QP Ref.

: IP-OPS-066
JOB HAZARD ANALYSIS Rev.: A1
Date.: Dec. -2014
Page.: 1 of 7

ATTACHMENT C TYPICAL JHA FORM

JHA No.: GC- Revision Area RG PLANT Job Location: MAIN CONTROL Date:
14113600/0 : ROOM
No.:
Job Ref (Project No. / Work
Hazardous Area Classification: Zone 0 , Zone 1 , Zone 2 , Non
Order No.:
Hazardous
GC-14113600
Job Description : Manual excavation for cable laying Permit Type & No.:
Risk
Residu
Rating Action
Activity (Job al Risk
S/N Potential Hazard Before Control Mitigation Measures Party /
Steps) /
Mitigati Remark
Rating
on
1 Work permit from Unauthorized 3 X B= Authorized PTW holder shall ensure 1 X B= Engineer /
QP to be commencement of Medium Low Supervisor
obtaining and maintaining valid work
works may result in
obtained exposing workers permit. and Safety
and or potential to The worksite supervisor responsible for this Officer
harm or danger. activity has to check the PPE of his staff to
ensure that all required items are
available and properly used.
Inform all workers regarding permit
condition before work starts. Worksite
supervisor shall conduct toolbox talks
about nature of works and associated
potential hazards and their essential
precautionary measure.

JHA No. GC-14113600/0 Page 1 of 7

 2 Pre-task briefing The work force does 3 X B=
toolbox talks and not understand the Medium
pre task briefing
site inspection therefore does not
understand the
potential dangers
and control
measures to be
implemented. Some
of the workers could
be lacking PPE or
using defective PPE
3 Mobilization and Physical injury from 3 X B=
demobilization heavy equipment, Medium
heavy lifting, pinch
point, slip, trips and
fall hazards
4 Ensure all staff Incorrect PPE given 3 X B=
involved in this out or failure to Medium
activity has the provide required PPE
correct PPE and
have receive the Staffs are not
adequately briefed
JHA No. GC-14113600/0
Ensure that the pre task briefing is given 1 X B= Engineer /
out in a language understood by the work Low Supervisor
force, have it translated. and Safety
Ask question regarding the briefing to get Officer
feedback from the staff, this ensures full
comprehension.
Issue required appropriate PPE and
replace PPE that has signs of defect.
PPE must include both hearing protection
as well as dust inhalation protection.
Before transporting the loads to the site, 1 X B= Engineer /
rest assure that the materials are secured Low Supervisor
and tight with nylon rope for the safe and Safety
transporting. Officer
Ensure that a driver is having knowledge
to the hazard while transporting the
materials.
The driver shall not have driving attitude
while using the road.
Driver is driving only in the minimum
speed limit.
Minimize work personnel in the vicinity of
equipment.
Provide ergonomic training, institute good
housekeeping procedure.
Keep feet and hands clear of
moving/suspended materials and
equipment.
Keep a tidy site.
The supervisor responsible for this activity 1 X B= Engineer /
has to check the PPE of his staff to ensure Low Supervisor,
all required items are available and Safety
Officer and
correctly used.
The supervisor with the assistance of the Helper
Page 2 of 7
 pre start on the activity, the safety officer shall give a pre start briefing
briefing risks or the to all staff involved pointing out the job
emergency steps and how they will be conducted
procedures leading
to increased risk of
incident
5 Trial Pit for cable Property damage 3 X B= Ensure to scan the area of excavation prior 1 X B= Engineer /
laying Damage to Medium to excavate to avoid damaging of any Low Supervisor,
underground property underneath the trench Safety
facilities Make sure not to use any mechanical Officer and
Hand injury equipment during trial pit to locate and Helper
Back pain avoid cable or pipe under the trench and
use shovel by hand only
Use hand gloves to resist hand blistering
during excavation
Avoid improper positioning during
excavation works.
Avoid manual lifting of heavy debris
materials.
If manual handling is unavoidable, ensure
operatives are trained in basic lifting
techniques. Selection may be required of
suitable, fit individuals depending upon
the nature of the task.
6 Manual Serious injury and or 3 X B= Commence work submission & 1 X B= Engineer /
excavation using properly damaged Medium acknowledgement of application for Low Supervisor,
shovel and caused by hit to trench underground utilities. Safety
wheel barrow
underground Jack hammer is not allowed to use. Only Officer and
facilities manual tools are allowed. Helper
Ensure the worksite supervisor must be
providing valid excavation certificates

JHA No. GC-14113600/0 Page 3 of 7

 Back pain 3 X B= Avoid improper positioning during 1 X B= Engineer /
Medium excavation works. Low Supervisor,
Avoid manual lifting of heavy debris Safety
materials. Officer and
If manual handling is unavoidable, ensure Helper
operatives are trained in basic lifting
techniques. Selection may be required of
suitable, fit individuals depending upon
the nature of the task.
Collapse of 3 X B= Ensure that the excavated materials are 1 X B= Engineer /
excavated soil Medium 1.00 meters away from the trench Low Supervisor,
excavation. Safety
Ensure that the excavation is side sloped, Officer and
shielded and shore to prevent cave-ins. Helper
Supervision of the works must be by
authorized persons who are adequately
trained, competent and familiar with
excavation activities.
Suitable and sufficient steps shall be
taken to prevent a fall or dislodgement of
any material into or from within the
excavation
Hazards due to 3 X B= Locate any underground obstruction such 1 X B= Engineer /
underground utilities Medium as pipelines, utilities and cables by metal Low Supervisor,
detector Safety
Coordination to the QP personnel before Officer and
starting the work activities Helper
Fire Hazard 3 X B= Keep 9kg. Dry powder fire extinguisher to 1 X B= Engineer /
Medium the area during excavation activities. Low Supervisor,
Provide 9kg Dry fire extinguisher and Safety
replace fire extinguisher that has signs of Officer and
defect. Helper

JHA No. GC-14113600/0 Page 4 of 7

 Tripping hazards 3 X B= Keep area clean and tidy and secure loose 1 X B= Engineer /
Medium cables Low Supervisor,
Keep work location and access safe. Safety
Officer and
Helper
Hazard atmospheric 3 X B= Ensure that the area of excavation are 1 X B= Engineer /
specially H2S Medium free from any hazardous substance and Low Supervisor,
ensure before commencing the excavation Safety
conduct gas testing to make sure the area Officer and
is safe Helper
7 Manual back Back pain 3 X B= Avoid improper positioning during 1 X B= Engineer /
filling of Medium excavation works. Low Supervisor,
excavation using Avoid manual lifting of heavy debris Safety
shovel and
materials. Officer and
wheel barrow
If manual handling is unavoidable, ensure Helper
operatives are trained in basic lifting
techniques. Selection may be required of
suitable, fit individuals depending upon
the nature of the task.
Body system must require preventing
accident and injuries during back filling.
Collapse of 3 X B= Ensure that the excavated materials are 1 X B= Engineer /
excavated soil Medium 1.00 meters away from the trench Low Supervisor,
excavation. Safety
Supervisor of the works must be by Officer and
authorized persons who are adequately Helper
trained, competent and familiar with
manual back filling of excavation
activities.
Suitable and sufficient steps shall be
taken to prevent a fall or dislodgement of
any material into or from within the
excavation
Body system must require preventing

JHA No. GC-14113600/0 Page 5 of 7

 accident and injuries during back filling.

Tripping hazards 3 X B= Keep area clean and tidy and secure loose 1 X B= Engineer /
Medium cables Low Supervisor,
Keep work location and access safe. Safety
Ensure the worksite supervisor is properly Officer and
monitoring the activities. Helper
Hazard atmospheric 3 X B= Ensure that the area of excavation are 1 X B= Engineer /
specially H2S Medium free from any hazardous substance and Low Supervisor,
ensure before commencing the excavation Safety
conduct gas testing to make sure the area Officer and
is safe Helper
8 Working in hot, Heat Stress, stroke, 3 X B= Ensure 100% availability of drinking water 1 X B= Engineer /
humid and dusty exhaustion and over Medium at site. Low Supervisor,
area fatigue Safety
Encourage and remind workers to drink
water or rehydration juices frequently. Officer and
Frequent rest cycle is highly Helper
recommended during high humidity index.
Resting shed or shelters shall be provided
for the workers and shall be strategically
located near the actual working area.
Heat stress poster to be posted in shelters
Field supervision/ HSE personnel shall
closely monitor the condition of workers,
intervene as the need arises.
Emergency contact number list to be
posted in work area.
Respiratory and eye 3 X B= Use dust mask and safety goggles. 1 X B= Engineer /
decease. Medium Ensure worksite supervisor is providing Low Supervisor,
dust and available at site area Safety
Officer and

JHA No. GC-14113600/0 Page 6 of 7

 Helper

9 In case of Personnel doesnt 3 X B= All worksite supervisors must aware to the 1 X B= Engineer /
emergency know what they will Medium nearest assembly point area and Low Supervisor,
do Emergency exit gates. Safety
Brief all personnel about the emergency Officer and
evacuation procedure. Helper
Go to the nearest muster point area or
Emergency exit gates.

Call Emergency Control Room

44716999 and 44717999
Presence of H2s or any 3 X B= Ensure that all personnel are trained by 1 X B= Engineer /
hazardous gas in the Medium 3rd party H2s awareness training. Low Supervisor,
area All individuals personnel should have Safety
portable H2s monitor. Officer and
If any suspicious gas smells, inform all Helper
personnel to check the wind direction and
approach QP plant operator to check
atmospheric testing.
10 Housekeeping Trips, stumble or 3 X B= Place equipment in orderly manner. 1 X B= Engineer /
foot puncture Medium Keep work location and access safe. Low Supervisor,
Keep area clean daily & weekly basis, Safety
remove debris and store material tidily Officer and
safely. Helper

TEAM MEMBER AND ENDORSEMENT

Position Position
S/ Name Site Supervisor & / Ref S/ Name Site Supervisor & / Ref
Sign Sign
N Safety Officer Indicato N Safety Officer Indicato
r r

JHA No. GC-14113600/0 Page 7 of 7

JHA Team Leader Authorization: Ref. Indicator: Sign:

JHA Approval (Permit Authority / Asset Holder): Ref. Indicator: Sign:

Risk Assessment Matrix (RAM)

INCREASING LIKELIHOOD/PROBABILITY
CONSEQUENCES A B C D E
Poten Asset Never
Reputati Occurrence Occurrence several
tial damage & Environmen heard of Occurred Occurred
People on several times a year at this
Severi business tal Effect in in industry in QP
Impact times in QP site
ty losses industry

JHA No. GC-14113600/0 Page 8 of 7

 0 No Injury No Damage No Effect No Impact No Risk Low Low Low Low

Slight injury or Slight damage

INCREASING SEVERITY

1 Slight effect Slight impact Low Low Low Low Low

health effects (<QR35,000)

Minor damage
Minor injury
(between QR
2 or health Minor effect Minor impact Low Low Medium Medium Medium
35,000 and
effects
350,000)
Moderate
Major injury damage
Moderate
3 or health (between QR Moderate Effect Low Medium Medium Medium High
impact
effects 350,000 and
3.5 Million)
Major damage
Single fatality
(between QR
4 or permanent Major effect Major Impact Low Medium Medium High High
3.5 Million
total disability
and 35 Million)

Massive
Multiple Massive
5 damage (> QR Massive Effect Medium Medium High High High
fatalities impact
35 Million)

JHA No. GC-14113600/0 Page 9 of 7