HI TECH ENGINEERING SDN BHD PERMIT TO WORK SYSTEM – JOB HAZARD ANALYSIS
Date: 18 September 2021 Will the work involve any of the activities below? (Circle that apply)
If ‘YES’ a Permit must be obtained
Prepared By: Rannie Hot work and / Work in Confined space entry, Excavation >/= 1.2
Hazardous areas >/= 1.5 meter meter
Company: HI TECH ENGINEERING SDN BHD Inerting or Gas Freeing Work on Flammable Live Electrical Work/
Gas Systems LOTOTO
Department / Address: NO. 10G, LEBUH BENDAHARA 4, Asbestos Work / Working Explosive Blasting/ Other (specify):
OFF JLN RAJA NONG, 41200 KLANG, SELANGOR at Height (1.8 Meter) Radiation Exposure
JHA Reference No.: HI Tech (S/B) 0025/2021 JHA Review No.: Hi Tech (S/B) 0024/2021
JHA Review Date: 16/9/21
Predetermined JHA shall be verified and reviewed on site every day before performing the work
Description of work: Chiller Water Pipe Installation Work at HSI Injection Moulding Production Area
Reviewed by: Siva Approved by: Ganasen
Position: Supervisor Position: Manager
Date: 19 September 2021 Date: 19/9/2021
Step Job Step Job Step Hazard Job Step Control Tick
No
1 Barricading work area Floor Scratch Use Plastic water proof Canvas blue/white floor
Use masking tape to stick the canvas
Drop of material
2 Moving materials manually to the work Body sprains and strains from - use correct lifting techniques
area lifting materials
- get assistance when lifting heavy
loads
Splinters/cuts - wear gloves and other protective clothing
- take care when moving materials by hand
Being struck by materials
- maintain an awareness of other people in the area
- remove obstacles in pathway
Trips and falls
- be aware of uneven or unstable surfaces
3 Scaffold installation 1 stage Scaffolding collapsing / falling - Verify that scaffolding is properly assembled and
from scaffolding
wheels locked.
- Use safety rails properly.
- Verify a safe mean of climbing on/off scaffolding.
4 Removing ceiling Falling objects. Before removing any ceiling, pull back a ceiling and
survey area for hazards.
Wear safety hard helmet.
Inhalation of dust; dust in eyes Wear respirator mask.
Wear safety googles
Fall from height - Use buddy system.
- inspect ladder or scaffold before using.
HIROSE MALAYSIA PERMIT TO WORK – VERSION 1.1 Doc Num:
HI TECH ENGINEERING SDN BHD PERMIT TO WORK SYSTEM – JOB HAZARD ANALYSIS
- lock ladder or scaffold securely before using.
Step Job Step Job Step Hazard Job Step Control Tick
No
5 Drilling core holes in concrete slap Exposure to silica dust Wear respirator mask.
Wear safety googles.
Injuries from drilling - never carry power tools with the trigger depressed
- keep hands away from the immediate work area
- disconnect tools from the power source before
making adjustments or carrying out servicing
- wear hearing and eye protection correctly
- keep a firm grip while using tools
Fall from height - Use buddy system.
- inspect ladder or scaffold before using.
- lock ladder or scaffold securely before using.
6 Install support bracket for chiller pipe Expose to sharp edge - Use suitable PPE such as cotton glove
Fall from height - Use buddy system.
- inspect ladder or scaffold before using.
- lock ladder or scaffold securely before using.
Falling objects. - Load properly fasten and secured.
- Wear safety hard helmet.
Body sprains and strains from - use correct lifting techniques
lifting materials
- get assistance when lifting heavy
loads
7 To install chiller pipe and fitting Body sprains and strains from - use correct lifting techniques
accessories lifting materials
- get assistance when lifting heavy
loads
Expose to sharp edge - Use suitable PPE such as cotton glove
Falling objects. - Load properly fasten and secured.
- Wear safety hard helmet.
Fall from height - Use buddy system.
- inspect ladder or scaffold before using.
- lock ladder or scaffold securely before using.
8 Housekeeping Dust and debris Using broom to sweep the floor.
Clear the work place from dust.
Use respirator mask.
Personal Protective Equipment (PPE) appropriate to the task at hand shall be worn / used at all times.
Tick box any PPE that applies to this job.
/ / /
Any Additional PPE appropriate to the task: Vest, Safety Shoes
HIROSE MALAYSIA PERMIT TO WORK – VERSION 1.1 Doc Num:
HI TECH ENGINEERING SDN BHD PERMIT TO WORK SYSTEM – JOB HAZARD ANALYSIS
List required equipment / tools (e.g. fire extinguisher, barricading / signs, hand tools, mechanical tools, plant etc.):
a) Drill Machine
b) Pipe range
c) Scaffold
d) Ladder
e) Canvas (Blue/White)
f) Pipe accessories tools
The work crew acknowledges that they understand and will comply with the precautions listed above
NAME: Ganesan SIGNATURE:
NAME: Siva SIGNATURE:
NAME: Nadarajan SIGNATURE:
NAME: Saravanan SIGNATURE:
NAME: Ruthran SIGNATURE:
NAME: Harimurugan SIGNATURE:
NAME: R Vijaya Rani SIGNATURE:
HIROSE MALAYSIA PERMIT TO WORK – VERSION 1.1 Doc Num:
