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Os HQGN F022

Standard operating procedure
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0% found this document useful (0 votes)
16 views3 pages

Os HQGN F022

Standard operating procedure
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Operations Integrity Management System

Document Title: Job Safety Analysis & Planning Form Document No: OS- HQGN-F022
Rev No: 02

Document Title: JSA Form


Applicability

Business Line: All


Function: SQ&SSHE
Location: HQ

REV DESCRIPTION OF CHANGE AUTH BY REV BY APP BY APP


NO DATE
00 First Version Released L. Nouman Akbar M. 1 Mar 2016
Abdulrahman Rixon
01 Update to include new Risk Approach M. Rixon D.Gardner,H T. Allan 21May2018
Chuahan
02 Update to include the JSA method of analysis M.Abdullah K.Ben Mustapha J.Escobar 14
Oct.2023

Template No: OS-HQTEMP-D00 Rev UNCONTROLLED WHEN PRINTED OR TRANSMITTED ELECTRONICALLY Page 1 of 3
00
Operations Integrity Management System

Document Title: Job Safety Analysis & Planning Form Document No: OS-HQGN-F022 Rev No: 02

IF THE SCOPE OF WORK CHANGES FROM THE PLAN A NEW JSA IS REQUIRED.

JOB ID: Job Supervisor: Site / Location:

Date: BU / BL: Client:

PTW No. Issued by (OS or Client)


Job / Task Description:

Remedial Action / Corrective Measures “WHAT NEED TO BE


Hazards or Potential Risks
Work Sequence (Job Steps) DONE TO ENSURE A SAFE JOB?”

RISK ASSESSMENT AND MITIGATION

Review of Emergency Response and Assembly Points


Muster Points Location?

Template No: OS-HQTEMP-D00 Rev 00 UNCONTROLLED WHEN PRINTED OR TRANSMITTED ELECTRONICALLY Page 1 of 2
Operations Integrity Management System

Document Title: Job Safety Analysis & Planning Form Document No: OS-HQGN-F022 Rev No: V-002

Safety Equipment Checklist


Hard Hat Work Vest Barricades
Safety Shoes Safety Harness Fire Extinguisher
Safety Glasses Safety Goggles Lockout/Tag
Face Shield Gloves Work Permit
Rubber Shoes Rubber Gloves Filter respirator
SCBA/H2s Monitors
Apron Mask

Hazardous Materials that will be used during the Job


MSDS available? Safety Precautions required?
Material Name

“Must Do” of a JSA


What is it?
Pre-job planning tool adopted by the team leader and crew members
to execute work and identify hazards.
A systematic way to analyze job steps, identify hazards, and develop.
mitigation actions.
Review Job Steps
What will be done, by whom, with which equipment and tool?
Identify Hazards for each Job Step
Pinch points, heights, hazardous chemicals, tools conditions, more than one
person doing task, short term employees.
Determine Ways to Reduce Hazards
Use of PPE, people assignment, correct tools, correct safe movements,
housekeeping.
Do Management of Change [MOC] when the plan is changed
Responsibility Assignment

Verification of Job Safety Analysis


I have participated in the analysis of this job. I understand the hazards involved in this job. I understand I have an obligation to
stop the job if I observe any unsafe acts or conditions to myself or any other person.

Name (Print) Position Signature


1. Supervisor

Distribution:
Send completed JSA to local Management and Local SQ&SHE; If Revision is required send this

document to Local SQ&SHE, Business Unit SQ&SHE, BU Management and BL Management.


Attach with this JSA the Tool Box Talk, PTW’s and specific HIRCA’s.

Template No: OS-HQTEMP-D00 Rev 02 UNCONTROLLED WHEN PRINTED OR TRANSMITTED ELECTRONICALLY Page 2 of 2

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