Attachment III
PTW No. : _______________
Date Issued : _______________
Job Safety Analysis (JSA) Worksheet
BINTULU PORT SDN. BHD.
Location :
Existing Operation Canteen Building At Bintulu Port
Date :
Page : _______ of _______
Job / Task Title :
Installation of Hoarding.
New
Rev. No. :
Revised
Primary Hazard :
Cutting and puncturing hazard to body part. Muscular strain/Back pain (Ergonomic issue).
Task Name ( Job / Task Description ) :
To construct temporary fencing and barricade construction site parameter. Materials used are
wooden planks/poles for the main structure and hording panels will be using metal roofing(Corrugated Zinc Sheet).
Required And / Or Recommended Personal Protective Equipment :
Use appropriate PPE such as hand glove, safety shoes, proper clothing and safety helmet.
Step
No.
Who / What Might
Be Harmed
Sequence Of Basic Job Steps
Manually allocate/arrange all the materials to specific
location (manual lifting)
Manual holes digging for wooden poles based
foundation. (Tool use for digging: Spade, shovel,
digging bar, clamshell digger and grub hoe).
Hand & finger cut and
injury. Muscular
strain/Back pain
(Ergonomic issue).
Erection of wooden poles. (manually)
Lift up and align the metal roofing panels to the
wooden pole. (manually)
Properly nail in the metal roofing panels the wooden
pole. Ensure the strength of the structure is in place.
* Done
Company / Organization / Applicant :
GABUNGAN BINAAN JURUTENAGA SDN.
BHD
Hazards (Potential
Incident)
Hand & finger cut and
injury. Muscular
strain/Back pain
(Ergonomic issue).
Hand & finger cut and
injury. Muscular
strain/Back pain
(Ergonomic issue).
Hand & finger cut and
injury puncture. Muscular
strain/Back pain
(Ergonomic issue).
Hand & finger cut and
injury puncture. Muscular
strain/Back pain
(Ergonomic issue).
Supervisor :
LUDAN AK NIRA
Control Measures Or Recommended
Action Or Procedure
Action / Responsible
Party
Workers
Sufficient number of manpower to handle
the manual lifting task and the use of
appropriate PPE.(hand gloves)
Site Supervisor
Workers
Sufficient number of manpower to handle
the manual lifting task and the use of
appropriate PPE.(hand gloves)
Site Supervisor
Workers
Sufficient number of manpower to handle
the manual lifting task and the use of
appropriate PPE.(hand gloves)
Site Supervisor
Workers
Sufficient number of manpower to handle
the manual lifting task and the use of
appropriate PPE.(hand gloves)
Site Supervisor
Workers
Sufficient number of manpower to handle
the manual lifting task and the use of
appropriate PPE.(hand gloves)
Site Supervisor
Analysis by :
SAHARRUDIN BIN
ABDOL WAHET
Reviewed by :
JALIN AK GEORGE
Acknowledged / Approved by :
JALIN AK GEORGE
Attachment III
PTW No. : _______________
Date Issued : _______________
Job Safety Analysis (JSA) Worksheet
BINTULU PORT SDN. BHD.
Name List of Manpower Involved
# All workers involved in this work process have being briefed and shall observe and comply with the requirements of this JSA at all times.
No. Name
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
I/C Or Passport
No.
Citizenship
Designation
JALIN AK GEORGE
850621-13-5727
MALAYSIA
CONSTRUCTION MANAGER
ASIR AK PAONG
GIBSON AK SAOH
EDDY AK KUDANG
GEORGE AK SAPIT
ROLAND AK ASIR
NINGKAN AK CHALANA
MORIS LANGI
700101-13-6183
890629-13-5031
800717-13-6059
900816-13-7047
950728-13-6525
750324-13-5415
741127-13-5665
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
SITE SUPERVISOR
BACKHOE OPERATOR
CARPENTER & PLASTERER
GENERAL WORKER
GENERAL WORKER
CARPENTER & BARBENDER
CARPENTER & BARBENDER
SANDAI AK SANDAH
DONNY ROY AK BERINJAN
JULY AK ENTRING
LUDAN AK NIRA
ALAN ANAK MORSIDI MANAI
770101-13-5061
900103-13-7733
740731-13-5587
750712-13-5257
780103-13-5961
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
CARPENTER & PLASTERER
GENERAL WORKER
GENERAL WORKER
SITE SUPERVISOR /SLINGER
GENERAL WORKER
Signature
Note: Please fill in at the appropriate column below i.e. name of company, your name, signature and stamp, and date.
Name List of Manpower Involved
# All workers involved in this work process have being briefed and shall observe and comply with the requirements of this JSA at all times.
No. Name
14.
15.
16.
17.
18.
19.
20.
SAHARRUDIN BIN ABDOL WAHET
MURSYIDI LEE BIN ABDULLAH
PATONG AK MIRANG
NGADAN ANAK CHAWONG
UNGGAH ANAK BAGUP
NICHOLA ANAK GERASI
STANLY UTHA LING
Company / Organization / Applicant :
GABUNGAN BINAAN JURUTENAGA SDN.
BHD
I/C Or Passport
No.
Citizenship
731019-13-5685
570502-13-5787
720820-13-6583
611010-13-5551
760213-13-5067
860221-13-5567
851012-13-6809
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
Supervisor :
LUDAN AK NIRA
Designation
Signature
SITE SAFETY SUPERVISOR
COW - CONSULTANT
BARBENDER & PLASTERER
SITE SUPERVISOR
GENERAL WORKER
GENERAL WORKER
GENERAL WORKER
Analysis by :
SAHARRUDIN BIN
ABDOL WAHET
Reviewed by :
JALIN AK GEORGE
Acknowledged / Approved by :
JALIN AK GEORGE
Job Safety Analysis (JSA) Worksheet
BINTULU PORT SDN. BHD.
21.
22.
23.
24.
25.
26.
SIMON AK JAWA
ECHAM AK ANDREW ANDIN
RABONG ANAK ASANG
MANGKA AK LENG
RENTAP AK NAWAI
MUHAMAD SHAHRIN ABDULLAH
660726-13-5283
870227-52-6875
571217-13-5395
790510-13-6055
781217-13-5323
720605-13-5799
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
MALAYSIA
Attachment III
PTW No. : _______________
Date Issued : _______________
GENERAL WORKER
GENERAL WORKER
GENERAL WORKER
GENERAL WORKER
RUNNER AND STORE KEEPER
SITE SUPERVISOR
Note: Please fill in at the appropriate column below i.e. name of company, your name, signature and stamp, and date.
No. Name
I/C Or Passport
Citizenship Designation
Signature
No.
27.
28.
29.
JAMIE AK ANGIL
BONNY AK ANGIL
ACHONG AK NIBONG
870618-13-6581
970811-13-6647
650525-13-6299
MALAYSIA
MALAYSIA
MALAYSIA
BARBENDER & PLASTERER
GENERAL WORKER
CARPENTER & PLASTERER
Note: Please fill in at the appropriate column below i.e. name of company, your name, signature and stamp, and date.
Company / Organization / Applicant :
GABUNGAN BINAAN JURUTENAGA SDN.
BHD
Supervisor :
LUDAN AK NIRA
Analysis by :
SAHARRUDIN BIN
ABDOL WAHET
Reviewed by :
JALIN AK GEORGE
Acknowledged / Approved by :
JALIN AK GEORGE
