HSE-SAF-SFM-00-0018

Job Safety Analysis

Lifting, setting PC foundation and concreting Q-Chem I Pipe Rack Extension
Work Activity (Job): Date:

Work Team:

JSA Prepared by (Facilitator): ____________ JSA Location:

Critical Questions: Supervisor Approval:

Is a site visit to the job location required?
Is everyone ready and capable to work?
Has the potential for a spill or exposure been addressed?NA
Has the worst case been discussed?

Sequence of Basic Job Steps
Equipment Delivery
 Delivery of 45 toner crane.
 Delivery of pc foundation.
 Delivery of truck mixer.
 Delivery of pump car
 Delivery of boom truck
 Delivery of loader
 Delivery of plate compactor
 Delivery of Field Density Test apparatus.
Potential Incidents or Hazards
 Uncertified operator
 Miscommunication between driver and spotter.
 Heavy traffic during delivery.
 Equipments unfit to travel.
 Road obstruction during delivery.
 Drivers unaware of Q chem. 1 traffic rules.
 Possible damage of underground cable and fire water line
upon entering the project area.
 Equipment possible fire ignition.
Ways to Eliminate or Reduce Potential Hazards
 Operators and drivers must have Qatar
registered licensed.
 Traffic route determine to use road A and road
5, used road pave only.
 Drivers must be familiar first the route and
policies inside the compound.
 Inform the Q chem. 1 Fire Safety Specialist
for any road blocked.
 Provision of concrete/steel plate for
underground cable and fire water pipe
protection.
 Provision of spotters to guide during delivery
of equipment.
 Equipments should be checked before
delivery.
 All equipment must have portable fire
extinguisher.

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Job Safety Analysis

Excavation :  Error in establishing foundation corners.  Foundation corners must be checked by

 Clearing unnecessary materials.
 Lay-out the foundation.
 Provide adequate setback.
 Barricade the area.
 Identify & mark existing pipe lines.
 Provide ingress/egress
 Provide warning sign.
 Paving with concrete the access of heavy
equipment where there are existing
pipelines.
 Inadequate excavation setback from the
foundation line.
 Overhead and under head obstruction during
Track excavator movement.
 Possible collapsed of foundation pit during
excavation thereby exposing buried existing pipe.
 Miscommunication between operator and spotter.
 Possible damage to the nearest existing pipeline
of the foundation pit.
 No adequate safety ingress/egress in case of
emergency.
 No adequate barricade & warning sign.
 No proper protection of existing buried pipe lines.
qualified surveyor.
 Detector scanning of the area to determine
existing pipe lines.
 Provision of 250 mm thick R C concrete
pavement, for buried pipe protection, use as
access of tract excavator & other heavy
equipment for delivery of materials.
 Operator and spotter must be experience and
certified.
 Undertake a trial excavation if necessary to
be sure no existing pipe line within the area.
 Excavation must have setback of 1000mm
from foundation outermost line to anticipate
cave-in.
 Excavation pit must be slope outward at an
angle of repose from bottom edge to natural
ground level where no buried pipe lines exist.
 Where buried pipe lines exist manual
excavation must be done using flat shovel.
 Minimize excavation pit area for manual
excavation & provide shoring.
 Spoiled materials must be filed nearby on

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Compaction:
 Water spraying to facilitate the
compaction.
 Compaction using light compact
machine.
Formworks and concreting:
 Layout the lean concrete of
isolated footing & concreting.
 Formwork, rebar works &
concreting of footing over 3.0m x
3.0 x 0.60 dimensions.
 Concreting of elevated
structures.
 Backfilling spoiled materials
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Job Safety Analysis
 Entry of water truck.
 Possible back injury while laying the machine down in
the pit.
 Workers exposed to heat/cold stress.
 Possible skin peel -off when concreting due to
chemicals composition of concrete.
 Possible skin scratch /bruises due to exposed
sharp nails & protruding object.
 Workers exposed to noise pollution.
HSE-SAF-SFM-00-0018
vacant area and covered by 3 micron thick
polyethylene sheets, to be used later as
backfill material.
 Tool box meeting must be conducted before
excavation start.
 Provide safe ingress/egress for foundation pit
beyond 1200mm depth & assign hole watch.
 Truck will not enter the work area. It will be parked at
the road, out side the barricaded area.
 Follow buddy system and proper body ergonomics.
 Use ropes to secure the machine and let it down
slowly in the pit.
 Provide drinking water in designated location.
 Workers provided with coffee/tea during cold
weather condition.
 Concrete workers provided with rubber
gloves, apron, and gum boots during
concreting and basic PPE protection.
 All protruding object, unnecessary nails must
be removed immediately.
 All workers must be provided with air plug.
 Observe proper housekeeping for usable and
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non-usable materials.
 Provide garbage can for refuse materials.
 Provide shelter for workers break time.

Lifting of pre cast foundation:
 Setting of pc foundation to pc hole.
 Craned not properly anchor at a hard ground
surface.
 Substandard/defective lifting equipments,
shackles, and slings.
 Overhead and under head obstruction during
lifting.
 Possible collapsed of foundation pit during setting
of pre cast foundation.
 Possible damage of the nearest existing pipeline
of the foundation pit.
 All riggers and operators must be certified.
 Provision of 25mm steel plate for
underground cable protection.
 Before lifting works starts there should be an
inspection of all lifting equipment and also
daily inspection must be done.
 Lifting procedure/method of statement should
be follow.
 Critical lift permit should be secure for lifting a
high level risk.
 Permits should be obtained from Q chem.1
and countersigned by logistics when at work
at in their respective area. Reflective vest
applied.
 Tool box talk must be conducted to discuss
the procedure before lifting.
 Crane must be 85% safe working load.
 Crane must be anchor on a hard surface to
maintain stability and its level.
 Pre lift dry run should be performed if there's
any critical lift.

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Job Safety Analysis

Formworks and concreting:

 Setting of anchor bolt
 Installation of forms
 Concreting of pedestal
 Workers exposed to heat/cold stress.
 Possible skin peel -off when concreting due to
chemicals composition of concrete.
 Possible skin scratch /bruises due to exposed
sharp nails.
 Workers exposed to noise pollution.
 Enough drinking water must be provided
 Workers provided with coffee/tea during cold
weather condition.
 Concrete workers provided with rubber gloves
during concreting.
 All protruding unnecessary nails must be
removed immediately.
 All workers must be provided with air plug.

Application of flex Crete:

 Roughening of the
pedestals/foundations/girders using
grinder run by diesel generator.
 Equipment possible fire ignition. (Generator)  Equipments should be checked before
delivery.
 Equipments should be checked before
starting daily.

 All equipment must have portable fire

extinguisher.

 Contact with hot surfaces.(Generator)  Proper barricading.

 Work crew exposed to the risk of falling small concrete  Use face shield.
pieces piercing in the eyes or face or any part of the

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Job Safety Analysis

body, or inhaling concrete dust while using the grinder.  Use of disposable coveralls.
 Leather gloves.
 Dust mask.
 Area will be barricaded.
 Persons not related with the job will not be
 Noisy area. allowed near by.

 Use ear plugs.

 Work crew exposed to the risk of coming in contact

with flex Crete while preparation and application.
 Use rubber gloves, disposable coveralls, dust
mask and face shield.
 Mixer will be switched off before removing
from the mixing container.
 Follow buddy system, while handling.

Safety and Security  Tools and equipments should be locked up or

 Tools and Equipments removed at shift ends
 Personnel Control  Q-Chem. I security regulations to be followed
 No cell phones allowed in the plant area
 Q-Chem I traffic laws should be followed
 No removal of items without gate pass
 No smoking in the plant
 Workers are only authorised to be job site
only.

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Job Safety Analysis

Safety equipment required to do this job:

Hazard Specific Additional PPE Hazard Specific Additional PPE Other Considerations
Chemical Suit ___________________ Breathing Air __________________ Barricades ___________________
Disposable Coveralls ___________________ Respirator __________________ Fire Extinguisher ___________________
Protective Clothing _Long Sleeved______ Dust Mask __________________ MSDS ___________________
Special Gloves ___________________ Safety Harness __________________ Isolation ___________________
Fire-retardant clothing ___________________ Fall Arrest Device __________________ PTW ___________________

Rubber boots ___________________

Face shield ___Or Face Cover____

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Job Safety Analysis

Job Safety Analysis Form (cont’d)

NOTE: These are in addition to the “Critical Questions” listed on the front of the JSA form.

 Are you qualified to facilitate the JSA for this work?

 Is the JSA Facilitator from the department responsible for completing the work?

 Have you done this job before?

 Have the right people participated in creating the JSA?

 Did you conduct the JSA at the job location?

 Has the JSA been reviewed by others who are knowledgeable about the work?

 Has the JSA been reviewed and upgraded / revalidated at the work site for current conditions?

 Have you included a step that includes a post-job critique and JSA upgrade for future use?

 Have you communicated with others who might be affected by the work, e.g., Production?

 Do you have the necessary resources to do the work, e.g., equipment, right tools, manpower, qualified people and proper PPE?

 Do you need detailed work procedures or vendor technical information for this job?

 Do you have all the necessary work permits to do the work?

 Have you considered potential human-factors in the JSA, e.g., body position, noise, heat and cold?

 Is now the right time to be doing the work?

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Job Safety Analysis

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