This document outlines the job hazard analysis (JHA) process for a work permit at the BTJT-A facility. The JHA worksheet includes sections for listing job steps, associated hazards and consequences, and control and recovery barriers. It notes that all personnel must be familiar with work procedures and discuss the JHA before starting work. Approval signatures are required from the work leader and production supervisor on the JHA during the permit application and from the work team after permit approval.

1. JOB HAZARD ANALYSIS [JHA] WORKSHEET
JHA NO. /BTJT A/OPS/2017 PTW NO /JHA/BTJT A/OPS/201 WORK PERMIT TYPE COLD
FACILITY BTJT A 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.
Page 1
JOB
STEP
DESCRIPTION OF JOB STEP POTENTIAL HAZARD POTENTIAL CONSEQUENCES CONTROL BARRIERS ACTION PARTY RECOVERY BARRIERS ACTION PARTY
1
2
3
4
5

2. Page 2
JHA APPROVAL DURING PTW APPLICATION
REVIEWED BY APPROVED BY
NAME NAME
DESIGNATION WORK LEADER DESIGNATION PRODUCTION 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
5093
JHA NO. /JHA/BTJT-A/OPS/2017
PTW NO /BTJT-A/OPS/2017
WORK PERMIT TYPE COLD
FACILITY BTJT-A
LOCATION
SPECIFIC WORKSITE
EQUIPMENT NO.
WORK DESCRIPTION