Documente Academic
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Job Safety
Analysis
Job Description:
Plant:
Mechanical
Environment Change
Yes
No
Equipment:
Type of JSA.
Standard
Non-standard
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Only allow qualified/certified Scaffolders to do the
Scaffolding Job.
Scaffolding Erection
Existing Facilities may get
damaged
Material Falls
Falling Objects
Scaffolding
Modification
Personnel Falling
Scaffolding
Inspection
Scaffold Collapse
Injury
Responsibility
Dismantling of
Scaffolding
Falling Objects
Inappropriately Materials
Storage
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Responsibility
Mobilization,
preparation and
handling of tools
Excavation of soil
Backfilling &
compaction
Damage of property due to fall Only experienced and compitent person shall allowed
of structure
to do the job
4
Concrete Pouring
Skin allargey
Unsafe conditions
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Responsibility
Dismantling of
existing structure,
Piping and
equipments
Improper Tools
Erection of Steel
structure, Piping
spools and
equipments
Equipment failure
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Impact Injury / Content with
hot surface(burn)
Preparation
Gas leak
Asset Damage
Mitigation Plan
Responsibility
Valid PTW
JSA briefing before start of job
Tool box talk before start of job/Hose leak check
Use only IFC Drawings for proper line fabrication.
Competent supervisor
Valid PTW
Flying of spark
High Noise
2
Grinding by Electric
Grinder
Disc broken
Eye Injury
Fire
Equipment Failure
Electrocution
3
Welding
Eye Injury
Trip
Poor Illumination
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all measures in job
step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Non-Destructive Testing
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Chemicals
Mitigation Plan
Responsibility
Valid PTW
Tool box talk before start of job
Proper PPE as indicated on MSDS
Usage of safety glasses and mask
Proper PPE's.
Barrication + warning sign of radiography
Radiation
Radiography
Radioactive Contamination
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Runnig of Generator
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Responsibility
Valid PTW
1
Preparation
Gas leak
High Noise
Fire
Equipment Failure
2
Running of generator
Electrocution
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Responsibility
Valid PTW
Equipment failure
Impact Injury
Lifting of load
Dropped load
Poor Sight
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Hydro-testing of piping
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Responsibility
Valid PTW
Tool box talk before start of job
Non-compliance with safety
procedure
1
Planning
Defective Equipment/tools
Exceeding maxiamum
allowable pressure
Ensure that equipment /tools being used for the hyrotesting such as hose, pump, coupling, pressrue gauge,
spade, gasket etc are free from defect & suitable for
the pressure rating of the system
Ensure that pressure relieving device is set at
maximum allowable pressrue for the weakest portion
of the segment to be hydro-tested.
Keep away from the pressurized segment of the
system being hydro-tested.
Injury to workers
Hydrotesting
Unsafe depressurization of
hydro-test fluid
Scattered Material
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature:
Department:
Job Safety
Analysis
Job Description:
Environment Change
Yes
No
Type of JSA.
Standard
Non-standard
Material Shifting
Plant:
Equipment:
Date:
Implementation sheet
No.
Job Steps
Potential Hazards
Mitigation Plan
Responsibility
Valid PTW
Equipment failure
Material Loading
Road Accident
Vehicle Movement
Poor Condition of Vehicle
Brake failure and improper
parking
Impact Injury
Material offloading
Required PPE:
Agreement for execution that I understand the criticality of task and all hazards related to job steps. I am expected & obliged to take all
measures in job step hazards control to mitigate risk level associated with this task.
Approved by: Maintenance specialist/Supervisor:
Name:
Badge #
Signature: