JOB SAFETY ANALYSIS FORM

RISK MATRIX
INCREASING PROBABILITY

QFM-DKN-25-01
Date:

PROJECT/JOB DETAILS
Project Ref./Job Title/Work Order:
GC11106400

A
Potential Severity People Asset/ Production Environment Reputation Never heard of in industry

B
Has occurred in industry

C
Has occurred in QP

D
Occurs several times a year in QP

E
Occurs several times a year at this site Low

Brief Description of Work: Site Acceptance Test of 33 kV Feeders after Replacing Existing Relay BY IEC61850 Facility Relay Job Location:

JSA No. :

GC11106400/

Revision:

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)

No Effect

No Impact

No Risk

Low

Low

Low

Sponsoring Department

EDD

Slight effect

Slight impact

Low

Low

Low

Low

Low

Hazard area Classification:

Minor effect Limited impact Low Low Medium Medium Medium

Performing Department

EDD/IMCO

Minor damage (=QR 250,000)

Localized Effect

National impact

Low

Medium

Medium

Medium

High

Permit Requirements: Hot/Cold/Radiography: Participants (Parties involved in JSA) Site Engineer, Site Supervisor and Vendor
All the mitigation measures identified in JSA are in place before starting the activities

Permit Authority

Major damage (=QR 25,000,000) Extensive damage (=QR 25,000,000)

Major effect

Regional Impact

Low

Medium

Medium

High

High

JSA -Approved by:

Massive Effect

International impact

Medium

Medium

High

High

High

PROBABILITY FACTOR

WORKSITE SUPERVISOR

WORK ACTIVITY: _________________________________ Each piece of equipment and crew are associated with known specific hazards that cause accidents to reoccur on one project after another. SITE SUPERVISOR: ________________________ LOCATION; ___________________________________ PERMIT #:_________________

Site Acceptance Test of 33 kV Feeders after Replacing Existing Relay BY IEC61850 Facility Relay

Sl. No. 1

Activity (Job Steps) In case of emergency

Potential Hazards Personnel doesnt know what they will do

Who/What Might Be Harmed IMCO employee

Risk E.P. SxP=T 3xB Medium

Control Recovery Measures All worksite supervisor must aware to the nearest assembly point area Brief all personnel about the emergency evacuation procedure Go to the nearest muster point area. Report directly to RG Plant Supervisor or RG Plant Control Room Upon declaration of an emergency or on hearing the established site alarm or upon receipt of instruction from the Client or local authorities (i.e. Dukhan) every worksite supervisor, crew members, equipment operator and safety officers, shall be ensure the following All work MUST be stopped at once, and All equipment, machines and power tools are shut down. Wind direction is checked through windsocks at the upper level of the work site or adjacent plant. All workers at elevated locations shall come down calmly to the ground level and proceed to the designated safe Assembly Area on foot in an orderly manner to a pre-determined Safe Assembly Area or Muster Point in a crosswind direction. (Running is prohibited except in life

Target E.P. SxP=T 1XA Low

Responsible/ Action By Engineer / Supervisor and Safety Officer

Page 2 of 9

Sl. No.

Activity (Job Steps)

Potential Hazards

Who/What Might Be Harmed

Risk E.P. SxP=T

Control Recovery Measures threatening situations). All crew supervisors / foremen will wait for their employees in the muster areas. Supervision must ensure all employees working in remote areas and in confined space (if any) have been alerted and have proceeded to the muster area. Crew supervisors / foremen will conduct a head count of their employees. If any employee is found to be missing, the responsible supervisor / foreman shall inform any of Senior IMCO Engineering & Construction Company representatives at the muster area immediately, identifying the employee(s) name and his / their last known location. The senior IMCO Engineering & Construction Company personnel, having received the information must subsequently relay the same information to IMCO Engineering & Construction Company Project Manager, Safety Personnel or Client representative, whoever is immediately available. No attempt shall be made to locate missing employee(s) until a

Target E.P. SxP=T

Responsible/ Action By

Page 3 of 9

Sl. No.

Activity (Job Steps)

Potential Hazards

Who/What Might Be Harmed

Risk E.P. SxP=T

Control Recovery Measures search is authorized by CLIENT or QP Search & Rescue Group when so determined that a search and rescue party can be reasonably protected during such operation. No one is permitted to return to work until INSTRUCTION has been received from CLIENT or local authorities that it is safe to do so. (Note: Return to work instruction could be either verbal instruction at the respective safe assembly areas or via siteestablished All Clear Alarm). No one will resume works unless a new work permit (if applicable) is being applied for and approved. NOTE: All issued work permits, if any, are automatically cancelled during actual emergencies and must be revalidated or replaced with new ones upon resuming work. Authorized PTW holder shall ensure obtaining and maintaining valid work permit. The worksite 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 workers regarding permit condition before work starts.

Target E.P. SxP=T

Responsible/ Action By

Work permit from QP to be obtained

Unauthorized commencement of works may result in exposing workers and or potential to harm or danger.

IMCO workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Page 4 of 9

Sl. No.

Activity (Job Steps)

Potential Hazards

Who/What Might Be Harmed

Risk E.P. SxP=T

Control Recovery Measures Worksite supervisor shall conduct toolbox talks about nature of works and associated potential hazards and their essential precautionary measure. Ensure that the pre task briefing is given out in a language understood by the work force, have it translated. Ask question regarding the briefing to get feedback from the staff, this ensures full comprehension. Issue required appropriate PPE and replace PPE that has signs of defect. PPE must include both hearing protection as well as dust inhalation protection. Ensure working personnel are strictly following the QP HSE Regulation for Contractors Doc. No. QP-REG-S-001 Rev. 3 Plan the work involving personnel responsible for preparation site acceptance test Use intrinsically safe radio for proper communication between the end user in control room turbine control panel and technician to verify the status of turbine in the field Only competent person shall assign to do the site acceptance test activities which is known to a

Target E.P. SxP=T

Responsible/ Action By

Pre-task briefing toolbox talks and site inspection

The work force does not understand the pre task briefing therefore does not understand the potential dangers and control measures to be implemented. Some of the workers could be lacking PPE or using defective PPE

IMCO workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Planning

Non compliance to QP HSE Regulations for Contractors and or to method statement Lack of communication

IMCO workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer Engineer / Supervisor and Safety Officer

IMCO workers

3xB Medium

1xB Low

Unsafe acts cause of inexperience personnel

IMCO workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Page 5 of 9

Sl. No.

Activity (Job Steps)

Potential Hazards

Who/What Might Be Harmed

Risk E.P. SxP=T

Control Recovery Measures possible hazard of the insulation test activity Ensure that a worksite supervisor is properly monitored the site activity works. Ensure that the document provided during site acceptance testing is updated of AFC. Take advance approval from end user and focal point before carrying out site acceptance testing Ensure that the competent person only will work on this task Provide AFC drawing for a proper checking of terminal connection Avoid involuntary physical movements during checking the tightness of cable connection. Ensure that the power supply is shutting off before will proceed to disconnect the wire Keep tape isolation for the terminal wiring after removing to the connection Ensure that all test equipment used in loop checking is calibrated Ensure that test equipment is free from defect Only competent person shall assign to do the site acceptance testing activities

Target E.P. SxP=T

Responsible/ Action By

Lack of updated documents and list for site acceptance testing Shutdown of facility system and equipment 5 Checking tightness of control cable Electric shock / electrocution

Property damage IMCO workers

3xB Medium 3xB Medium 3xB Medium

1xB Low 1xB Low 1xB Low

IMCO workers

Engineer / Supervisor and Safety Officer Engineer / Supervisor and Safety Officer Engineer / Supervisor and Safety Officer

Defective tools/appliance

IMCO Workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer Engineer / Supervisor and Safety Officer

Unsafe acts cause of inexperience personnel

IMCO workers

3xB Medium

Low

Page 6 of 9

Sl. No.

Activity (Job Steps)

Potential Hazards

Who/What Might Be Harmed

Risk E.P. SxP=T

Control Recovery Measures Ensure that a worksite supervisor is properly monitored the site activity works. Do not take circuit breaker into service position until completion of SAT. Ensure that circuit breaker rack in is to be carried out by the QP personnel only Do not attempt to access the electrical panel. Ensure that only competent and trained workers do the job Wear appropriate PPE Ensure the identity of the feeder through tag nos. Check the AFC drawing prior to start the test. Identify and confirm the feeder which is going to be tested. Check and confirm that control circuit modification had been done properly with control circuit modification drawing. Extra care must be taken by every personnel involved in the work to make sure that they do not touch the live feeders even by mistake. Do not take circuit breaker into service position until completion of SAT.

Target E.P. SxP=T

Responsible/ Action By

Confirm the status of the protection relay after switching ON the control supply

Unwanted switch on of the circuit breaker

IMCO workers

3xB Medium

Low

Engineer / Supervisor and Safety Officer

Power supply checking

Electrocution

IMCO workers

3xB Medium

Low

Engineer / Supervisor and Safety Officer

Feeder Test

Wrong identity of feeder to be test

Property damage and IMCO worker Property damage

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer Engineer / Supervisor and Safety Officer

Unmodified control circuit

3xB Medium

1xB Low

Live circuit contact to personnel

Property damage

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Page 7 of 9

Sl. No.

Activity (Job Steps)

Potential Hazards

Who/What Might Be Harmed

Risk E.P. SxP=T

Control Recovery Measures Ensure that circuit breaker rack in is to be carried out by the QP personnel only Ensure that Warning signs and barricading, with cone and rope, and safety warning tapes shall be installed around working area. Caution signs which read danger shall be installed at strategic locations. Check and Confirm the CT, VT ratio, required protection and its setting with Protection Relay Setting Document and set right if required and fill it in the test report form. Test and note down the status of all LEDs by LED test at Test mode Ensure that all test equipment are calibrated and to date from the inspection prior to use. Testing apparatus shall be operated only by the competent person Live-line tools shall be cleaned and inspected before use and receive a dielectric test whenever their insulating value is suspect. A record of the testing of live-line tools shall be maintained. Circuits and equipment to be worked on shall be disconnected from all electric energy sources.

Target E.P. SxP=T

Responsible/ Action By

Unauthorized personnel

IMCO Workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Confirming of protection setting and LED status

Failure of protection setting

Property damage

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

10

Measurement test

Failure of test equipment

Property damage and IMCO worker

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Electric shock

IMCO workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Page 8 of 9

Sl. No.

Activity (Job Steps)

Potential Hazards

Who/What Might Be Harmed

Risk E.P. SxP=T

Control Recovery Measures Ensure to wear an appropriate PPE during electrical activities Ensure that during voltage measurement that does not touch exposed metal objects Prevent any accidental contact to the body during measuring the voltage Make sure that the test voltage does not damage any component to withstand it Ensure that all test equipment are calibrated and to date from the inspection prior to use. Testing apparatus shall be operated only by the competent person Live-line tools shall be cleaned and inspected before use and receive a dielectric test whenever their insulating value is suspect. A record of the testing of live-line tools shall be maintained.

Target E.P. SxP=T

Responsible/ Action By

10

Voltage measurement

Contact during injection of voltage causing electric shock

IMCO workers

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

Failure of test equipment

Property damage and IMCO worker

3xB Medium

1xB Low

Engineer / Supervisor and Safety Officer

PREPARED BY (HSE) Name ---------------------------------------Name

REVIEWED BY (QP) ----------------------------------------

Signature --------------------------------------Date ---------------------------------------

Signature --------------------------------------Date ---------------------------------------

Page 9 of 9