Title of the Form Form No. Rev. No. Reference Document No.

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

Job to be Performed: Hot Work Activity JSA No. Date: New / Revised (Rev.0)

Job Safety Analysis

Worksheet Executing Organization Representative Proponent Section: Proponent Supervisor (name & title):
(Name & Title):
Mohamed Badrudeen, Sulthan A.
(DBN Project Engineer)
Executing Work Location: Proponent Department: Reviewed and approved by
Organization Monomer-I (Proponent Section Head):
(Section/Dept.):
PMD/MEGA
Name of the Contractor (company) Performing the Job L&T (Larsen and Toubro). Work Order No. (If applicable): 4600004482
In addition to mandatory PPE additional PPE/Controls anticipated; check all that apply:
SCBA X Chemical PPE X Face Shield X MHB/SDS X

Respiratory Mask X Electrical PPE X Eye Protection PPE Others;

Fall Protection Ear Plugs/Muffs Eye Wash

Heat Resistance PPE X Floating Device X Coveralls

Residual
Risk Rating Risk Rating
Sequence of Job Steps to be Risk/Hazard (Refer (Low, Mitigation Hazard Control Measures (existing and additional) to (Low,
Action By
Performed Hazard Checklist) Moderate, reduce the risk to moderate or low. Moderate,
High, Critical) High,
Critical)
a. invalidity / Expired 1. Work permit Receiver/issuer shall be certified by PRC Job Supervisor,
Preparations Receiver and Moderate and have valid certificates. Low Permit Issuer &
a) Request for PTW Site Issuer’s 2. Consult the proponent and make sure all the identified Permit receiver,
survey and Certification work spots are correct and marked on the drawing. Site Safety
preparation work. b. Failure of work 3. Ensure that the approval is obtained from all the Officer
b) Daily safety Talk planning concerned and communication has been done with all
c. Lack of the affected parties.
Communications 4. Follow scope of work, methodology statement and the
and Control
contents of this JSA.
PR/IS/SFD/F-001
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 c) Work execution 5. A joint site inspection shall be conducted by the Issuer
d. Incorrect tool for or his designated representative and the Receiver
the job before the permit is approved / signed and after job
d) Tools & equipment completion prior closing the permit.
e. Lack of proper 6. During the toolbox talk the WP Receiver shall highlight
planning the key hazards and associated controls identified in the
JSA.
f. Lack of 7. Be aware of conflicting work scopes in areas prior to
competency commencing work task.
8. Provide good and appropriate PPE.
g. Defective tools & 9. The maximum voltage for portable electrical tools shall
equipment not exceed 220 volts.
10. Keep the worksite clean and tidy and free of electric trip
h. Electrocution hazards (housekeeping).
11. Take a rest at adequate intervals and drink water as
necessary.
12. Contractor safety officer and job supervisor to be always
available.
13. Temporary equipment must be inspected and tagged
with a valid PRC approved 3rd party Inspection Sticker
prior to use.
14. Temporary power supplies must be routed to prevent
tripping hazards.
15. Ensure a complete inspection of tools and equipment is
performed prior to start of work.
16. Use insulated tools for electrical work all tools and
equipment are to be operated according to
manufacturer’s instructions and to be examined before
use and defective equipment/tools replaced or repaired
immediately.
17. Use validly trained and certified employees to engage in
a specific activity.
18. Ensure Barricade and relevant warning signs are
provided at work activity Zone to avoid unauthorized
entry.
1. Hot Work - Welding, a. Unauthorized Moderate 1. Proper planning and look ahead with shutdown activities Low
Grinding and Cutting personal work by shutdown interface coordinator.
Operation b. Open flame/ 2. Qualified and experienced manpower to be deployed for
spatters hot work activities. (i.e Welder/Grinder/Gas cutters etc.)
c. Emission of Opern 3. Obtain the valid work permit as per assigned task and
flam and gases fully comply with the permit requirements as per,
d. Light Radiation PR/IS/SFD/GI-007.
e. Welding In 4. Adhere to PRC LOTO procedure and guidelines
confined space (PR_IS_SFD_GI-011).
f. Damaged power 5. Method of statement and JSA shall be prepared and
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 cables approved by PRC.
g. Unsafe cable route 6. Before commencing the cutting job makes sure there is
h. Defective no combustible material nearby the area and also place
equipment the portable fire extinguisher (DCP) near the activity
i. High Noise within 15-meter radius.
7. Ensure all the equipment or power equipment should be
inspected by PRC approved third-party and having a
valid inspection sticker.
8. Should obtain valid HOT WORK Permit prior to task.
9. Fire Blanket to be provided and PRC approved fire
watcher to always be in place during any hot work.
(ANSI/FM 4950)
10. Prepare fire containment zone in every hot work
location.
11. Use proper hand protection and a good working surface.
12. PRC approved Fire watcher must stay minimum 30
minutes at the end of shift for inspection.
13. Cable routes should be free from prominent access and
egress.
14. Ensure welding machines should be in a good condition
and properly grounded.
15. Ground fault circuit interrupters (GFCIs) or ground
isolation systems shall be used for all portable electrical
tools (including hand-held / portable lights), temporary
wiring, and in potentially damp areas.
16. Daily check to be done on all electrical instruments,
cables and cords.
17. Ensure that toolbox meetings are regularly conducted,
and people are aware of the job and the hazard
enclosed in the job they are performing.
18. Equipment checklists shall be maintained and followed;
equipment must be checked daily for safety compliance.
19. All materials or substances (gas, liquid or solid)
produced in or brought into a facility or project site shall
be identified and evaluated for their potential physical or
health hazards.
20. Compressed gas cylinders shall be properly marked or
labelled, including their contents, with lettering in Arabic
and English.
21. Cylinders shall not be placed in confined spaces or
adjacent to excavations.
22. Cylinders shall be inspected for damage, severe
corrosion, valve leakage and current hydro test date

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 prior to each use.
23. Damaged or defective cylinders shall not be used,
leaking cylinder shall be immediately removed to an
open space, clear of all buildings, people and any
potential source of ignition.
24. All cylinders shall have an approved pressure-reducing
regulator with check valve connected to the cylinder
valve.
25. Cylinders shall be stored in a safe and accessible
location. Cylinder storage locations shall be a dry, well-
ventilated area prepared and reserved for that purpose.
26. Flammable/combustible substances (e.g., oil, grease,
volatile liquids) and corrosive substances shall not be
stored in the same area as gas cylinders.
27. A protective cap shall remain on the valve when the
cylinder is not in use.
28. Unless a trolley or special carrier is used, regulators and
hoses shall be detached, and cylinder valve caps put
back in place before moving.
29. All cylinders being transported by vehicle shall have
cylinder valve caps in place, be positioned in an upright
position and be firmly secured to prevent movement.
30. Specific storage and handling recommendations for
hazardous materials provided in MSDSs and/or CHBs
shall be followed.
31. Fire extinguisher(s) should be readily available near the
hot work area.
32. Within hydrocarbon facilities, all sewers within 23 m (75
ft.) shall be covered prior to hot work area.
33. Compressed gas cylinders shall not be placed where
they can become part of an electrical circuit.
34. Compressed gas cylinders shall not be placed adjacent
to the actual welding or cutting operations so that
sparks, slag or flame could reach them. If necessary,
fire-resistant shields shall be used.
35. SIMOP work locations are communicated to PRC process
team before commencement.
36. Identify the combined operations/activities.
37. SIMOP Hazard communication to be done with work
crew on daily toolbox talk.
38. Continue supervision to be maintained on SIMOP
activities.
39. Avoid as much as possible as SIMOP work activities.
40. Follow PRC guidelines and requirements for SIMOPS as
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 specified procedure in PR/IS/SFD/P-008.
41. SIMOPS or other combinations of work permits need to
be considered during every planning step of the permit-
to-work process
42. Comply PRC permit system requirements PR_IS_SFD_P-
009.
43. Leather gloves and leather body protection shall be
worn for protection against heat, sparks, flying metal
particles and radiation.
44. Comply the PRC requirements of PR_IS_FPD_GI-003
(General instruction of fire watcher)
45. Eye protection to be worn for the task to be performed
(i.e. face shield, chemical goggles, welding hoods, etc.)
46. Ear protection PPEs shall be provided in continue
exposure area. (> 85 dB)

1. Materials and equipment should be stacked and placed

away from foot traffic.
2. Tools and equipment must be put properly in their
respective places.
a. Lack of proper 3. Trash and scraps are fire hazards and must be collected
planning and disposed of immediately.
b. Uncontrolled spoils 4. Store all liquids (including flammable liquids) in Job Supervisor,
c. Slip/trips/fall approved, clearly labeled containers in designated Permit Issuer,
2. Housekeeping Moderate
hazard storage areas only. Low Permit Receiver,
d. Housekeeping 5. Ensure that all waste materials have been removed. Contractor Site
crew not provided 6. Provide an adequate number of fire extinguishers in the Safety Officer
e. Cuts working area.
7. Work crew must clean the area after work.
8. Keep the exits and entrances always clear.
9. Keep sprinklers, fire alarms and fire extinguishers clear
of obstruction.
1. How to Response Emergency
2. Say this is an emergency
3. Describe the incident location
Job Supervisor,
a. Unplanned 4. Report injuries, if any
Permit Issuer,
3. In case of Emergency Emergency Moderate 5. Give your name and badge number
Low Permit Receiver,
Response 6. Repeat the above information
Contractor Site
7. Stay on the line until further instruction.
Safety Officer
8. Tetra – Channel 911 0r Channel 1
9. PRC Rescue Plan should be followed
Legends: PTW -Permit to work, UL -Underwriters Laboratories, FM- Factory Manual, TBT – Toolbox talk, PPE-Personnel Protective Equipment

New Revised Revalidate

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 Activity: Area grading with fencing arrangement and material loading/Unloading.

JSA Team Members:

Name Designation Department Sign

IMPORTANT:
 This JSA must be available at the place where the activity is being performed and all personnel involved must be informed of the hazards
associated with the activities and the control measures to eliminate or minimize the hazards.
 This JSA must be revised if the scope of work changes or if any other major contingency occurs. (Refer Section 4.3.12)
 In case the team assess the residual risks cannot be brought down to Moderate or below, the risk evaluation and control shall be done by
referring Corporate HSE Risk Management Manual.
 Proponent Organization and Executing Organization must sign JSA while revalidation. (Refer Section 4.3.13)
 In case the plant emergency alarm is sounded, all work must be stopped, all permits will be automatically cancelled and Emergency
Response Plan to be followed.
 Ensure the availability of Work Permit receiver during the activity, continuously.

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 Petro Rabigh Risk Matrix Hazard Effect / Consequence
1 2 3 4 5
Loss Type
Insignificant Minor Moderate Major Catastrophic
Single fatality to
Reversible injury to one worker and/or
Short term Reversible injury Multiple fatalities to worker
or more worker severe
Safety inconvenience i.e. requiring medical and/or impact on third party
resulting in loss time irreversible
First Aid treatment
injury/restricted duty damage to one or
more person
Severe, reversible
Reversible health health effects of
Reversible of Permanent Total
effects of little concern that would Health impact on third party.
concern that would Disability to one
concern, requiring typically result in a lost Can include effects of
typically result in or more person.
first aid treatment at time incident. carcinogens, mutagens,
medical treatment. Can include
most. Can include Acute / short-term teratogens and reproductive
Health Can include progressive
minor irritations of effects associated with toxicants (known and
temperature chronic conditions
eyes, throat, nose and extreme temperature suspected), and life-
effects; travel and/or acute /
or skin, or minor effects; or muscular- threatening respiratory
effects; stress; and short-term high-
unaccustomed skeletal effects; sensitization)
sunburn. risk effects.
muscular discomfort. vibration effects;
nervous system effects.
Impact that is
Near-source
Near-source confined Near-source confined unconfined and Impact that is unconfined over
confined and
Natural Environment and promptly and medium-term requiring long- large public area and requiring
short-term
reversible impact. recovery impact. term recovery, long-term recovery, leaving
reversible impact.
leaving residual major residual damage.
damage.

Financial Impact
Note: This includes financial loss or increased cost or Ranging from Ranging from
Greater than US$150MM
saving opportunity loss due to production loss, business Less than US$2MM US$2MM to Ranging from US$10MM US$50MM to
interruption, and cost of repair/replacement of assets. US$10MM to US$50MM US$150MM

1 2 3 4 5
Insignificant Minor Moderate Major Catastrophic
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 Likelihood Qualitative Quantitative Risk Rating

A similar outcome
A has occurred more Greater than
(Almost than once per year 1X10-2 (1 in 100 Moderate High Critical Critical Critical
Certain) at specific plant / years)
site within Petro
Rabigh.

A similar outcome
has occurred more Between 1x10-3
B than once per year (1 in 1000 years)
Moderate High Critical Critical
(Likely) but at different and 1x10-2 (1 in Moderate
plants / sites of 100 years)
Petro Rabigh.

A similar outcome Between 1X10-4

C has occurred in (1 in 10,000
Petro Rabigh or Low Moderate Moderate High Critical
(Possible) years) and 1x10-3
more than once per (1 in 1000 years)
year in the industry.

Between 1x10-5
A similar outcome (1 in 100,000
D has occurred in the years) and 1x10-4 Low Low Moderate Moderate High
(Unlikely) industry, but not in (1 in 10,000
Petro Rabigh. years)
A similar outcome Less than 1x10-5
E
has never occurred (1 in 100,000 Low Low Low Moderate High
(Rare)
in the industry years)

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