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Sample JSA

This job safety analysis document summarizes the key hazards and safety controls for mobilizing equipment and personnel at a construction site in Jubail, Saudi Arabia. The work involves potential hazards from defective equipment, incompetent operators, weather conditions, vehicle collisions, falling, and more. To reduce risks, the analysis specifies that only trained operators use inspected equipment, proper PPE is worn, approved routes are followed, welfare facilities are provided, and emergency services are available. Daily pre-work talks will identify hazards and discuss control measures to protect worker safety during equipment mobilization.

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Rizwan Shaikh
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0% found this document useful (0 votes)
100 views6 pages

Sample JSA

This job safety analysis document summarizes the key hazards and safety controls for mobilizing equipment and personnel at a construction site in Jubail, Saudi Arabia. The work involves potential hazards from defective equipment, incompetent operators, weather conditions, vehicle collisions, falling, and more. To reduce risks, the analysis specifies that only trained operators use inspected equipment, proper PPE is worn, approved routes are followed, welfare facilities are provided, and emergency services are available. Daily pre-work talks will identify hazards and discuss control measures to protect worker safety during equipment mobilization.

Uploaded by

Rizwan Shaikh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Job Safety Analysis

CONTRACTOR IDENTIFICATION CODE


REV.0
LOCATION: PROJECT: OWNER (APOC) IDENTIFICATION CODE
JUBAIL, KINGDOM OF SAUDI APOC PP PLANT PROJECT S000-CN-PRO-00126-00-TCMT
ARABIA

JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET


Work Activity: JSA Protocol No: 4245-APOC-JSA-12-21-003
Issued Date: 25 Dec 2021
CONTRACTOR Name: KAMCO Revalidation Date: 24 Mar 2022
(To be Reviewed after 90 days)
JSA Work Team: Const. and HSE
JSA Team Members: YASSER SHAKER, DHAN KUMAR TAL Site APOC PP Plant
Task Location:
Project,Jubail-2
 Is a site visit to the job location required - Yes/No (*)Yes  Is everyone trained qualified to do the work - Yes/No (*)Yes
 If it is confined space entry job they have all issues as per confined space (*) Need to answer to these questions!!!
procedure been considered / addressed? Yes/No (*) No
Sequence of Basic Job steps Potential Incidents or Hazards Way to Eliminate or reduce potential Hazards
List the task required to perform the Against each task list the hazards List the control measures required to eliminate or minimize the risk of injury arising
S.N.
activity in the sequence they are that could cause injury when the from the identified hazard
carried out task is performed
1 Mobilization of equipment & Manpower  • Defective inadequate  • Select proper equipment & workforce for the job.
equipment  • Only certified/trained operator and Driver to operate the vehicle. Required
 • Improper selection of 5 years’ minimum experience similar environment and equipment.
equipment  • Required driving license.
 • Incompetent operator  • TUV certificate for equipment, operator as per project requirement
operating the vehicle  • Ensure appropriate valid PTW and respective attachments before starting
 • Bad weather condition and the mobilization.
dust  • Trained and competent Banks man to assist in movement of vehicles and
 • Vehicle/Equipment’s collision equipment.
 • Poor access  • Vehicle/equipment daily prior Inspection and recorded.
 • Slipping, tumbling  • Induction training to be provided prior to start activity
 • Falling ground level  • STARRT with all concerned parties prior to start work.
 • Presence of hazardous gas  • Site speed limit (20Km/h) to be followed.
 • Heavy equipment Movement  • No mobile phone to be used while driving/ operating.
 • Lack of illumination  • Ensure movement lights and alarms are operation.
 • Dazzle  • Approved Routes to be used.
JSA Protocol No: 4245-APOC-JSA-12-21-003-| Date: 25/12/2021
Job Safety Analysis
CONTRACTOR IDENTIFICATION CODE
REV.0
LOCATION: PROJECT: OWNER (APOC) IDENTIFICATION CODE
JUBAIL, KINGDOM OF SAUDI APOC PP PLANT PROJECT S000-CN-PRO-00126-00-TCMT
ARABIA

 • Holes and openings  • Maintain Safe distance from equipment.


 • Contact with structures /  • Preference for pedestrians.
overhead power lines  • Mandatory PPE’s to be worn when entered the site
 • First aider and first box to be placed site
 • Site plan and approved access.
 • Provide proper welfare facilities to workers
 • Clear entry & exit for the workers (Separate access demarcated)
 • Provide barricading & warning signage
 • Rest hours
 • Enough fresh drinking & cleaning water
 • Welfare facilities (toilets & rest shelter).
 • Availability of Emergency services,
 • Pedestrian walk ways separately from the vehicle moving zone.
 • A separate access for pedestrians into the excavation by means of ramp to
be provided for safe egress/ access.
 • Every 2-meter required landing platform.
 • Overhead structures shall be marked with warning signs and road
warnings shall be established.
 • All equipment’s to be prior inspection before entering inside the project site
 • Required site induction for all new employees
 • Emergency Rescue team readily available at all times
 • Emergency contact no to be placed in bulletin board and daily TBT paper.
 • Required previous maintenance records available with equipment’s
 • In case of emergency to be Communicate with EPC
 • Sign board to be provided near working area
 • Daily checklist and walk around of vehicles.
 • Barriers to be displayed for unauthorized access
 • First aider to be assigned on to the site
 • Dust masks to be utilized on site during heavy wind or sand storm
conditions
 • Follow project safety rules
 • Ensure compliance with 3-point contact
 • Ensure the area of access its clean and free from hazards
 • In TBT main hazards have to identified, control measure has to discussed,
specific matters to be discussed and get the feedback from the workers
 • Ensure the area of access its clean and free from hazards.

JSA Protocol No: 4245-APOC-JSA-12-21-003-| Date: 25/12/2021


Job Safety Analysis
CONTRACTOR IDENTIFICATION CODE
REV.0
LOCATION: PROJECT: OWNER (APOC) IDENTIFICATION CODE
JUBAIL, KINGDOM OF SAUDI APOC PP PLANT PROJECT S000-CN-PRO-00126-00-TCMT
ARABIA

 • The possibility of equipment’s coming into contact with overhead structures


or power lines shall be reduced by erecting height gauges of the good post type,
constructed from non-conducting material
 • Make proper clearance from the overhead power lines (4.2M).
 Bursting/damage of hose/piping  Bursting/damage of hose/piping and projectiles due to over pressure.
and projectiles due to over  Improper tightening connection of bolts/loose connection
pressure.  Uncontrolled release of energy/leakage.
 Improper tightening connection of  Use of defective devices /equipment.
bolts/loose connection  Pressure (High /Low)
 Uncontrolled release of  Projection of flying particles
energy/leakage.  Movement of the pipe.
 Use of defective devices  Collapse of the support/structure
/equipment.  . Bursting/damage of hose/piping and projectiles due to over pressure.
 Pressure (High /Low)  Improper tightening connection of bolts/loose connection
 Projection of flying particles  Uncontrolled release of energy/leakage.
 Movement of the pipe.  Use of defective devices /equipment.
 Collapse of the support/structure  Pressure (High /Low)
 .  Projection of flying particles
  Movement of the pipe.
 Collapse of the support/structure
In case of emergency  Improper communication  In case of emergency immediately stop all the activities
 Lack of information  Call to the SEGC emergency contact number Medical emergency – 0565067403, Fire
Emergency- 0521945930, Security – 05566917288 (Emergency contact details in
Project ID card)
Using the hand tools  Improper handling  All tools to be inspected by the user prior to use
 Using the wrong & defective tools  All tools to be maintained in good condition
 Un authorized operation  Tools to only be used for the task intended in line with any manufacturer’s instructions
 Hand injury /pinch points  Only authorized competent persons can use the tools
Manual Handling of Materials  Improper handling of the materials  Safe manual handling procedure shall be followed.
 Over efforts,  Only 25 kg allowed one person to lifting
 Muscular injury  Use proper PPE
Using the Ladder  Slip, Falls from height  Use the fall arrester if required
 Follow the 3-point contact
 Do not carry any materials while climbing the ladder
 Never work from the top 3 rungs of the ladder
 Only one person can use the ladder at one time

JSA Protocol No: 4245-APOC-JSA-12-21-003-| Date: 25/12/2021


Job Safety Analysis
CONTRACTOR IDENTIFICATION CODE
REV.0
LOCATION: PROJECT: OWNER (APOC) IDENTIFICATION CODE
JUBAIL, KINGDOM OF SAUDI APOC PP PLANT PROJECT S000-CN-PRO-00126-00-TCMT
ARABIA

SIMOPs operation  Improper communication  SIMOPS operation shall be communication between all parties
6  Lack of information  Should be have clear information about other activities
 If any unsafe condition or incident report to the HSE dept & Supervisor
 If area is not safe to work suspend the activity and report to the HSE dept.& Supervisor

Working directly exposed to sunlight  Heat stress  Resting shelter and drinking water to be provided
7  Job rotation to be carried out and provided the adequate breaks.
 Heat stress procedures to be followed
Working at height  Falling objects  Working at height procedure to be followed
 Fall from different level  Use required PPE
 Provide the proper access and egress
 Use the lanyards for the tools
 To be provide the proper warning signs and barricades
Working at night hours  Illumination  Ensure proper illumination (Tower Lights)
 Wild animals  Emergency light to be with workers in case of emergency or tower light failure.

Lower Work at height  Slips, trips, Falls at same level 6  Provide proper access
different level  Closed supervision
 Use competent person for work
 Use appropriate and safe work platforms
Completion and housekeeping  Slips, trips, falls, pinch points  Respect signs and barricades
 Dropped objects  All tools/material to be collected and properly stored.
 Tools/material left on the work  All waste to be removed and disposed correctly.
site.  PTW to be closed.
 Untidy site conditions  In case of testing / witnessing, ensure Valid PTW for the activity and follow the most
 Electrical Contacts restrictive requirements/ recommendations.

Health  Work pressure  Periodic medical check up


 Working more hours Workload  Provide required welfare facilities
 High noise & Vibration  Never lift overload one person can lift max25 Kg
 Over efforts / ergonomics  Job rotation
 Wearing improper clothing and  provide adequate drinking water and resting shelter
PPE  working hours should be according to UAE LAW
 Dust Bursting/damage of  Closed Supervision
hose/piping and projectiles due to  Only competent trained workers can deal with chemicals
over pressure. 
JSA Protocol No: 4245-APOC-JSA-12-21-003-| Date: 25/12/2021
Job Safety Analysis
CONTRACTOR IDENTIFICATION CODE
REV.0
LOCATION: PROJECT: OWNER (APOC) IDENTIFICATION CODE
JUBAIL, KINGDOM OF SAUDI APOC PP PLANT PROJECT S000-CN-PRO-00126-00-TCMT
ARABIA

 Improper tightening connection of


bolts/loose connection
 Uncontrolled release of
energy/leakage.
 Use of defective devices
/equipment.
 Pressure (High /Low)
 Projection of flying particles
 Movement of the pipe.
 Collapse of the support/structure
 .

Environment  Regular maintenance of the equipment (Provide drip tray for required equipment)
 Oil spillage
 Provide spill kit. In case of Contaminated materials to be sent to authorized disposal
 Contaminated tools and materials
facility.
 Noise
 Maintain proper housekeeping.

JSA Protocol No: 4245-APOC-JSA-12-21-003-| Date: 25/12/2021


Job Safety Analysis
CONTRACTOR IDENTIFICATION CODE
REV.0
LOCATION: PROJECT: OWNER (APOC) IDENTIFICATION CODE
JUBAIL, KINGDOM OF SAUDI APOC PP PLANT PROJECT S000-CN-PRO-00126-00-TCMT
ARABIA

Specific prevention and protection measures:


All Hazards and the Mitigation measures reported in the JSA shall be discussed with the working crew by Supervisor/ Foreman and attendance sheet to be signed only at beginning of the work
activity. Later, on daily basis, the STARRT Meeting shall be done prior to the activity start and card to be signed by all participants.

Task Supervisor HSSE Representative CONTRACTOR HSSE Manager


Issued Checked Approved
Signature
Name
Emp. No:

Specific prevention and protection measures:


All Hazards and the Mitigation measures reported in this JSA has been discussed with the working crew by Supervisor/ Foreman and the below reported attendance sheet has
been signed (only at beginning of the work activity). Later, on daily basis, the STARRT Meeting shall be done prior to the activity begin and Card to be signed by all participants.

Pos. # Attendant Name & Surname Trade Signature


1
2
3
4
5
6
7
Supervisor Name & Signature Date:

_______________________ _______________________

JSA Protocol No: 4245-APOC-JSA-12-21-003-| Date: 25/12/2021

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