SICC Job Safety Analysis Worksheet Page 1

Facility/Site: Date: PTW Number:

工作地点： 日期： 时间：
Job Title:
Job Supervisor:
工 作 名 称 ： 道 路 及 场 地 平 整 修 复 作 业 Leveling and
监督
repairing
JSA Team Composition（工作班组成员）:

Job Description（工作描述）: Leveling and repairing the roads and sites of CNPCIC Camp
对甲方营地内部道路及场地进行平整修复

☐ High risk job ☐ New job ☐ Modified job ☐ Infrequently performed job ☐Simultaneous job
☐ Job without established procedures ☐ Job for verifying an established work procedure
Relevant operation procedures /work instructions（相关安全操作规程或工作介绍）：
Road Transportation Management Practice 道路交通运输安全管理办法、Grader operation and maintenance procedures 平地机操作维护规程、Road roller
safety operation and maintenance procedures 压路机安全操作维护规程、Housekeeping Procedure 现场整理作业程序
Required PPE（需用的劳保用品）:
Coveralls、Safety helmets、Footwear、Spectacles
Certificates held by special operation personnel（特种作业证件）:

Step No. Description of Steps Potential Hazards Hazard Management Action

(List the natural steps of the job, not (What can happen at each step? Can (Describe how defined hazards can be managed or removed. Party
too broad and not tool fine) employee be struck by/ caught on/ Consider elimination/ substitution, engineering controls, (Signature)
contacted by/ struck against/ contact administrative controls, PPE. Refer to relevant procedure and work
with/ trapped in/ exposed to/ caught instruction.
between/ have same level or different
level fall/ strain/ overexert?
 Obtain a work permit before starting the job
违反作业许可管理规定
Work start-up & obtaining PTW  作业前获得作业许可
1 Violation of the operation permit
工作启动并获得 PTW  Get the permit validated for the specific day
management regulations
 特定节日期间升级作业管理
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 Conduct Toolbox meeting, review the Method statement and Job

safety analysis to all personnel involved in the work activities.
 召开工具箱会议，向参与工作活动的所有人员查看方法声明和
工作安全性分析。
 Responsible person will conduct inspection, monitor the work
activities and have to ensure safety standards and procedures are
strictly adhered to.
 现场负责人将进行检查，监督工作活动，并必须严格遵守安全
标准和程序。
作业前对车辆、设备进行检查  严格按照SICC道理路交通及车车辆安全管理规定，每日工作前
车辆故障、交通事故
对作业车辆、设备进行安全检查
2 Check vehicles and equipment  Conduct safety inspections of working vehicles and equipment
before work Vehicle breakdown, traffic accident
before daily work in strict accordance with the safety management
regulations of SICC Daoli Road Traffic and Vehicles and Vehicles
 各类机械操作手、司机要持证上岗；
 All kinds of mechanical operators and drivers must be certified to
work;
 定期对作业人员开展车辆及设备安全操作规程，严禁违章作
业；
 Regularly carry out safety procedures for vehicles and equipment
for operators, and strictly prohibit illegal operations;
 加强作业人员道路交通安全培训，严禁酒驾、超速等违规现象
 Strengthen the road traffic safety training for workers, and prohibit
violations such as drunk driving and speeding.
 所有作业人员必须配备完整的劳保用品，并每日做好班前检
扬尘、机械伤害、车辆伤害
道路平整 查，确保安好有效；
 All operators must be equipped with complete labor protection
3 Road leveling
Dust, mechanical damage, vehicle
supplies and perform pre-work check daily to ensure safety and
damage
effectiveness;
 加强机械设备及车辆的维修保养，按要求定期保养，确保各类
安全附件、防护措施完好有效；
 Strengthen the maintenance of mechanical equipment and
vehicles, and regularly maintain them as required to ensure that all
types of safety accessories and protective measures are in good
condition;
 所有设备及车辆驾驶人员作业期间必须系好安全带；
 All equipment and vehicle drivers must wear seat belts during
operation;
 车辆及设备内配备灭火器及三角警示牌；
 Fire extinguishers and warning triangles in vehicles and equipment;
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 现场监督加强监督检查，严禁违章指挥
 On-site supervision strengthens supervision and inspection, and it
is strictly prohibited to conduct illegal supervision
 Frequent rest cycle to be implemented when necessary;
Work during extreme weather/  必要时实行频繁的周期调整作业；
Heat stroke
4 climate  Supervisors/HSE shall closely monitor condition of workers,
中暑
极端天气和温度下作业 intervene when necessary.
 现场负责人/ HSE应密切监视工人的状况，必要时进行干预。
 Housekeeping should be done for work area when work
completion.
 完成工作后，应对工作区域进行现场整理。
作业后整理 Environment pollution  Regular housekeeping at site shall be performed. Adequate and
5 环境污染 correct stacking of materials. Regular inspection and immediate
Housekeeping
corrective action. Keep the walkways clear of obstruction.
 应在现场进行定期清洁。 充分正确地堆放物料。 定期检查并
立即采取纠正措施。 保持人行道畅通无阻。
Summary of experience after completion of the work: