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Health, Safety and Environment Manual: Job Safety Analysis KSDR-L2-05A-02-03-FOR-002

This document is a Job Safety Analysis form for testing a standpipe manifold on rig JS-2. It requires at least one personnel and identifies potential hazards of the job such as weather hazards, environmental hazards, simultaneous operations hazards, and well control hazards. It lists required control measures like hard hats, safety glasses, boots, and communications. It provides a step-by-step procedure for the job that identifies hazards at each step and recommended safety controls. It includes a section for additional risk assessment factors and personnel involved in the job.

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Guntur Wicaksono
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107 views3 pages

Health, Safety and Environment Manual: Job Safety Analysis KSDR-L2-05A-02-03-FOR-002

This document is a Job Safety Analysis form for testing a standpipe manifold on rig JS-2. It requires at least one personnel and identifies potential hazards of the job such as weather hazards, environmental hazards, simultaneous operations hazards, and well control hazards. It lists required control measures like hard hats, safety glasses, boots, and communications. It provides a step-by-step procedure for the job that identifies hazards at each step and recommended safety controls. It includes a section for additional risk assessment factors and personnel involved in the job.

Uploaded by

Guntur Wicaksono
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Manual

KSDR-L2-05A-HSE HEALTH, SAFETY AND ENVIRONMENT MANUAL


Form Name Job Safety Analysis
Form No KSDR-L2-05A-02-03-FOR-002
Issue Date Rev. Date Rev. No Approved by
Manual Level 2
01-Nov-04 26-Apr-18 4 QHSE COO

Rig: JS-2 Supervisor: Click here to enter text. JSA I.D.#: JS2-JSA-DR-035

Job: Testing standpipe manifold Number of Personnel Required To Do The Job: SOP I.D.#: JS2-SOP-DR-035

Date: 4-Jun-18 Date Reviewed/Revised: 4-Jun-18

REQUIRED CONTROL MEASURES: HAZARDS


Hard Hats X Safety Glasses X Boots X Life Vests Rig Announcement Simultaneous Operations Hazards
Chemical Barriers Safety Shields Respiratory Protection Gloves X Communications Well Control Hazards
Signs / Barriers X Safety Goggles Fire Fighting Equipment MSDS Hearing Protection X Weather Hazard
Fall Protection Environmental Hazard X
Permit To Work Required: Yes / No If Yes, Type and Number:
Tools Required: Test pump or cement unit with chart recorder, flanged 1502 union, HP hose,
barrier tape

Potential Accidents/Hazards
Sequence of Basic Job Steps Recommended SAFE Job Procedure or Controls
(PPE; Body Position; Procedure; Environmental; Tools/Equip)
Prior to job commencing Lack of communications affecting ongoing operations Hold pre job safety meeting and discuss the full workscope. Ensure the proposed
Raise permit, prepare HP test pump or cement unit and chart Equipment not suitable for the operation, damaged equipment job will not have any adverse effect on ongoing operations. Raise permit. Check
recorder all equipment to be used is in good working condition. Check all hoses and
connections, install R clips and whip checks on air hoses.
Rigging up and testing standpipe and choke manifolds as per Use of hand tools, high pressure test pump or cment unit, blown Prior to test starting, barrier off surrounding area, post warning signs, make PA
programme hoses, spillage and personal injury announcement, only competent personnel to run test pump and chart recorder.
Complete pressure testing manifold as per procedure and programme dictates.
Ensure upon completion of testing the manifolds are lined up correctly, test
charts are completed correctly and the relevant post test paperwork and logs are
filled in. Clear work areas of equipment, remove barriers and warning signs,
make PA announcement and sign off permit.

Uncontrolled when printed| FORM 1 of 3


Manual
KSDR-L2-05A-HSE HEALTH, SAFETY AND ENVIRONMENT MANUAL
Form Name Job Safety Analysis
Form No KSDR-L2-05A-02-03-FOR-002
Issue Date Rev. Date Rev. No Approved by
Manual Level 2
01-Nov-04 26-Apr-18 4 QHSE COO

Additional Risk Assessment:


The above steps stay basically the same . Additional risk that change every time need assessing. Do risk assessment on following during pre-job JSA meeting: Weather conditions (Rain, dry, wind, temperature, visability); Time of day
(Day Time/Night Time) ; Number of persons doing this job for first time: Any other additional Conditions.

PERSONNEL INVOLVED:
Name Position Company Signature Name Position Company Signature

O.I.

Line Supervisor

Uncontrolled when printed| FORM 2 of 3


Manual
KSDR-L2-05A-HSE HEALTH, SAFETY AND ENVIRONMENT MANUAL
Form Name Job Safety Analysis
Form No KSDR-L2-05A-02-03-FOR-002
Issue Date Rev. Date Rev. No Approved by
Manual Level 2
01-Nov-04 26-Apr-18 4 QHSE COO

De- Brief
At the end of the job/task, all persons involved to discuss the job/task and fill in below De-Briefing section.

List what went well

List What did not go well

List Revisions/changes to be
made

JSA Has been revised per De-Brief: Name/Title____________________________ Signature ____________________________ Date _________________

Uncontrolled when printed| FORM 3 of 3

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