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Confined Space Entry JSA Example

Job Safety Analysis

Control No: Status: Original Date:
Last Date Closed:

Organization:

JSA Type:
Work Type: Confined Space Entry
Work Activity: Confined Space Entry
Specific Site:

Personal Protective Equipment (PPE) Selected Comments

Hard Hat Y
Lifeline/Body Harness Y
Air Purifying Respirator Y
Supplied Air Respirator - SCBA Y
Supplied Respirator Y
Gloves Y
Safety Footwear Y
Proper PPE per your Refinery Guidelines Y
Personal Gas Monitor Y Based on results of Hazard Assessment
Other Y Coveralls appropriate to job

Reviewers

Reviewers Name Position Date Approved

Development Team

Development Team Member Name Primary Contact Position

Job Steps

This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions. A JSA is not a
substitute for compliance with applicable laws, regulations, or Chevron standards. Each contractor is ultimately responsible for the safety of its
employees and its compliance with applicable laws, regulations, and Chevron standards. Changing conditions, such as weather, location, terrain,
equipment, processes, etc., may not be addressed here, but must be addressed by each contractor with its employees before work begins.
No Job Steps Potential Hazard Critical Actions
NOTE: For specific details always
refer to the relevant SAFE WORK
PRACTICESStandard.

1. Lack of hazard awareness of 1.Ensure description of work

Identify need to conduct confined the specific confined space identifies the specific type of
space entry during job planning. leading to injury or fatality. confined space: pit, tank,
1
2. Loss of time, potential injury or excavation, pipe, tunnel, etc.
fatality if wrong location is and that competent personnel
identified, assessed or entered. conduct the hazard assessment.
2. Confirm the entry/work location,
and communicate work
intentions to appropriate
personnel.
Prepare Work Permit and
1. Follow the Confined Space
Confined Space Entry Form. 1. Potential confined space
Entry SAFE WORK
hazards not identified may
2 PRACTICESStandard
NOTE: Other forms may be cause injury or incident.
instructions.
needed depending on type and
location of confined space.
3 1.Hazardous energy sources 1a. Include competent persons in
Conduct job site and equipment
affecting confined space not JLA development to ensure
preparation.
properly identified or positively identification of all sources of
isolated. hazardous energy.
NOTE: separate JLA(s) may be 2.Unauthorized access of 1b. Identify and isolate sources of
required to address specific job personnel to work area leading hazardous energy. Review and
site or equipment preparation to injury. implement controls of GD
tasks within this step. 3.Evacuation routes not identified Shared – SAFE WORK
leading to workers confusion in PRACTICESBaseline JLA for
an emergency. Isolation of Hazardous Energy.
4.Previous contents of confined 2.Place barricades and signs to
space not evaluated for hazards restrict access to work site.
leading to injury. 3a. Identify evacuation routes
5.Equipment with internal during site assessment and
combustion engines in close include in JLA.
proximity to the confined space 3b. Develop contingency and
may cause accumulation of emergency rescue plans.
carbon monoxide (CO) inside Include the following in the
the space or create a source of Rescue Plan:
ignition for flammable vapors  Procedures for reporting
venting from the confined space. emergencies
6.Gas detector not calibrated, not  Emergency escape routes
properly maintained (faulty  Rescue equipment required
sensors, battery not fully  The designated emergency
charged, etc.) or not fitted with
assembly area
sensors for the suspected
 Rescue and first aid
leading to erroneous readings.
7.Competent personnel not procedures and duties
identified or not available 4. Review existing information
leading to poor decision quality. about the previous contents,
8.Improper access to entry and including material safety data
exit point openings leading to sheets (MSDS) and other
injury. relevant information. If sufficient
9.Toxic or flammable vapors information does not exist, get
released by disturbing sludge help from the appropriate
product inside tanks leading to subject matter experts.
fire, injury or fatality. 5. Locate equipment with internal
10. Slips, trips and falls due to combustion engines at least 50
poor housekeeping leading to feet (15 meters) away from entry
injury. openings and ensure their
11. Delay in work beginning due to exhausts are directed away from
a lack of or incorrect work permit entry points.
documentation for the job. 6. Review gas detector records,
12. Inadequate ventilation and/or including annual calibration
cooling which could result in a record sheet, monthly calibration
build up of hazardous vapors sheet and daily field response
and/or heat resulting in sheet. Also verify that the correct
suffocation, poisoning and/or sensor for the gas being
heat stress. detected is installed in the
monitor.
7. Review personnel training
records to verify that they have
the competencies to perform
their roles (e.g. Gas Testers,
Entry Watch, Fire Watch,
Entrants, Rescue Workers,
excavation competent person,
etc.).
8a. Provide secured ladders or
stairs to elevated entry/egress
points to verify that proper fall
protection controls are in place.
8b. Evaluate the size and shape of
the entry opening and potential
obstacles at entry point. Review
drawings of the space, if
available, to select best location
for entry to avoid awkward entry
and obstacles.
8c. Designate a standby person
assist with safe entry and
egress of work crew.
9. Review MSDSs to identify
precautions and appropriate
PPE. Perform continuous gas
monitoring while sludge is
present in the space.
10. Review housekeeping and
correct deficiencies.
11. Plan the work with competent
personnel and the appropriate
subject matter experts (SMEs)
to prepare the correct
documentation per the
schedule. Examples of
documentation include work
permits with the required gas
 testing readings, signatures, and
hazard mitigation and PPE
requirements.
12. Provide adequate ventilation
and cooling equipment (if
necessary). Verify that the
equipment is functioning as
intended.
4 Gas test the work site and/or 1. Gas Tester not qualified to test NOTE: Refer to the Gas Testing
equipment. the atmosphere and interpret the with LFL Gas Detection
readings leading to incorrect Equipment SAFE WORK
NOTE: separate JLA(s) and readings that may cause injury PRACTICESBaseline JLA.
permits may be required to or fire.
address specific job tasks within 2. Readings taken at confined 1. Verify that the Gas Tester is
this step. space opening may not be qualified to perform the testing.
representative of the internal 2a. Gas test initially at the opening
atmosphere of the confined of the confined space after the
space. ventilation has been turned off
3. Failure to test for specific toxic for a minimum of 15 minutes. If
or flammable gases and vapors the readings indicate that it is
may cause injury or fatality. safe to do so, test further inside
4. Failure to conduct follow-up or the confined space before
continuous gas tests (as allowing work to start. Note: A
appropriate) could result in injury separate permit and Confined
or fatality. Space Entry form is required if
5. Not wearing the required PPE the Gas Tester needs to enter
or wearing the incorrect PPE and test inside the confined
could result in injury or fatality. space.
6. Undetected hazardous gases 2b. Entry Watch must be present
due to malfunctioning of gas for all confined space entries.
detection equipment may cause 3. Conduct gas testing for oxygen
injury or fire. (O2), toxic and flammable gases
and vapors and record the
results on the permit along with
date, time and Gas Tester’s
signature.
4. Implement continuous or
periodic gas testing (as
specified in the permit) to verify
that the confined space
atmosphere remains safe for
entry. Record gas testing results
on the permit or applicable form
(example: if entrants are out of
confined space for more than
one hour).
5.Identify the correct PPE and
require that personnel wear it
before they enter into the
confined space. Note: When the
Gas Tester must enter into the
confined space to conduct
internal gas tests, the PPE must
be specified on the permit and
 the Gas Tester must put it on
prior to entering the confined
space. PPE may include
supplied air respirator, coveralls,
rubber boots and personal
monitor.
6. Confirm that the gas testing
equipment is calibrated and
bump tested.
1. Entry Watch does not recognize 1a. Verify that the Entry Watch is
hazards and react appropriately. competent for the task.
1b. Provide the Entry Watch with a
2. Entry Watch could be overcome communication device to raise
by gases or vapors originating the alarm if there is an
from work in confined space emergency.
leading to injury or fatality. 2. Ensure Entry Watch is up wind
3. Other unit/equipment may be or from any potential gas or vapor
Position dedicated Entry Watch become a source of flammable hazard and is wearing the
5
personnel at the confined space. or combustible material which appropriate PPE.
may cause personal injury or 3. Monitor the Entrants and their
fire. work and look for potential
hazards arising from and to
nearby operations/work. Confirm
that the Entry Watch has the
knowledge and ability to contact
operations personnel.

6 Enter the confined space and 1. Entrants unaware of the 1a. Involve the affected personnel
begin work. hazards, not wearing the correct in the pre-job briefing to review
personal protective equipment the JLA, associated hazards
(PPE) or not following JLAs, and controls, including PPE
procedures, standards or requirements. Consult and
instructions for work tasks being follow JLAs, procedures,
performed could result in injury standards and instructions.
or fatality. 1b. Before personnel enter the
2. Personnel unaware of confined space, the Permit
emergency procedures could Issuer, the Entry Watch and
result in injury or fatality (e.g. operating personnel must check
communication between entry- the work location/conditions and
watch and entrants unclear or the controls (including ventilation
does not occur). requirements, if applicable) to
3. Constricted entry points could validate the permit
result in injury. requirements.
4. Inadequate lighting in a confined 1c. Conduct LPSA before starting
space can make it difficult to see work tasks and each time there
and could result in injury or is a change.
fatality. 2. Review the Rescue or
5. Temperatures inside the Emergency Plan and facility
confined spaces can become emergency procedures
hot due to the weather (including evacuation routes,
conditions or due to the work rally points and alarms) with
occurring inside the space and personnel.
may result in heat-related injury 3. Be aware of surroundings and
or fatality. hazards by looking inside the
 confined space and planning
body position during entry. Pay
attention to sharp edges,
protrusions, scaffold, etc.
4. Use approved lighting to
perform work task.
5a. Verify that personnel maintain
6.Personal injury or fatality due to adequate hydration and ensure
unauthorized entries or entrants that they take breaks to avoid
not accounted for. heat stress.
7.Entrants may exit from an un- 5b. Use ventilation to cool the
monitored egress point that confined space or provide the
would compromise the entry log appropriate PPE, such as
and could result in inadequate cooling vests.
communications of hazards to 6. Establish an Entry Watch and
entrants in the confined space. keep an entry log of all entries
and exits.
7. Instruct entrants to
communicate intentions with all
Entry Watches if vessel
entry/egress points are different
(example: column top entry and
column bottom egress).
1. Stop work and cancel the work
permit if the work scope or
condition changes. Review the
1.Conditions change during work JLA to identify changes to work
that may introduce new hazards conditions and any new
causing potential injuries or hazards. Perform a LPSA.
incidents. Complete and re-issue the work
2.Inadequate gas testing (proper permit.
intervals, continuous testing 2. Ensure that the confined space
when required, etc.) may cause atmosphere is tested with the
injuries or fires. frequency specified in the
3.Faulty communication permit.
7 Work is in progress.
equipment may lead to potential 3. Confirm that communication
losses. equipment is working correctly.
4.Changes in atmospheric Fully recharge radio batteries
conditions outside the confined prior to work beginning.
space and/or inside the confined 4. Verify that PPE is identified in
space may result in asphyxiation hazard assessment and that
and/or introduction of fuel to an personnel know the
ignition source that may cause a Rescue/Emergency Plan.
fire/explosion. Confirm that the Rescue
Personnel are on site and are
available to perform a rescue, if
needed.
Complete the work and clean up
8 the job site.

Recycle Comments

Quality Reviews
Field Verification & Validation