINAAN JURUTENAGA SDN BHD

Health Monitoring Programme

Method of Frequency of
Task Potential Harm
Monitoring Health Monitoring

APPENDIX 3

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 GABUNGAN BINAAN JURUTENAGA SDN BHD
Workplace Induction Checklist
Company name:
Employee name: Position/job
title:
Employment start Supervisor/
date: Manager’s
name:

This workplace
I have been shown/introduced to:
Content Check (√)
My supervisor/manager
Other employees
Key jobs, tasks and responsibilities
Work area, toilets, eating and drinking facilities
Where to make phone calls and collect messages

Employment conditions
I know about:
Content Check (√)
Work times and meal breaks
Rates of pay and how payment is made
Leave entitlement
Sick leave and who to call if I am sick

Safety and health

I have been shown:
Content Check (√)
How to do my job safely, including the use of guards
and other safety equipment
The safety signs and meaning of the sign
How to safely use, store and maintain safety equipment
How to safely use, store and maintain equipment,
machinery, tools and hazardous substances

I know:
Content Check (√)
My responsibilities as an employee
Who are my safety and health representatives and
committee members

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 When is the meeting of safety and health committee
Where is the information of safety is being kept
APPENDIX 4

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 Hazards
I know:
Content Check (√)
The hazards in my place of work
The controls for these hazards
How to report the hazards
Where the records of hazards are being kept
The safely working procedures
I will receive the results of personal health monitoring

Emergencies
I am familiar with:
Content Check (√)
The location of emergency exits
The location of the fire extinguishers
The evacuation procedure
The first-aid kit and its location
Who can provide first-aid (if applicable)

My assembly area is:

My emergency wardens are:

Incidents and injuries

I know:
Content Check (√)
To report injuries, near hits and misses and early signs
of discomfort and how to report them
Where incident/injury forms are kept
Who should I report to
Reports will be investigated, and I will be informed of
the results

Signed by Date:
employee:
Signed by manager: Date:

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APPENDIX 5
Training Record
Employee:
Occupation:
Training subject (and key Date trained Date retrained Signature to confirm
points covered) training delivered and
understood
Employee:

Supervisor:

Employee:

Supervisor:

Employee:

Supervisor:

Employee:

Supervisor:

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 Training Required
Employee
Specific training required Planned completion date Actual completion date

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APPENDIX 6
Check
Emergency Plan Content
(√)
A floor plan (or site plan) that shows:
- The location of exits and assembly areas
- All the hazardous substances kept on-site and where they are stored
A procedure for each emergency identified
Identified who takes charge in each emergency situation
Processes to communicate an emergency to all employees
The services and official organisations to call for each emergency and their
contact details
Specialised training that emergency response employees require to respond to
emergencies. This includes refresher training
The training required by all employees
The emergency equipment required, where it is being kept and how often it is
checked
The PPE needed and how it is maintained
The emergency equipment or supplies needed
The frequency with which procedures are tested and reviewed

Check
Emergency Procedure Checklist
(√)
Method of warning employees that there is an emergency
Procedures for on-site emergency response from wardens, first-aid personnel and
rescue squads
Procedures for providing immediate medical assistance and first-aid
Procedures for shut-down or isolation of hazardous processes, equipment or
substances
Procedures for evacuating the site
Procedures for ensuring visitors and disabled persons are evacuated from the
building
Procedures for accounting for all employees after an evacuation
Procedures for accounting for visitors and contractors present during an
emergency
Procedures for mobile workers, including knowing where they are at all times
(such as by using a time check-in system) and how to communicate with them
Procedures for isolated workers, including knowing where they are at all times
(such as by using a time check-in system) and how to communicate with them
Procedures for lone workers, including knowing where they are at all times (such
as by using a time check-in system) and how to communicate with them
Procedures for reporting emergencies to emergency services
Procedures for protecting important records and assets

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APPENDIX 7

Record of Emergency Drill/Actual Evacuation

Date:
Time of alarm:
Time of evacuation completed:
Time all clear:
Area Results Action Points Responsibility

Signed: ______________________
SSS/SHO

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 GABUNGAN BINAAN JURUTENAGA

Welcome to GABUNGAN BINAAN JURUTENAGA SDN.BHD. Please read the

following information and sign the form provided. Ensure that you understood and agree
the safety rules in this company.
• Do not go into the work area unaccompanied
• Please wear personal protective equipment (PPE) when instructed to do so
• If you have an accident, please report to the receptionist and ensure it is recorded in the
accident register
• If you see anything hazardous, please let us know
• If there is an emergency and you are required to evacuate, please leave the building
immediately. Do not use the lifts. Follow the staff or fire wardens to the assembly
point.
Thank you
Site Safety Supervisor

Clear on the
safety Time Time
Date Name Signature Signature
Information? in out
(Yes/No)

APPENDIX 8

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APPENDIX 9

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APPENDIX 10 (HIRARC)
HAZARD INVESTIGATION RISK ASSESSMENT RISK CONTROL (HIRARC)

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APPENDIX 11 (EAIA)
ENVIRONMENTAL ASPECT AND IMPACT ASSESSMENT (EAIA)

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APPENDIX 12

TOOLBOX BRIEFING ATTENDANCE

PROJECT
NAME/LOCATION:
INDUCTED BY:
DATE:
NO NAME DESIGNATION IC NO SIGNATURE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

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 APPENDIX 13

Emergency Response Plan

FIRE
EMERGENCY

ALERT ALL CONCERN

 HSE personnel In case of Injuries
Project Manager
 Site Supervisors
 Site Engineer

Minor Injury Major Injury

Notify BOMBA
& DOSH

First aid treatment

Gather all to designated Call ambulance/ go to

Assembly point nearby clinic/hospital

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 Emergency Response Plan

EXPLOSION
EMERGENCY

ALERT ALL CONCERN

 HSE personnel In case of Injuries
Project Manager
 Site Supervisors
 Site Engineer

Minor Injury Major Injury

Notify POLICE,
BOMBA &
DOSH

First aid treatment

Gather all to designated Call ambulance/ go to

Assembly point nearby clinic/hospital

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 Emergency Response Plan

ACCIDENT
AT SITE

ALERT ALL CONCERN

 HSE personnel INJURIES
Project Manager
 Site Supervisors
 Site Engineer

Minor Injury Major Injury

Notify DOSH

Examples of Accident:
First aid treatment
1. Serious Bodily Injury
2. Electrocution
3. Collapse of structure

Gather all to designated Call ambulance/ go to

Assembly point nearby clinic/hospital

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 Emergency Response Plan

DENGUE
CASES

ALERT ALL CONCERN Arrange for thorough

cleaning activity;
 HSE personnel
Project Manager
 Site Supervisors 1. Fogging
 Site Engineer 2. Site Housekeeping
3. Create awareness
campaign for workers

Notify KKM &

LOCAL
AUTHORITY

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Emergency Response Plan

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APPENDIX 14

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APPENDIX 15

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APPENDIX 16

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APPENDIX 17
SITE LOCALITY & LINE ROUTE PLAN

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