Picture C

Picture A Picture B
Picture D
STATION 1
Questions (fill in the blanks)
Select the suitable PPE (4 marks).
Picture F 1. Noise above 100dB (A):
PPE ……. Purpose …….
2. Dealing with Hydrochloric acid:
PPE …… Purpose ……
3. Working at height (more than 15ft):
PPE …… Purpose ………..
4. Carrying out welding job:
PPE ……. Purpose ……
PPE …… Purpose …..
Picture E Picture G
STATION 2

Given a S & H Policy.

1. List 2 statements you think are weak?

2. Give 2 reasons why each statement
mentioned are weak?
STATION 3
A picture is provided together with two law books
Picture: A worker is standing on a scaffold.
The 2 books provided are FMA ‘67, OSHA ’94)
Questions
List 2 related Act used in Malaysia. (2 marks)
1. …………..
2. …………..
List 2 related Regulations on scaffolding (2 mark)
1. …………..
2. …………..
STATION 4

1. Which picture A or B is ergonomic way to lifting a

box?
2. Give 2 reasons why the lifting method used is the
correct way?
STATION 5
A laminated set of CSDS is given
Questions
From the CSDS, find out the following points: (4
points)
Suitable Hand Glove : ………………
Fire Extinguisher : ………………
Risk Phrase : ………………
Safety Phrase : ………………
STATION 6

A picture of a lab technician pouring chemical inside

a fume cupboard.

1. Give 3 control measure that are seen in the

picture.
STATION 7
A laminated label is provided with the following
information:
ASID KERAS ♦ Asid keras –internationally
SAFETY PRECAUTION recognized nomenclature?
RISK PHASE ♦ Supplier phone number
SUPPLIER’S NAME
SUPPLIER’S ADDRESS
A symbol of a Corrosive substance
Questions
What are the mandatory sections missing in this
Label according to CPL Reg.? (2 marks)
1. …………….. 2. ……………..
What are the benefits of this label ? (2 marks)
1……………… 2………………
STATION 8

A picture of a belt and pulley system

(transmission section without guard)

1. Which part of the system will cause a draw in?

A, B or C

2. Name other type of hazard from the system?

STATION 9
Four pictures are provided
Picture 1: Exposed wires
Picture 2: Damaged insulation
Picture 3: Electrical cables on the walkway
Picture 4: Bad connections
Questions
What are the electrical hazards that can occur? (4 marks)
1…………… 2………… 3………… 4…………
STATION 10

The examinee is provided with the followings:

► Form JKKP 6. Three questions on filling of this form are
asked. Three columns have been marked for this purpose.
► A table on code for Industrial Classification
► A table on code for Occupation (Job Description)
► A table on code for Location
Questions
Q1. Give the code number for the Industrial Classification
Q2. Give the code number for the Occupational (Job
Description)
Q3. Give the code number for Location.
Q4. How many forms are need to be sent to DOSH
 JKKP 6 - REPORT FOR OCCUPATIONAL ACCIDENT/ DANGEROUS OCCURRENCE
OCCUPATIONAL SAFETY AND HEALTH (NOTIFICATION OF ACCIDENT, DANGEROUS OCCURRENCE,
OCCUPATIONAL POISONING AND OCCUPATIONAL DISEASE) REGULATIONS 2004

Part A - Detail of Notifier Part B - Affected person

Notifier - Regulation 5(1)&(2) Employer (If more than one person please use separate form)

Name Name

Designation Date of Birth

NRIC/Passport No.
Name & Address of Organisation Nationality Gender M / F
Occupation x
Name & Address of Organisation

R.O.C. No. JKKP Reg. No.

Contact person (If different from above) Location of incident

Contact No. Date and time of incident

Industrial Classification Code (Table 3) X Date of first informing DOSH

Part C - Description of accident or dangerous occurrence

Please describe what happened before, during and after the incident.

Signature of Notifier
Date

Disclaimer
Completing this form does not constitute to an admission of liability of any k ind by the person mak ing the report or by any other person(s).
Filling in the form provided. (for completion by
examinee)

No Description Code/number (Answers)

1. Industrial 45201 (table 3)
classification
2. Occupational 931 (table 8)
3. Location 5 (table 4)
4. No of JKKP Five, one for each of the
needed Indonesians and one for the
supervisor