JHA Valve Leak Test and Repair

Job Hazard Analysis Form
Work Order Details:

Work Order No.:
Work Order Description:
90008313
Revision:
30HICA-102 Valve leak test and repair
Summary of Scope:
Specific Requirements:
Non stock Material
External Resources
Potential Clash with Other Activities
Crane Required
Shipping
Shutdown
Permit Required
Work Order Only
Isolation Required
Signature
Date
Schedule:
Prepared by:
Review Required By:

Discipline (tick if required)
Comments
BSM (MM/MMH/MMT/MME/MMO)
HSSE
Technology
Mechanical Engineering
Instruments
Electrical
Operations Clearance Issuer
Fire & Hazard Inspector
Other: System Custodian
Binder Colour Coding:

Operations
Instruments
Electrical
Mechanical
IPS Rejuvenation Project Work Pack

Work Order Details:
Work Order No.:
90008313
Revision:
Index:
1.
Schedule Control Sheet
2.
Gant chart of work order operations schedule
3.
Photographs of Equipment / Work Site
4.
Work Site Controls

a. Permit to Work
b. Job Hazard Analysis Sheet
c. Task Risk Assessment
d. Certificates (As Applicable)
i. Isolation
ii. Gas Test
iii. Vessel Entry
iv. De-Isolation for Test
v. Hot Work
5.
SAP Work Order
6.
Equipment Drawings
7.
Check Sheets
8.
Material Certification
9.
Reference Documentation
10. Work Order Close Out Report / Lesson Learnt
TASK RISK ASSESSMENT / JOB HAZARD ANALYSIS
Erect scaffolding
Shifting / Mobilize of
Scaffolding Material
Un-inspected
scaffolding material
Falling object
Injury to personnel.
Scaffolding
contractor
staff
CInc
ide
nt
ha
s
4 C
Action parties
#Secure the material

Civil supervisor
while shifting on
and Job
vehicle or trolley.
supervisor
# Shifting of the
scaffold clamps from
ground level to top
platform through lifting
bag with secured rope
only.
# Ensure that shifting
of the scffolding pipe
by one person at a time
on one staircase.
Injury to personnel
adjacent 3
work groups
me # Ensure that all

Civil supervisor
diu scaffolding material is and Job
m being inspected and
supervisor
tested by SMDS. ( civil
)
Injury to personnel
adjacent
work groups
me # Use basket or
diu appropriate bag for
m transporting small
items to / from height.
Injury to personnel
adjacent
work groups
Civil supervisor
and Job
supervisor
C me # Ensure items to be
Civil supervisor
diu hoisted up or down are and Job
m properly rigged and
supervisor
secured.
# Ensure the use of tag
line to control
movement of items
during hoisting.
# Ensure the use of
head protection.
#Barricade the area at
ground level when
work at height is in
progress
# Ensure the scaffold
supervisor is at site
supervising the works..
Ensure all hand tools
are secured during
work at height.
# Ensure a pre job
safety briefing on
dropped objects is
given to all workers
# Ensure no work is
conducted directly
below scaffolding
erection works
Unsuitable location
Obstruct access &

Work group
egress to work location
Unstable and Uneven

ground condition
Injury to personnel and Scaffolding

damage of property.
contractor
staff
Falling from height
C lo
w
List all controls

Required
lo # Ensure the exact

Civil supervisor
w scaffolding location
and Job
where possible before supervisor
the Turn Around and
perform site inspection
for any observation.
C- lo #Check and confirm

Inc w the footing of scaffold
ide
are rested on even
nt
concrete floor.
ha
#Ensure the use of
s
base plate.
oc
Conduct Toolbox talk
cur
before erection.
red
in
co
mp
an
y
Civil supervisor
and Job
supervisor
Injury to Personnel
Any staff
working on
the platform
C me #Check and ensure the Civil supervisor

diu use of inspected safety and Job
m harness with double
supervisor
lanyard and anchored
at a strong point.
Injury to Personnel
Work group
C me #Ensure 100% tie off

diu during shifting of
m personnel.
Civil supervisor
and Job
supervisor
Recovery Measures
# Communicate to
control room and shift
manager will activate
the emergency
response.
Action
parties
Severity
Population
at Risk
RESIDUAL RISK
Barriers
Likelihood
Risk
Rating
INITIAL RISK
Severity
Hazard Description &

Effect
Hazard / Risk
Consequence
Description
Likelihood
Risk
Rating
HAZARD
Job Steps
TRA/JHA NO.:
CREATED DATE:
NEXT REVIEW DATE:
90008313
REVISION: 0
Majang, Michael Chai, Rudy, Paul Asam
WORK ORDER NUMBER:

WORK ORDER DESCRIPTION:
GROUP MEMBERS:
ALARP
(Y/N)
Any staff
working on
the platform
Non compliance of the

procedure
Injury to Personnel
Any staff
working on
the platform
Civil supervisor
and Job
supervisor
Scaffolding
contractor
staff /
Company
staff
Scaffolding
contractor
staff /
Company
staff
c me # Follow the standard

diu prodedure of erection
m of scaffolding and work
at height.
D me # Ensure the use of
diu three point contacts
m while using the ladder.
Civil supervisor
and Job
supervisor
ALL STAFF
D me # Check and confirm

diu that scaffolding is
m certified safe for
access. Green tag(
Safe to use tag to be
display)
C lo # Stop the work
w immediately.
Field
operator
D me # Ensure that a valid

diu Permit to work is
m obtained for the job.
# Ensure the
depressurization and
draining is being done
as per operation
procedure.
# Ensure that CO is
less than 25 PPM and
Methane is less than
3% during draining and
depreesurization.
D me #Wear Disposable
diu coveralls when
m performing insulation
removal.
Disposable
D
Wear specific
type of
me
dust mask as
diu
prescribed by MSDS
m
Injury to personnel
Un-inspected scaffold. Injury to personnel
Foul weather
Population
at Risk
Depressurize and cooling down
Expoure of CO, N2 and Injury to personnel.

traces of waxes.
Removal of insulation
Exposure to insulation
Chronic health
problems or skin
irritation
Insulation
contractors
Chronic health
problems or skin
irritation
Insulation
contractors
Sharp edges of
removed cladding
Cuts to fingers/hands
Insulation
contractors
4
Access at height for
insulation
reinstatement
falling from height
falling object
Injury to personnel
Insulation
contractors
adjacent
work groups
Injury to personnel
Fire hazard
Injury to personnel
Release of
Injury to personnel
uncontrolled instrument
air from tubing
List all controls

Required
lo # Ensure the
w scaffolding supervisor
is present during time
of erection.# Ensure
that scaffolding is
being erected as per
the work requirement.
# Ensure that
scaffolding is "fit for
purpose"
Action parties
Recovery Measures
Civil supervisor
and Job
supervisor
Civil supervisor
and Job
supervisor
Civil supervisor
and Job
supervisor
Field operator,
Panel man ans
AGT.
Civil supervisor / #Communicate to

Job supervisor control room and shift
Job supervisor the emergency
Ensure all insulation

Lo
contractors wear semi- Job supervisor
w
leather gloves
All insulation
B
contractors to wear
and tie off safety
Me
harness when
diu
Job supervisor
accessing scaffolding
m
which may require
working outside the
safe working platform
C me All hand tools to be
job supervisor
diu secured using a
m lanyard when working
at height
C
#All cladding/insulation
removed which will not
be reused to be
lowered to ground level
me
using secured rope.
diu
job supervisor
#All cladding to be
m
reused needs to be
tied to a secure anchor
point to prevent it being
blown off by wind
adjacent
work groups
adjacent
work groups
Instrument
staff and
contractor
staff
# All removed
job supervisor
insulation to be wet in
me water and placed in
diu plastic bag and remove
m from the location
immediately.
lo # Ensure the pressure
w is released fully before
disconnect the tube.
# Use of proper PPEs
during disconnection.
Safety goggles is
compulsory during
release the pressure.
Instrument
supervisor and
instrument
contractor
#Communicate to
the emergency
response.
Action
parties
Severity
Collapse of Scaffolding
Hazard / Risk
Consequence
Description
Likelihood
Risk
Rating
Inappropriate method
of erection

Effect
Fall from height
Removal of instrument parts
RESIDUAL RISK
Barriers
Severity
INITIAL RISK
Likelihood
Risk
Rating
HAZARD
Job Steps
TRA/JHA NO.:
CREATED DATE:
NEXT REVIEW DATE:
90008313
REVISION: 0
WORK ORDER NUMBER:

GROUP MEMBERS:
ALARP
(Y/N)
List all controls

Required
Action parties
Short circuit
Damage to property
Removal of heat tracing (EHT)
Live electrical cables
Electrocution
Electrical
contractor
Unbolting
Trap pressure/ Over

exertion
Injury to personnel
Mechanical
contractor
staff
2 C- lo # Ensure no trap
Job supervisor
Inc w pressure is in system.
ide
# Check and ensure
nt
right tools are used.
ha
# Check and ensure
s
the distance between
oc
the work platform and
cur
work is appropriate
red
(sufficient reach).
in
# Ensure the follow up
co
of " Bolting procedure".
mp
an
y
Bolt & Nut Jammed
Extra physical effort

required for work
Mechanical
contractor
staff
C- lo # Ensure no hot work

Inc w is used for removing
ide
jammed bolt and nut.
nt
# Adopt proper work
ha
posture.
s
# Use hacksaw for
oc
coldcut.
cur
red
in
co
mp
an
y
Falling blind /
bolts/tools
Injury to personnel or
damage of property
Mechanical
contractor
and
adjacent
work groups
C- Me #Conduct a pre job

Inc diu safety briefing.
ide m #Secure all hand tools
nt
# Cordon off the
ha
working area below.
s
# Ensure the no work
oc
is being carried out
cur
diredtly below the
red
Installation.
in
# Ensure no loose
co
object on the grating.
mp
Must be contained in
an
the container.
y
Used of WD40 &

Similar
Fire hazard
Contractor
staff
Unauthorised crane
entry without gas test
Injury to personnel and All staff

damage of property.
Crane arrangement
Non compliance/ Non

availability of lifting
plan
Injury to personnel and Mechanical

damage of property.
contractor
staff
Instrument
supervisor and
instrument
contractor
B me # Ensure a valid permit MME/53
diu to work is obtained for
m the job .
#Ensure electrical heat
tracing has been
isolated
# Ensure usage of
proper PPEs for the
job.
lo # Ensure that cable is

w isolated from
marshelling rack.
Job supervisor
Contractor
workers
Job Supervisor
Job Supervisor
lo Limit the amount of

w WD40 or similar at the
worksite and work
platform.
Check and ensure no
hot work in the vicinity.
C- me # Ensure every vehicle

Inc diu entry with permit to
ide m work and with gas test.
nt
#Ensure that crane is
ha
tested and certified by
s
SMDS.
oc
# Ensure that crane is
cur
approved with
red
inspection sticker.
in
co
mp
# Ensure that Lifting
plan is in place and
complied with
procedure if load is 1
Ton and above .
lo
# Ensure that lifting
2 C
w
plan is in place if any
blind lift/ obstrction lift
is there at any weight.
#Field Operator
and AGT
# Mechanical staff
and job supervisor
Mechanical
supervisor and
Job Supervisor
Recovery Measures
Action
parties
Severity
Population
at Risk
RESIDUAL RISK
Barriers
Likelihood
Risk
Rating
INITIAL RISK
Severity

Effect
Hazard / Risk
Consequence
Description
Likelihood
Risk
Rating
HAZARD
Job Steps
TRA/JHA NO.:
CREATED DATE:
NEXT REVIEW DATE:
90008313
REVISION: 0
WORK ORDER NUMBER:

GROUP MEMBERS:
ALARP
(Y/N)
Offset centre gravity
Uncontrolled lifting
opearation
Failure of cranne
me # Ensure the operation Mechanical

diu is carried out in a well- supervisor and
m coordinated manner.
Job Supervisor
# Ensure only
experienced crane
operator is used or
under close
supervision.
c
# Ensure the crane is
adjusted such that its
center of gravity is
directly below the hook
used.
# Ensure the lifting
plan is placed and
followed properly.
Damage of property
Mechanical
and Injury to personnel contractor
staff/
company
staff
Damage of property
Mechanical
staff/
company
staff
Delay to operation.
Mechanical
contractor
Damage to property
staff/
company
staff
Toppling of crane
Overloading of crane
Failure of lifting gears

and applieances
me # Check and ensure a

diu qualified lifting
m supervisor is on site to
supervise the
operation.
me # Check and ensure
diu the crane used has
m valid certificate.
# Check and ensure
all safety devices of the
crane are functioning.
D
# Check and ensure
the daily inspection of
the crane is properly
carried out prior to the
rigging and lifting.
Damage of property
Mechanical
staff/
company
staff
Damage of property
Mechanical
staff/
company
staff
Damage of property
Mechanical
staff/
company
staff
List all controls

Required
Action parties
Mechanical
supervisor and
Job Supervisor
Mecchanical
supervisor and
Job Supervisor
# Check and ensure

Mecchanical
the capacity of the
supervisor and
crane used is sufficient Job Supervisor
for the operation.
# Check and ensure
all outriggers are fully
extended and secured
on solid ground.
# Check and ensure all
safety devices are
lo functioning and not
w bypassed.
# Check and ensure
the crane is operating
within its safe working
radius.
# Check and ensure
the crane is not
overloaded.
# Check and ensure

the crane has sufficient
capacity for the
lo
operation prior to
w
commencement of the
entire operation.
Mecchanical
supervisor and
Job Supervisor
C
and Crane
operator and
signal man and
qualified rigger
# Check and ensure all Mecchanical
lifting gears and lifting supervisor and
appliances used have Job Supervisor
valid certificates.
and Crane
# Check and ensure
operator and
the SWL of all lifting
signal man and
gears / appliances
qualified rigger
used can withstand the
load of the operation.
# Check and ensure all
lifting gears and lifting
appliances used have
Me no visible defects /
D diu damage.
m # Adopt appropriate
work position to
prevent being hurt by
the sling / shackle/
chain block fails.
# Ensure and check
that all safety lock is
available with good
condition at lifting
gears.
Recovery Measures
Action
parties
Severity
Population
at Risk
RESIDUAL RISK
Barriers
Likelihood
Risk
Rating
INITIAL RISK
Severity

Effect
Hazard / Risk
Consequence
Description
Likelihood
Risk
Rating
HAZARD
Job Steps
TRA/JHA NO.:
CREATED DATE:
NEXT REVIEW DATE:
90008313
REVISION: 0
WORK ORDER NUMBER:

GROUP MEMBERS:
ALARP
(Y/N)
Swinging of load
Damage of property
Mechanical
staff/
company
staff
3
Lifting
Communication
breakdown
Damage of property
Mechanical 3
staff/
company
staff
Foul weather
Poor Visibility / Lighting All staff

/ heavy wind speed.
Non compliance/ Non

availability of lifting
plan

damage of property.
& contractor
staff
Falling from lifting

beam

damage of property.
contractor
staff and job
supervisor
3
Obstruction during
removing of blind and
spade
Damage of property
Mechanical
staff and job
supervisor
Hit against moving the Injury to personnel
Mechanical
spade
contractor
staff and job
supervisor
CV removal
Blind off open end
Hit by falling objects

(bolts and nuts)
Injury to personnel
Pinch point
Injury to health
Falling blind /
bolts/tools
damage of property
Mechanical
contractor
and
adjacent
Mechanical
staff and
contractor
staff
Mechanical
contractor
and
adjacent
List all controls

Required
me # Check and ensure

diu only qualified crane
m operator is used.
# Use tag lines to
control the load.
D
# Ensure that area is
barricaded and signage
posted to prevent
access to unauthorised
personnel.
D
me # Ensure only one

diu authorized lifting
m supervisor is giving
instructions.
# Use walkie-talkie for
verbal communication
(language used must
be understood by all
parties involved).
# Check and ensure
only qualified
signalman is used for
giving signals.
# Perform a pre-job
safety briefing to all
involved.
C lo
w
# To cease the lifting

operation under
controlled condition.
# Ensure that Lifting

plan is in place and
complied with
procedure if load is 1
lo Ton and above .
w # Ensure that lifting
plan is in place if any
blind lift/ obstrction lift
is there at any weight.
Action parties
Recovery Measures
Mecchanical
supervisor and
Job Supervisor
and Crane
operator and
signal man and
qualified rigger
Mecchanical
supervisor and
Job Supervisor
and Crane
operator and
signal man and
qualified rigger
Mechanical
supervisor and
Job Supervisor
and signal man
and qualified
rigger
Mechanical staff # Communicate to
and job supervisor control room and shift
the emergency
response.
# Ensure that condition Mechanical staff

of lifting beam is safe and job supervisor
for mounting the chain
block on the lifting
Me beam.
C diu # Ensure usage of
m proper slings during
lifting of CV on the
beam.
# Ensure and check

Me
that during removing of
C diu
CV all structures are
m
safe.
# Ensure the operation
is well coordinated and
Me controlled.
C diu # Perform pre Job
m safety meeting
# Please check aobove

step
#Barricade the area
below the work place
# Be away from trap
pressure.
#
Ensure Toolbox talk
is carried out for
specially for pinch
C Me point.
#Conduct a pre job
diu safety briefing.
m #Secure all hand tools
# Cordon off the
C Me
diu
m
C lo
w
Mechanical staff
and job supervisor
Mechanical staff
and job supervisor
Job supervisor
Job supervisor
Job supervisor
Contractor
workers
Job Supervisor
#Communicate to
the emergency
Action
parties
Severity
Population
at Risk
RESIDUAL RISK
Barriers
Likelihood
Risk
Rating
INITIAL RISK
Severity

Effect
Hazard / Risk
Consequence
Description
Likelihood
Risk
Rating
HAZARD
Job Steps
TRA/JHA NO.:
CREATED DATE:
NEXT REVIEW DATE:
90008313
REVISION: 0
WORK ORDER NUMBER:

GROUP MEMBERS:
ALARP
(Y/N)
Transport to workshop
List all controls

Required
D#Check with the person

Ha
in charge of the route
pp
to be used and road
en
closures if any.
s
# Check and ensure
se
the work areas are
ver
barricaded.
al
#Use signal man as
tim
and when required.
Me
es
#Check and ensure
per diu personnel are well
ye m clear of moving truck or
ar
forklift.
in
# Ensure during lifting
a
and road transportation
Co
in internal process road
mp
shall be guided by
an
operation.
y
Hit by truck, Forklift
damage of property
Mechanical
contractor
staff /
Adjacent
work group.
Fire hazard due to

spark from vehicle
damage of property
Mechanical
contractor
staff / Adjac
ent work
group.
C me # Ensure gas testing is Mechanical and

diu conducted by AGT
job supervisor
m prior to entry in process
road.
Un-inspected vehicle
entry
damage of property
Mechanical
contractor
staff / Adjac
ent work
group.
Non complience of fire Injury to personnel or

permit
damage of property
Mechanical
contractor
staff / Adjac
ent work
group.
B me # Ensure the vehicle

diu has been inspected by
m MME/43 for spark
arrester.
# Ensure that all
vehicles have been
complied with
standard.
B me # Ensure fire permit is
diu in place for the vehicle
m movement.
Servicing & overhaul
# Seprate procedure
cover the risk
Transport to site
# See as above
Removal of blind
# See as above
Crane arrangement
# See as above
Lifting
# See as above
Mechanical and
job supervisor ,
Logistic
coordinator.
Mechanical and
job supervisor
Job supervisor
and Field operator
# See as above
Install CV
Bolting & torque
Action parties
Insufficient tightening
of bolt and nut
Affect the integrity of

equipment
Mecahnical
contractor
staff
Falling the blind /

bolts/tools
Injury to personnel
adjacent
work groups
Insufficient tightening
of bolt and nut
Affect the integrity of

equipment
Mechanical
staff and
contractor
staff
C#Ensure the use of

Inc
torque wrench (set at
ide
required torque) for
nt
tightening the bolts and
ha
lo nuts.
2 s
w # Ensure the
oc
compliance of bolting
cur
procedure.
red
in
co
C#Ensure the tools are
Inc
secured.
ide
#Barricade the
nt
underneath area if
ha
s
me progress.
oc
3
diu # Ensure the grating is
cur
m covered with
red
Tarpouline to prevent
in
the falling object.
co
mp
an
y
C#Ensure the use of
Inc
torque wrench (set at
ide
required torque) for
nt
tightening the bolts and
ha
lo nuts.
2 s
w # Ensure the
oc
compliance of bolting
cur
procedure.
red
in
co
Job supervisor
Mechanical staff
and Job
supervisor
job supervisor
Recovery Measures
Action
parties
Severity
Population
at Risk
RESIDUAL RISK
Barriers
Likelihood
Risk
Rating
INITIAL RISK
Severity

Effect
Hazard / Risk
Consequence
Description
Likelihood
Risk
Rating
HAZARD
Job Steps
TRA/JHA NO.:
CREATED DATE:
NEXT REVIEW DATE:
90008313
REVISION: 0
WORK ORDER NUMBER:

GROUP MEMBERS:
ALARP
(Y/N)
Install heat tracing (EHT)
Falling the blind /

bolts/tools
Injury to personnel
Mechanical
staff and
contractor
staff
Live electrical cables
Electrocution
Electrical
contractor
CInc
ide
nt
ha
s
oc
3
cur
red
in
co
mp
an
y
4 B
List all controls

Required
Action parties
#Ensure the tools are Mechanical

secured.
supervisor /Job
#Barricade the
supervisor
underneath area if
me progress.
diu # Ensure the grating is
m covered with
Tarpouline to prevent
the falling object.
me # Ensure a valid permit MME/53

diu to work is obtained for
m the job .
#Ensure electrical heat
tracing has been
isolated
# Ensure usage of
proper PPEs for the
job.
Install back instrument parts
# Seprate procedure
cover the risk
Install insulation
# Please follow the

job supervisor
above the " Removal of
Insulation step"
Damage of EHT
underneath the
cladding and
Electroculation
Injury to personnel
Insulator
lo # Ensure that in drill bit is

w provided with stopper to
prevent damage of EHT or
cable.
# Ensure tool box talk prior
to work.
Job supervisor
Recovery Measures
Action
parties
Severity
Population
at Risk
RESIDUAL RISK
Barriers
Likelihood
Risk
Rating
INITIAL RISK
Severity

Effect
Hazard / Risk
Consequence
Description
Likelihood
Risk
Rating
HAZARD
Job Steps
TRA/JHA NO.:
CREATED DATE:
NEXT REVIEW DATE:
90008313
REVISION: 0
WORK ORDER NUMBER:

GROUP MEMBERS:
ALARP
(Y/N)
IPS Rejuvenation Project Work Pack

Work Order History:
Work Order No.:
90008313
Revision: 0
Description Of Equipment As Found:
Activities Performed:
Equipment / Materials Used:
Testing / Calibration Results:
Condition Of Equipment Upon Completion:
Description Of Follow On Work: (Notification Numbers)
List Of Completed Attachments:
Prepared By:
Date:
Approved By:
Date:
Routine Work Order Validation Sheet

Note: Complete required information
1.
Work Order No.:
90008313
2.
3.
Is Description adequate?
4.
Are Tag Numbers referenced and correct?
5. Procedure - required?
- attached?
- sufficient and correct?
6. Is the Shutdown Code correct?
7. Is the Responsibility Code correct?
8. Are additional resources required - e.g. Specialist?
9. Does the Routine require Special Tools or Equipment
10. Are Materials required - is there a BOM attached?
- are these adequate for the work being undertaken?
11. Special Lifting Equipment or Arrangements required?
12. Is Manhour allocation / estimate correct?
13. PMR amendment required: (attach separate sheet if necessary)
Z6 Type Notification Number(s) Raised:
14. Completed By:
Name & Signature
Date
Risk Assessment Matrix

CONSEQUENCE
INCREASING LIKELIHOOD
Severity
Has happened Has happened

in the
at SMDS or Has happened
Never heard of heard of in Organization
more than
more than
in industry
industry
or more than once per year once per year
once per year
in the
at SMDS
in the industry organization
People
Asset
Environment
Reputation
No health
effect/injury
No damage
No Effect
No impact
0A
0B
0C
0D
0E
Slight health
effect/injury
Slight Damage
Slight Effect
Slight impact
1A
1B
1C
1D
1E
Minor Damage
Minor Effect
Minor impact
2A
2B
2C
2D
2E
Localised Damage
Localised Effect
Considerable
impact
3A
3B
3C
3D
3E
Major Damage
Major Effect
National impact
4A
4B
4C
4D
4E
Massive Effect
International
impact
5A
5B
5C
5D
5E
Minor health
effect/injury
Major health
effect/injury
PTD* or 1 to 3
fatalities
Multiple fatalities Extensive Damage
*Permanent Total Disability
Risk Assessment Matrix Consequence - Category Definition

Harm to People
Environmental Effect
0 No injury or health effect
Slight injury or health effects not affecting work performance and not affecting daily
life activities. Examples: First aid cases and medical treatment cases. Exposure to
1
health hazards that give rise to noticable discomfort, mild irritation or transient effects
reversible after exposure stops.
Minor injury or health effects (Lost Time injury) - Affecting work performance, such as
restriction to activities (Restricted Work Case or Occupational Illness) or a need to
2
take a few days to fully recover (Lost Workday Case). Minor health effects, which are
reversible, e.g. skin irritation, food poisoning.
Major injury or health effects (including Permanent Partial Disability and Occupational
Illness). Affecting work performance in the longer term, such as a prolonged
3 absence from work. Irreversible health damage without loss of life, e.g. noise
induced hearing loss chronic back injuries, sensitisation, hand/arm vibration
syndrome, repetitive strain injury.
Permanent Total Disability or one to three fatalities - From an accident or
4 occupational illness. Irreversible health damage with serious disability or death, e.g.
corrosive burns, heat stroke, cancer (small exposed population)
Multiple fatalities - From an accident or occupational illness (e.g. chemical

asphyxiation or cancer (large exposed population)
Asset Damage and other Consequential Business Losses (100% costs, USD)
Impact of Reputation
0 Zero damage
1 Slight damage - No disruption to operation (costs less than 10,000)
2 Minor damage - Brief disruption (costs less than 100,000)
3 Local damage - Partial shutdown (can be restarted but costs up to 1,000,000)
4 Major damage - Partial operation loss (2 weeks shutdown costs up to 10,000,000)
Extensive damage - Substantial or total loss of operation (costs in excess of

10,000,000)
The figures in the tables above should not be combined for deriving the value of a human life!!
sequence - Category Definition

Environmental Effect
Zero effect - No environmental damage. No financial consequences.
Slight effect - Slight environment damage, within the fence and within the systems.
Negligible financial consequences.
Minor effect - Sufficiently large contamination or discharge to damage to attack the
environment, but no lasting effect. Single breaches of statutory or prescribed limit, or
single complaint.
Localised effect - Limited discharges affecting the neighbourhood and damaging the
environment. Repeated breaches of statutory or prescribed limit, or many
complaints.
Major effect - Severe environmental damage. The company is required to take
extensive measures to restore the damage environment. Extended breaches of
statutory or prescribed limit, or widespread nuisance.
Massive effect - Persistent severe environment damage or severe nuisance
extending over a large area. Loss of commercial, or recreational use or nature
conservancy resulting in major financial consequences for the company. Ongoing
breaches well above statutory or prescribed limits.
Impact of Reputation
Zero effect - No public awareness.
Slight impact - Public awareness may exist, but there is no public concern.

JHA Valve Leak Test and Repair

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JHA Valve Leak Test and Repair

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Job Hazard Analysis Form

Work Order Details:

30HICA-102 Valve leak test and repair

Non stock Material

Potential Clash with Other Activities

Work Order Only

Review Required By:

Binder Colour Coding:

IPS Rejuvenation Project Work Pack

Work Order Description:

30HICA-102 Valve leak test and repair

Schedule Control Sheet

Gant chart of work order operations schedule

Photographs of Equipment / Work Site

Work Site Controls

SAP Work Order

10. Work Order Close Out Report / Lesson Learnt

TASK RISK ASSESSMENT / JOB HAZARD ANALYSIS

#Secure the material

me # Ensure that all

Obstruct access &

Unstable and Uneven

Injury to personnel and Scaffolding

Falling from height

List all controls

lo # Ensure the exact

C- lo #Check and confirm

C me #Check and ensure the Civil supervisor

C me #Ensure 100% tie off

Hazard Description &

WORK ORDER NUMBER:

TASK RISK ASSESSMENT / JOB HAZARD ANALYSIS

Non compliance of the

c me # Follow the standard

D me # Check and confirm

D me # Ensure that a valid

Un-inspected scaffold. Injury to personnel

Depressurize and cooling down

Expoure of CO, N2 and Injury to personnel.

falling from height

List all controls

Civil supervisor / #Communicate to

Ensure all insulation

Hazard Description &

Fall from height

Removal of instrument parts

WORK ORDER NUMBER:

TASK RISK ASSESSMENT / JOB HAZARD ANALYSIS

List all controls

Removal of heat tracing (EHT)

Live electrical cables

Trap pressure/ Over

Bolt & Nut Jammed

Extra physical effort

C- lo # Ensure no hot work

C- Me #Conduct a pre job

Used of WD40 &

Injury to personnel and All staff

Non compliance/ Non

Injury to personnel and Mechanical

lo # Ensure that cable is

lo Limit the amount of

C- me # Ensure every vehicle