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JOB SAFETY

ANALYSIS
WORKSHEET
JOB TITLE OR OPERATION
STRUCTURE PILES INSPECTION
DATE
May 08,2005
PAGE ____ OF
JSA NO. _____

NEW
REVISED
COMPLETED BY
S!y" B.U
EMPLOYEE#OPERATOR
Sy" B.U # PT.D$%&'a())a Ta*
SUPERVISOR
S+,a%!"("
REVIEWED BY
S+,a%!"(" # I*a( S+)&,a%!"!"
COMPANY#ORGANI-ATION
U(".a/ I(0"(1&a C".
WOR2 SECTION# DEPARTMENT
MI34A # E3C
APPROVED BY
MI 3 4A S+$%&(!(0(!
RE4UIRED#RECOMMENDED PERSONAL PROTECTIVE E4UIPMENT # SAFEWOR2 PERMITS
M&(&+* %5+&%*(! PPE &1 1a6!y 1,"1, 1a6!y ,a!, 1a6!y )/a111, 7"0y ,a%(11 !" ,a8 !" 7 '"%( 0+%&() $%6"%* !, '"%9.
BASIC JOB STEPS, IN SE4UENCE POTENTIAL :A-ARDS RECOMMENDED PREVENTIVE MEASURES
Obtain Work Permit from Superintendent. No significant hazard
Prepare NDT equipment , calibrate prior to start ob. No significant hazard
Perform !isual "nspection for structure piles components. Personal inur# , fall to belo$ %sed standard PP& properl#.
Sketch the isometric dra$ing for Structure Piles . Personal inur# . %sed standard PP& properl#.
Peform %ltrasonic scanning on Structure Piles components as
per %nocal procedure.
Personal inur# , fall to belo$ %sed standard PP& properl#.
Peform $all thickness measurement for all Structure Piles
component $ith "nspection point identification.
Personal inur# , fall to belo$ %sed standard PP& properl#.
'ake "nspection report as per %nocal standard. No significant hazard

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