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Job Hazard Analysis for Video Shoot

This document provides a template for a Job Hazard Analysis (JHA) worksheet to identify potential hazards and mitigation measures for specific jobs. The summary includes: 1) The JHA worksheet is used to obtain a work permit and identify hazards for jobs conducted under the permit. 2) All personnel working under the permit must be familiar with the work procedures and mitigations described in the JHA. 3) The JHA must be discussed among the work team before starting work to ensure all hazards and controls are understood.

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210 views3 pages

Job Hazard Analysis for Video Shoot

This document provides a template for a Job Hazard Analysis (JHA) worksheet to identify potential hazards and mitigation measures for specific jobs. The summary includes: 1) The JHA worksheet is used to obtain a work permit and identify hazards for jobs conducted under the permit. 2) All personnel working under the permit must be familiar with the work procedures and mitigations described in the JHA. 3) The JHA must be discussed among the work team before starting work to ensure all hazards and controls are understood.

Uploaded by

ridhwan6339
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

JOB HAZARD ANALYSIS [JHA] WORKSHEET

JHA NO. PTW NO WORK PERMIT TYPE HOT/ COLD

FACILITY LOCATION SPECIFIC WORKSTATION

EQUIPMENT NO. WORK


DESCRIPTION
NOTE
1. JHA shall be applicable for all work activities which requires PTW.
2. The pre-prepared JHA and JHA prompters will be used as a reference/guide during the development of JHA.
3. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures developed for the job. The Work/Operating Procedures shall describe, in step-by-step instructions, the correct method of executing the specified work.
4. Prior to commencement of work (after PTW has been approved), the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained therein shall be fully understood and agreed by all involved
personnel.

JOB POTENTIAL POTENTIAL


DESCRIPTION OF JOB STEP CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
STEP HAZARD CONSEQUENCES

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JOB POTENTIAL POTENTIAL
DESCRIPTION OF JOB STEP CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
STEP HAZARD CONSEQUENCES

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JHA NO.

PTW NO

WORK PERMIT TYPE


Hot Work
FACILITY
Terminal
LOCATION
MCOT
SPECIFIC WORKSITE
Process Area
EQUIPMENT NO.

WORK DESCRIPTION
Video Shooting for MCOT Safety Video

JHA APPROVAL DURING PTW APPLICATION

REVIEWED BY APPROVED BY

NAME NAME

DESIGNATION WORK LEADER DESIGNATION PRODUCTION SUPERVISOR / MAINTENANCE SUPERVISOR

SIGNATURE SIGNATURE

DATE DATE

AFTER PTW HAS BEEN APPROVED

WORK TEAM (CONFIRMATION THAT JHA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OF PRE-JOB/TOOLBOX MEETING - AFTER PTW HAS BEEN APPROVED)
Name(s) Designation Signature Name(s) Designation Signature

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