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    KOM-SOPM-10 Job Safety Analysis

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    Devi Ratna Pratiwi
    The document appears to be a job safety analysis (JSA) template used for planning work and identifying potential hazards, required personal protective equipment (PPE), rigging needs, and recommended safety procedures. It includes sections to describe the task, severity and likelihood of risks, PPE and equipment required, rigging and lifting requirements, and a table to outline the sequence of job steps, potential hazards, and recommended safe procedures. The goal of the JSA is to identify and mitigate risks before starting work.

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    KOM-SOPM-10 Job Safety Analysis

    Uploaded by

    Devi Ratna Pratiwi
    7 views2 pages
    The document appears to be a job safety analysis (JSA) template used for planning work and identifying potential hazards, required personal protective equipment (PPE), rigging needs, and recommended safety procedures. It includes sections to describe the task, severity and likelihood of risks, PPE and equipment required, rigging and lifting requirements, and a table to outline the sequence of job steps, potential hazards, and recommended safe procedures. The goal of the JSA is to identify and mitigate risks before starting work.

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    KOM-SOPM-10 Job Safety Analysis.doc

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    The document appears to be a job safety analysis (JSA) template used for planning work and identifying potential hazards, required personal protective equipment (PPE), rigging needs, and recommended safety procedures. It includes sections to describe the task, severity and likelihood of risks, PPE and equipment required, rigging and lifting requirements, and a table to outline the sequence of job steps, potential hazards, and recommended safe procedures. The goal of the JSA is to identify and mitigate risks before starting work.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    7 views2 pages

    KOM-SOPM-10 Job Safety Analysis

    Uploaded by

    Devi Ratna Pratiwi
    The document appears to be a job safety analysis (JSA) template used for planning work and identifying potential hazards, required personal protective equipment (PPE), rigging needs, and recommended safety procedures. It includes sections to describe the task, severity and likelihood of risks, PPE and equipment required, rigging and lifting requirements, and a table to outline the sequence of job steps, potential hazards, and recommended safe procedures. The goal of the JSA is to identify and mitigate risks before starting work.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    Job Safety Analysis (JSA)

    Severity
    3
    Date:

    Vessel:

    JSA #:

    Page #

    Band
    Labels

    of

    Descriptions

    Likelihood:
    A = Highly Unlikely
    B = Unlikely
    C = Likely

    Formal JSA Review


    ______________________________________
    Completed Prior to Job
    (Masters signature)

    Likelihood

    Task To Be Performed:
    Severity:
    1 = Slightly Harmful
    Risk
    2 = Harmful
    Criteria
    3 = Extremely
    HighHarmful
    Moderate
    Tolerable

    To Be Performed By:
    Review / Revision #

    Date:

    PPE
    / Permits Required For
    Job:
    Barricade
    FallThis
    Harness

    Hard Hat

    Lockout/Tagout

    Work Vest

    Cotton Gloves

    Fire Extinguisher

    Hearing Protection

    Safety Glasses

    Permit__________________________________________

    Face Shield

    Goggles

    Leather Gloves

    Steel-Toed Footwear

    Other __________________________________________

    Equipment
    For
    This
    Air Hose / Tools Required
    Compressed
    Gas
    HoseJob:

    Hammer Wrench

    Scaffold

    Portable Lighting

    Other ____________________________________
    Other ____________________________________

    Chain Fall

    Cutting Torch

    Impact Gun

    Sledge Hammer

    Welding Lead

    Come-along

    Electrical Cord

    Ladder

    Tag Line

    Escape Route ____________________________________________________

    Rigging / Rigging Points Required For This Job:


    Nylon Sling ______

    Size

    ______

    SWL

    ______

    Qty.

    Wire Rope Sling ______

    Size

    ______

    SWL

    ______

    Qty.

    Shackle ______

    ______

    SWL

    ______

    Nylon Sling ______

    ______

    ______

    Wire Rope Sling ______

    ______

    ______

    Shackle ______

    ______

    ______

    Nylon Sling ______

    ______

    ______

    Wire Rope Sling ______

    ______

    ______

    Shackle ______

    ______

    ______

    Nylon Sling ______

    ______

    ______

    Wire Rope Sling ______

    ______

    ______

    Shackle ______

    ______

    ______

    Choking

    Existing Padeye

    Field Burned Hole

    Vertical

    Field Installed Padeye

    Field Drilled Hole

    Size

    Qty.

    Est. weight of load

    What is the Weak Link for this rigging plan?


    _____________________________________________

    Basket

    KOM-SOPM-10 Revision : 1

    Page 1 of 2

    Job Safety Analysis


    L = Likelihood

    Sequence of Job Steps

    Prepared By:

    KOM-SOPM-10 Revision : 1

    Potential Hazards

    Reviewed By:

    S = Severity

    R = Risk (see table)

    Recommended Safe Procedures / Hazard Protection

    Approved By:

    Page 2 of 2

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