Name

ANALISA HAZAD
KERJA (JHA)

Equipment No:

Dept. / Company

Sign

Date

Prepared by:
Work Leader (WL)
Reviewed by:
Receiving Authority
(RA)
Approve by: Approving
Authority(AA)
Current Practice of Control Measure E.g: JMS ,
PTW, etc

No

1.

BASIC JOB STEPS

Obtain work permit for the work

activities

Document No:
Page No: 1

HAZARDS

1.Miss
Communication

Issue No:

PRECAUTIONARY
MEASURES

CONSEQUENCES

1.Accident

Good understanding of
work scope by all the
workers

Description of work on the

permit shall be clear

Description of work is to
be inform to other workers
during the morning toolbox
meeting (work activities
and safety briefing) or
acknowledge no conflict by
the supervisor. Good
understanding of work
scope by all workers.

Currect Practice of PPE

E.g: Gloves, safety vest, barricade
Ear plug & dust Mask, coverall
Action By
Remark
AA
/ AAR
W / Leader
RA/RAR

Y
es

No

Revision No: 1
Title: Analisa Hazad Kerja

Sign/
Date

Y
es

No

Sign/
Date

Date: 21/11/2012

Name

ANALISA HAZAD
KERJA (JHA)

Equipment No:

Dept. / Company

Sign

Date

Prepared by:
Work Leader (WL)
Reviewed by:
Receiving Authority
(RA)
Approve by: Approving
Authority(AA)
Current Practice of Control Measure E.g: JMS ,
PTW, etc

No

BASIC JOB STEPS

HAZARDS

PRECAUTIONARY
MEASURES

CONSEQUENCES

Display work permit at

work site

Inspect with right

technique

2. Inspection of Equipment

1. Radiation leak

1.Skin Burn

3. Radiographic Test

1. Radiation
2. Radiation Leak

1. Personnel Injuries
2. Skin Burn

Document No:
Page No: 1

Issue No:

Currect Practice of PPE

E.g: Gloves, safety vest, barricade
Ear plug & dust Mask, coverall
Action By
Remark
AA
/ AAR
W / Leader
RA/RAR

Y
es

No

Sign/
Date

Y
es

No

Sign/
Date

Establish safe zone and

signages

Radiographer to wear
exposure badge

Make the annoucement

prior to start RT

Check the Isotope Storage

Revision No: 1
Title: Analisa Hazad Kerja

Date: 21/11/2012

Name

ANALISA HAZAD
KERJA (JHA)

Equipment No:

Dept. / Company

Sign

Date

Prepared by:
Work Leader (WL)
Reviewed by:
Receiving Authority
(RA)
Approve by: Approving
Authority(AA)
Current Practice of Control Measure E.g: JMS ,
PTW, etc

No

BASIC JOB STEPS

HAZARDS

PRECAUTIONARY
MEASURES

CONSEQUENCES

Currect Practice of PPE

E.g: Gloves, safety vest, barricade
Ear plug & dust Mask, coverall
Action By
Remark
AA
/ AAR
W / Leader
RA/RAR

Y
es

No

Sign/
Date

Y
es

No

Sign/
Date

Box for no radiation leak

4. Working at night

1. Dark
Environment

1. Accident

Personnel to gather outside

of radiation radius

Provide adequate lighting

at the site

Workers have break before

start work at night

2. Personnel Injury
2. Physical Fatigue 3. Lost
Concentration
5 Housekeeping

1. Scatter
equipments

1. Accident
2. Personnel Injury

Make sure equipment

are keep in proper
location/ place

Rujuk Ke Hazard Effect Register(HER) No:

Document No:
Page No: 1

Issue No:

Revision No: 1
Title: Analisa Hazad Kerja

Date: 21/11/2012

Name

ANALISA HAZAD
KERJA (JHA)

Equipment No:

Dept. / Company

Sign

Date

Prepared by:
Work Leader (WL)
Reviewed by:
Receiving Authority
(RA)
Approve by: Approving
Authority(AA)
Current Practice of Control Measure E.g: JMS ,
PTW, etc

No

BASIC JOB STEPS

HAZARDS

CONSEQUENCES

PRECAUTIONARY
MEASURES

Currect Practice of PPE

E.g: Gloves, safety vest, barricade
Ear plug & dust Mask, coverall
Action By
Remark
AA
/ AAR
W / Leader
RA/RAR

Y
es

No

Sign/
Date

Y
es

No

Sign/
Date

Tambahan : Pengenalpastian Bahaya Di Lokasi Kerja (Specific Site Hazard) WAJIB diisi oleh WL,RA/RAR &AA/AAR
WL

RA/RAR

..
Nama :
Tarikh :

..
Nama :
Tarikh :

Document No:
Page No: 1

AA/AAR

Issue No:

..
Nama :
Tarikh :

Revision No: 1
Title: Analisa Hazad Kerja

Date: 21/11/2012