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SARO 2 2 2 2 2
ETS 2 2 2 2 2
1
Wcentre CONTROL KEY
INT
Job Steps Work Unit Man Hours
apply for permit MHR 2 0.5
activity briefing and tool box talk
drive to site
perform inspection (1/2hr / Equipment) 2 6
perform air flow measurement (1/2hr / Equipment)
Total
Manhours
1
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13
A B C D E
1
2 COMPLY (Y/N)
3 Step Activity (Belting replacement) Y N N/A
4 1 Apply EPTW complete with EIC
5 2 Drive and Park to Site
6 3 Perform Ex close Inspection
7 4
8 5
9 6
10 7
11 8
12 9
13 10
14 11
15 12
16 13
17 14
18 15
19 16
20 17
F
1
2
REMARKS
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Nama Jabatan / Syarikat Tandatangan Tarikh
2 Curves or bends in the road. 1 Car collission or crash 1 Ensure valid driving license
pedestrian crossings.
2 Apply journey route and plan ahead and drive to area that
well verse of traffic
3 changes in weather and road 2 Car collission or crash 1 Ensure valid driving license
conditions.
2 Apply journey route and plan ahead and drive to area that
well verse of traffic
2 Perform Visual & Close Inspetion 1 Wrong Posture 1 Minor health issue, slight 1 Clearly identified equipment to be inspected by referring to
back and neck pain (no time equipment layout drawing, Ex database and hazardous area
off work) classification mapping document
2 To positioned corrctly so that the top third of the equipment
is at eye level
4
Works during daytime and under sufficient lighting
Note: -
Area owner process : - POA/UOA/SMA/POB/UOB/SMB/ET/ET Senior Exec. RA - Receiving Authority AAR - Representative Approving Authority
Area owner non-process : - Custodion of Building e.g. PAGS for GAC, MSA, MSB, PMM for warehouse
Daily Validation Table:
Date Work Leader Name Initial RA/RAR Name Initial AA/AAR Name Initial
Doc. No.: - HSE-WI-09-002/A02 Issue No.: - 1 Revision No.: - 2 Date: - Page No.: -
Title: - ANALISA KESELAMATAN KERJA
Location of HP & LP Pump
Material Description Material Spec
1 N/A
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Parts No. Material No.
Descriptions Quantity Make Model NoSerial No. Calibration
Date
1 Ex Camera 1
2 Anemometer 1 proskit
3
4
5
6
7
Inspection Remarks
Date
1 Crane Spec requirement ton
5 Insulation
6 Barge/Cargo Boat
Service Company Name Person In Charge Identitification No
1
2
3
4
5
6
7
8
9
10
11
12
BOSOS/BOSIET Cert.BOSOS/BOSIETExpiry DMedical Expiry DateOGSP No. OGSP Expiry Date
Safety Induction DaWork Leader DateEmergency Contact NoPO number
013 211 9326
013 943 0670
Trainees name Skills requirement Training Requirement Training Providers