JOB HAZARD ANALYSIS

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Installation/Facility
Location
Associated Work Permit Type
Associated Work Permit Number
Electrical Isolation Certificate Number
Physical Isolation Certificate Number

WORK ACTIVITY

JHA Cross-Reference Number

Job
Step

Description of
Job Step
Work and site
preparation
(housekeeping)

Install of nitrogen gas

for leak test of FM200
pipe

Blow the pipe to clean

iron dust inside pipe
happen during cutting,
drilling and welding
using notrogen gas.
(5 bar pressure)

Pneumatic Test For FM200 Pipe (using N2)

Potential
Hazards
1.1 Protrusion to hand and
finger

Potential
Impact

Minor injury

2.1 Manual lifting for nitrogen

gas cylinder by
manpower can cause
ergonomic hazards.
Back ache
2.2 Cylinder can fall while
Body injury
manual lifting.
Pinch point
2.3 Workers hit by the
cylinder.
2.4 Unsafe cylinder gas
position.
3.1 Cylinder fall from
standing.
3.2 The pressure hose
disconnected.
3.3 N2 gas accumulate at
Local control panel room.
3.4 Dust/debris from inside
FM200 pipeline.

Material damage
Major injury/Fatality
Asphyxia
Respiratory acute

Control/Recovery Measures

All personal to wear proper and suitable

hand protection glove.
6 Eliminate or to make safe any protruding
hazard.
First aid treatment.
All worker must wear proper PPE when do
manual lifting.
Provide glove to avoid pinch point.
Do not lift the cylinder alone. Make sure
do it with buddy system.

If
possible
use trolley or keep on standing
6
position and tightly bound to strong
structure.
Do not locate cylinder gas in access &
egress pathway.
Safe handling of cylinder gas, do not
move cylinder by rolling it.
9 Make sure the cylinder is tighten to the
wall or something that not easily move.
Make sure all fittings is tighten properly
before blow the pressure for clean up
the pipe.
Make sure all area that involve for this
activity is already barricade and
provided with signage to avoid not
authorize person coming in or near at
the area.

EDG
Local Control Panel

Result

Acceptable

Acceptable

Acceptable

JOB HAZARD ANALYSIS

Installation of testing
device (pressure
gauge, flexible hose,
nitrogen gas, and pipe
fitting)

Pressure test pipe

FM200 (27-31 bar
pressure)

4.1 Worker fall from ladder or

scaffolding while
installing the testing
device.
4.2 Testing device fall from Major injury/Fatality
height.
Material damage
4.3 Tools falling from height.
4.4 Unstandard connection
hose.

5.1 Cylinder fall from

Material damage
standing.
Major injury/Fatality
5.2 The pressure hose
disconnected.
5.3 Uncontrol filling pressure
from cylinder gas.
5.4 Communcation problem
between valve operator
and tester due to
separate room.
5.5 Leaking or cracking on
welding area or pipe

OPEN ALL DOORS (ENTRY & EXIT) in

Local control panel for ventilation.
Cover area (panel) below blowout end
pipe.
Use Dust mask (PPE).
Provide training for working at height for
worker that involve to the work activity.
Make sure the worker is a competent to
do the job.
Install toe board at scaffolding to avoid
falling material or tools from scaffolding.
Provide proper PPE for worker to avoid
9
them from falling at height.
Provided first aid kit box in place.
Provide first aider and rescue plan (refer
to attached) in place.
Use standard hose that appropriate with
maximum pressure for pneumatic test
(27,5 bar).
9 Make sure all fittings is tighten properly
before blow the pressure for clean up
the pipe.
Provide standby person at any entrance
for the test location.
Make sure all area that involve for this
activity is already barricade and
provided with signage to avoid not
authorize person coming in or near at
the area (access control
implementation).
Make sure the activity is conducted with
competent person.
Use regulator, pressure gauge and ball
valve to control pressure.
Point blow out direction to safe atmosfer
and outlet area
protected/barricade/warning sign
(Danger of nitrogen gas).
Use proper communication tools (HT).
Cover existing equipment with bluesheet
and playwood.

Acceptable

Acceptable

JOB HAZARD ANALYSIS

Housekeeping

6.1 Protrusion to hand and

finger

L - LIKELIHOOD
CATEGORY
LOW
MEDIU
M
HIGH

DEFINITIO
N
REMOTE

Minor injury (first aid

treatment)

All personnel to wear proper and suitable

hand protection glove.
6 Eliminate or to make safe any protruding
hazard.
First aid treatment.

S - SEVERITY
CATEGORY
LOW

R- RATING

DEFINITION
1

No Injury

No Damage

POSSIBLE

MEDIUM

First Aid Injury

Minor Damage

PROBABLE

HIGH

Lost Time
Injury

Major Damage

No Pollution
Minor
Pollution
Major
Pollution

IS THERE A SAFER WAY TO COMPLETE THE JOB ? ARE THERE ALTERNATIVES WITH
LESS RISK ?

Acceptable

RESULTS

69

UNACCEPTABLE

34

TOLERABLE

1-2

ACCEPTABLE

L- LIKELIHOOD

JOB HAZARD ANALYSIS

JHA Number:

TASK SAFETY MANAGEMENT OUTLINE

Date This JHA Created: 5-1-2015

Date JHA Last Revised : 7-1-2015

WORK ACTIVITY EQUIPMENT

Manufacturer

Type of Equipment

Tag. No.

Precise Work Site

WORK ACTIVITY PARTICIPANTS

Name

Discipline

Position

JHA SUBMITTED BY PERFORMING

AUTHORITY

THIS JHA CREATED BY

Performed
Job Before?

Name

Discipline

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WORK LEADER

HSE DEPT

RECEIVING AUTHORITY

Position

ENDORSED BY
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