Attachment III

PTW No. : _______________

Date Issued : _______________

Job Safety Analysis (JSA) Worksheet

BINTULU PORT SDN. BHD.

Location :
Existing Operation Canteen Building At Bintulu Port

Date :
Page : _______ of _______

Job / Task Title :

Installation of Hoarding.

New

Rev. No. :

Revised

Primary Hazard :
Cutting and puncturing hazard to body part. Muscular strain/Back pain (Ergonomic issue).

Task Name ( Job / Task Description ) :

To construct temporary fencing and barricade construction site parameter. Materials used are
wooden planks/poles for the main structure and hording panels will be using metal roofing(Corrugated Zinc Sheet).
Required And / Or Recommended Personal Protective Equipment :
Use appropriate PPE such as hand glove, safety shoes, proper clothing and safety helmet.

Step
No.

Who / What Might

Be Harmed

Sequence Of Basic Job Steps

Manually allocate/arrange all the materials to specific

location (manual lifting)

Manual holes digging for wooden poles based

foundation. (Tool use for digging: Spade, shovel,
digging bar, clamshell digger and grub hoe).

Hand & finger cut and

injury. Muscular
strain/Back pain
(Ergonomic issue).

Erection of wooden poles. (manually)

Lift up and align the metal roofing panels to the

wooden pole. (manually)

Properly nail in the metal roofing panels the wooden

pole. Ensure the strength of the structure is in place.
* Done

Company / Organization / Applicant :

GABUNGAN BINAAN JURUTENAGA SDN.
BHD

Hazards (Potential
Incident)
Hand & finger cut and
injury. Muscular
strain/Back pain
(Ergonomic issue).
Hand & finger cut and
injury. Muscular
strain/Back pain
(Ergonomic issue).

Hand & finger cut and

injury puncture. Muscular
strain/Back pain
(Ergonomic issue).
Hand & finger cut and
injury puncture. Muscular
strain/Back pain
(Ergonomic issue).

Supervisor :
LUDAN AK NIRA

Control Measures Or Recommended

Action Or Procedure

Action / Responsible
Party

Workers

Sufficient number of manpower to handle

the manual lifting task and the use of
appropriate PPE.(hand gloves)

Site Supervisor

Workers

Sufficient number of manpower to handle

the manual lifting task and the use of
appropriate PPE.(hand gloves)

Site Supervisor

Workers

Sufficient number of manpower to handle

the manual lifting task and the use of
appropriate PPE.(hand gloves)

Site Supervisor

Workers

Sufficient number of manpower to handle

the manual lifting task and the use of
appropriate PPE.(hand gloves)

Site Supervisor

Workers

Sufficient number of manpower to handle

the manual lifting task and the use of
appropriate PPE.(hand gloves)

Site Supervisor

Analysis by :
SAHARRUDIN BIN
ABDOL WAHET

Reviewed by :
JALIN AK GEORGE

Acknowledged / Approved by :
JALIN AK GEORGE

Attachment III
PTW No. : _______________
Date Issued : _______________

Job Safety Analysis (JSA) Worksheet

BINTULU PORT SDN. BHD.

Name List of Manpower Involved

# All workers involved in this work process have being briefed and shall observe and comply with the requirements of this JSA at all times.
No. Name
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

I/C Or Passport
No.

Citizenship

Designation

JALIN AK GEORGE

850621-13-5727

MALAYSIA

CONSTRUCTION MANAGER

ASIR AK PAONG
GIBSON AK SAOH
EDDY AK KUDANG
GEORGE AK SAPIT
ROLAND AK ASIR
NINGKAN AK CHALANA
MORIS LANGI

700101-13-6183
890629-13-5031
800717-13-6059
900816-13-7047
950728-13-6525
750324-13-5415
741127-13-5665

MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA

SITE SUPERVISOR
BACKHOE OPERATOR
CARPENTER & PLASTERER
GENERAL WORKER
GENERAL WORKER
CARPENTER & BARBENDER
CARPENTER & BARBENDER

SANDAI AK SANDAH
DONNY ROY AK BERINJAN
JULY AK ENTRING
LUDAN AK NIRA
ALAN ANAK MORSIDI MANAI

770101-13-5061
900103-13-7733
740731-13-5587
750712-13-5257
780103-13-5961

MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA

CARPENTER & PLASTERER

GENERAL WORKER
GENERAL WORKER
SITE SUPERVISOR /SLINGER
GENERAL WORKER

Signature

Note: Please fill in at the appropriate column below i.e. name of company, your name, signature and stamp, and date.
Name List of Manpower Involved
# All workers involved in this work process have being briefed and shall observe and comply with the requirements of this JSA at all times.
No. Name
14.
15.
16.
17.
18.
19.
20.

SAHARRUDIN BIN ABDOL WAHET

MURSYIDI LEE BIN ABDULLAH
PATONG AK MIRANG
NGADAN ANAK CHAWONG
UNGGAH ANAK BAGUP
NICHOLA ANAK GERASI
STANLY UTHA LING

Company / Organization / Applicant :

GABUNGAN BINAAN JURUTENAGA SDN.
BHD

I/C Or Passport
No.

Citizenship

731019-13-5685
570502-13-5787
720820-13-6583
611010-13-5551
760213-13-5067
860221-13-5567
851012-13-6809

MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA

Supervisor :
LUDAN AK NIRA

Designation

Signature

SITE SAFETY SUPERVISOR

COW - CONSULTANT
BARBENDER & PLASTERER
SITE SUPERVISOR
GENERAL WORKER
GENERAL WORKER
GENERAL WORKER

Analysis by :
SAHARRUDIN BIN
ABDOL WAHET

Reviewed by :
JALIN AK GEORGE

Acknowledged / Approved by :
JALIN AK GEORGE

Job Safety Analysis (JSA) Worksheet

BINTULU PORT SDN. BHD.

21.
22.
23.
24.
25.
26.

SIMON AK JAWA
ECHAM AK ANDREW ANDIN
RABONG ANAK ASANG
MANGKA AK LENG
RENTAP AK NAWAI
MUHAMAD SHAHRIN ABDULLAH

660726-13-5283
870227-52-6875
571217-13-5395
790510-13-6055
781217-13-5323
720605-13-5799

MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA

Attachment III
PTW No. : _______________
Date Issued : _______________

GENERAL WORKER
GENERAL WORKER
GENERAL WORKER
GENERAL WORKER
RUNNER AND STORE KEEPER
SITE SUPERVISOR

Note: Please fill in at the appropriate column below i.e. name of company, your name, signature and stamp, and date.
No. Name
I/C Or Passport
Citizenship Designation
Signature
No.
27.
28.
29.

JAMIE AK ANGIL
BONNY AK ANGIL
ACHONG AK NIBONG

870618-13-6581
970811-13-6647
650525-13-6299

MALAYSIA
MALAYSIA
MALAYSIA

BARBENDER & PLASTERER

GENERAL WORKER
CARPENTER & PLASTERER

Note: Please fill in at the appropriate column below i.e. name of company, your name, signature and stamp, and date.

Company / Organization / Applicant :

GABUNGAN BINAAN JURUTENAGA SDN.
BHD

Supervisor :
LUDAN AK NIRA

Analysis by :
SAHARRUDIN BIN
ABDOL WAHET

Reviewed by :
JALIN AK GEORGE

Acknowledged / Approved by :
JALIN AK GEORGE