JOB SAFETY ANALYSIS (JSA) WORK SHEET

RISK MATRIX
INCREASE PROBABILITY
A Potential Severity People Asset /Production Environment Reputation Never heard of in industry B Has occurred in industry Law C Has occurred in QP D Occurs several times a year in QP Law E Occurs several times a year at this site Law

PROJECT /JOB DETAILS

Project Ref./Job Title/Work Order: Brief Description of Job:

DATE JSA No. REVISION

Job Location:

Sponsoring Department Performing Department Permit Authority JSA Approved by

Hazard Area Classification

0 No injury Slight injury or health effects Minor injury or health effects Major injury or health effects Single fatality or permanent total disability Multiple fatalities No damage Slight damage, No disruption to operation Minor damage (=QR 250,000) Local damage (=QR1 300,000) Minor damage (=QR 25,000,000) Extensive (=QR 25,000,000) No effect No impact No Risk Law

Slight effect

Slight impact Limited impact National effect Regional effect International impact

Law

Law

Law

Law

Law

Permit Requirements: Hot/Cold/Radiography Participant (Parties involve in JSA) SUPERVISOR, SAFETY OFFICER. All the mitigation measures identified in JSA are in place before starting the activities

Minor effect Localized effect

Law

Law

Medium

Medium

Medium

Law

Medium

Medium

Medium

High

Major effect Massive effect

Law

Medium

Medium

High

High

Medium

Medium

High

High

High

Work Site Supervisor

Probability Factor
Sl. No. 1 Severity Before Mitigation Medium Required Control/Mitigation Measures & Checks Severity After Mitigation Low

Activity (Job Steps) Morning Tool box Meeting And JHA Discussion

Potential Hazard

Action party Site Supervisor and Safety Officer

People Not Understanding What

The Plan Or Hazards Are; People Afraid To Ask Questions Presence of H2S gas and Toxic gas In Work Areas.

Make Sure Everyone Is Involved With The

JSA/JHA Discussion And Understands; Encourage Everyone To Ask Questions And Participate. Don't Make Anyone Feel For Speaking Up Or Questioning

Page 1 of 6 DOC. NO.: ../HSE/F/JSA REV.0

JOB SAFETY ANALYSIS (JSA) WORK SHEET

Presence of chemical or flammable

items

Try To Identify These Types Of things In Your

Work Areas Before Starting the work; Clear Carefully Work Areas By gas testing and daily site inspection Authorized work permit holders shall ensure obtaining and maintaining valid work permits. The supervisor responsible for this activity has to check the PPE of his staff to ensure that all required items are available and properly used. Inform all people regarding permit conditions before work starts. Supervisors must conduct daily toolbox talk about nature of work and associated potential hazards and their essential precautionary measures. Checkgatepasses. Drivers/operatorsmustknowtheroteandlocationtot hejobsite. UseASpotterToBackUpAndWhenInTightQuarters PlanRoute;CheckHeight&WeightRestrictions;Kno wHeightOf Vehicle;EnsureObjectsOnTheVehicleAreSecured AndNotSticking Out. WatchTurningRadius;TakeWideTurns DriveDefensivelyandCourteously

Work Permit

Unauthorized commencement of
works May result in exposing people and/or potential to harm or danger.

Medium

Low

Site Supervisor and Safety Officer

Transportation of
materials to site

Restricted View While Backing or

in Tight Quarters Striking Bridges or Low Overpasses Along Path of Travel Taking Turns Too Sharp; Hitting Objects or People Other Vehicles on the Road Driving Unsafely, Creating Hazards For You Body pain I injuries or property damage Missed use by other contractor persons Slippery Handmade tools Defective tools Incorrect tools Unsafe method Not wear proper PPE

High

Low

Site Supervisor and Safety Officer

Medium

Usingofhandtools

AlloperativesshallbeTrainedforproperhandlingofto
ols. Appropriatetoolsonly hastobeusedanditsrequirementsshall.be complywithsiteregulations AlloperativesshallweartheirPPEswithoutfail. KeepExtraorUnusedtoolsInStorageContainer. KeepToolsInToolTrailer-DoNotStoreInBuilding. Keep only required amount of tools at site. Alltoolsshallbekeptcleanforeasyuse.

Low

Site Supervisor and Safety Officer

Page 2 of 6 DOC. NO.: ../HSE/F/JSA REV.0

JOB SAFETY ANALYSIS (JSA) WORK SHEET

Notpropercleantools
5 Installation of SS Tubing.

Improperhandlingofmaterial. Hit. Nearby existing facilities Othercontractorsworkingintheare (interfacing) Platformsandrailingscancause obstructionduringtheworkifnot properlyplannedIcoordinatedprior toscaffolderection. Overheadhazardsforpersonnelon theground.

High

Checkareaofactualerectionpriortoactivity Obtain required permit from control room. Ensurethatthelocationofevery tubing

installation at site will not obstruct or will not be object tophysicalcontactwiththepipesduring pipelaying,pulling,anderection.(Requirescoordin ationwithplanning, engineeringorpipingincharge) Providemeansofcontinuoussafeaccessfromplatfo rmtotheground. Barricadedtheareawithwarningtapeandplacedthe caution/warning board

Low

Site Supervisor and Safety Officer

Tie-in with new Pipe to Existing Pipe.

Injuryduetofire Explosionsparks
andflashes,asaresultofpoor building habitat setup. Weld Flash To People In Area Sparks I Burns To People In Area Touching Hot Metal With Hands, CausingBurns MetalinEyesorHand ZincPoisoning Fire Explosion Useofmachine. Weldinglight. Spark. Burn. Toxicgases. Rolloverweldedsegments. HitIstrike.

High

Hotworkproceduremustbeadheredtoandpermitco
nditionsobserved. Obtainrequiredpermitfromcontrolroom. Obtaingastestregularly. EnsureEyeProtectionWillProtectEntireAreaAroun dEyesMayNeedFaceshieldAlso ClearAreaITapeoffIFireWatchUseFlashScreensa nd/orLookoutPersonasNecessary. WearGlovesBeAwareOfAccidentalBodyContactwi thHotParts WearSafetyGlassesandGloves.GrindGalvanizeOf fSteel Before Cutting Or Welding. Fire watch must be present at site during hot work. Firehosechargewithwater. Fireextinguisher. AvoidBreathingFumes- IfZincPoisoningOccurs DrinkaQtOfMilk. WearAppropriateFaceandEyeProtection. UseCorrectMelds&ShotsForEachApplicationUse ProperIgniters MakeSureMelds Are Level & Plum

High

Site Supervisor, Workers and Safety Officer

Page 3 of 6 DOC. NO.: ../HSE/F/JSA REV.0

JOB SAFETY ANALYSIS (JSA) WORK SHEET

Hydrotesting of Pipe & Tube.

Non-compliance of Procedures UnauthorizedPersonnel. DefectiveToolsIEquipment. ExceedingMaximumAllowable. Pressure. Injuryto Workers. DamagetoEquipmentISystem. Un-attendedPressurizedTools. Changing the Duration of Hydrotest. UnsafeDepressurizationofHydrotes t fluid. ScatteredMaterial. Improper Anchoring. High Pressure. Rupture. Environmental Damage. Use of Machinery.

High

When Igniting ShotsWear Full Face Protection Wear LeatherGlovesAvoidContactWithHotMelds. Validchecklist. Properwelder'skit. Propersupporttoholdthe weldedsegments. Skillandcertifiedmanpower. ObtainWorkPermit&otherassociatedpermitsfrom AssetOwner. BarricadetheareawhereHydrotestistobecarriedout. ConductToolBoxTalkand Postwarningnotice. EnsuretheequipmentItooltobeusedforhydro'testing. (Suchashose,pump,coupling,pressuregauge,spa de,gasketetc)are freefromdefectandsuitableforthepressureratingof thesystem. Ensure the pressure relieving device is set at maximum allowablepressureforweakestportionofthesegmen ttobehydro-tested. Keepawayfromthepressurizedsegmentofthesyste mbeing hydrotested. Monitor t h e pressuregauge from a safe distance away from the potentialsourceofhighpressurejetting(SuchasFla ngeJoint,Spade, andCouplingetc.). EnsuretheworkersarewearingrequiredPPE. Never increase the hydro-test pressure more t h a n the maximum allowable pressurefortheweakestportioninthesegmentorpr essure ratingofthehose&coupling. Donotleavethepressurizedhoseorpumpunattende dwhenthehydro- testisgoingon. Donotchange(exceedIdec ease)thedurationofhyd r ro-testwithout

Page 4 of 6 DOC. NO.: ../HSE/F/JSA REV.0

JOB SAFETY ANALYSIS (JSA) WORK SHEET

8 Disconnect and Removal of Existing Chemical Injection Tank.

Physical: injury from heavy

equipment, heavy lifting, pinch point, slip, trips and fall hazards.

High

permissionfromInspectionEngineer. EnsurethesafedepressurizationofHydro-testFluid. Ensureproperwindup&housekeepingatworksite. UseappropriateratingassemblyforHydro-Testing. ApprovedHydroTestingProcedure. NoEntryforUnauthorizedPersons. Makesurepropertightening. TestingPressureasperCode&PipingSpecificatio n. ValidEquipmentCheckListandapprovedhydrotest package. All inlineValveshouldbeinopenposition. HighVentPointAirRemoval. Jointshouldbeexposedforinspection. Theaccessories(hoses& pump)notbeingusedmus tbedisconnected andstoredseparately. Keepsitecleanalways. Obtainnecessarypermit. Surveytheareaandconfirmsafelocationoftemporar yholdingareaof scaffoldingmaterial,priortohauling. Providetemporaryholdingareaatlocationthat willnotconges obstruct siteaccessorrestrictmobilityofotheractivities. Scaffoldrack isamustforholdingscaffoldingmaterial.No pipes, couplerswill bestoredonthegroundor anytimescattered onthe ground. Observeextracautioninmobilizingmaterialatsite. Barricadedtheareawithwarningtapeandplacedthe caution/warning board. Before transporting the loads to the sites, rest assure that the materials are secured and tight by nylon rope for the safe transporting. Ensure that a driver is having knowledge to the hazards while transporting the materials.

High

Site Supervisor, Workers and Safety Officer

Page 5 of 6 DOC. NO.: ../HSE/F/JSA REV.0

JOB SAFETY ANALYSIS (JSA) WORK SHEET

Keep a tidy site.

9 Housekeeping.

Debris causing Slips, trips and

falls. Fire risk due to presence of combustible materials / debris. Infestation of rodents leading to equipment & materials damage (Cables, cords, documents, etc.)

High

Regular housekeeping at site shall be performed. Adequate and correct stacking of materials. Regular inspection and immediate corrective
action. Keep always clear of obstruction.

Low

Site Supervisor, Workers and Safety Officer

Regular clearing of work site shall be

implemented.

Page 6 of 6 DOC. NO.: ../HSE/F/JSA REV.0