JOB SAFETY ANALYSIS

Ref: – JSA-…….

Facility / Site: LAYDOWN 2 Location within Site: Chemical storage Permit No: 25012 Permit Type: COLD Date: 01.05.2019
area
 Task Description: Loading / Offloading of chemical products using forklift.

REQUIRED REFERENCES JSA REVIEW

Have the relevant Procedures, Standards, Guidelines,
or Safe Work Practices been reviewed? Yes N/A
Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the
significant Task Steps, Hazards, and Controls.

JSA REVIEWER (Supervisor or Designate):

RISK ASSESSMENT
Must existing Procedures or Work Practices be
Yes No Name / Signature: HBIB BOUSABBEH Company: MSBI
modified to perform this work?
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (Scenario-Based Yes No
Risk Assessment required)
The Work Team has assessed the worksite conditions and confirms:
 The JSA addresses the applicable hazards and necessary controls.
PPE REQUIRED DURING THIS TASK
 The Team has the appropriate resources (people and equipment) to do the job safely.
HARD HAT SAFETY GLASSES
 Others that could be affected by the work have been informed.
FACE SHIELD TASK LEADER:
SAFETY SHOES / BOOTS
GOGGLES

Name / Signature: Company:MSBI

FALL PROTECTION
FALL RESTRAINT
COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
GLOVES:
COTTON Work Team Declaration:
LEATHER I acknowledge that I have reviewed the attached JSA, I understand my roles
and responsibilities, and I will comply with the instructions for this task.
IMPACT PROTECTION
Name (print): Name (print):
Dust mask OTHER (specify):
Work clothes

OTHER PPE (specify):

 TASK STEPS
(Number)
1- Work permit in place
2- Forklift Inspection
3-Move the forklift to the
chemical pallets
4- Lifting of chemical pallets
using forklift
POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(What could go wrong?) (How can harm be prevented?) MITIGATION STATES
 PTW signed by authorised person.
 Ensure correct PPE available for task
 Procedure or task unclear  Carry out toolbox talk
 Miscommunication  Clear access and area around panel.
 MSBI Emergency
 Workers involved in the tasks are not  All workers involved are competent and
 Response plan
competent They understand the scope of the work and
 Incorrect tools or PPE the hazards/risks associated with the
task.
 Clean and arrange the work area.
 Operate by trained and licenced
personnel only.
 Visually inspect the forklift.  MSBI Emergency
 Mechanical Failure
 Take care when operating. Always check response Plan
 Unauthorised use  First Aid kit in place
gauges, and listen for abnormal noises
and abnormal operating functions when
using the forklift.
 MSBI Emergency
Traffic • Keep a close watch for people and traffic. response Plan
• People Other workers to keep out of operating  First aid kit in place
• Uneven surface area of forklift, and to act as a spotter.  Spill kit in place
• Hazardous goods / chemicals Observe system of traffic flow.  Emergency shower
• Heat  Comply with all MSDS of chemical station in place
• Glare products  Only qualified
• Rollovers  Normal site PPE, plus additional PPE as /authorised personnel
• Crushing of people / objects required e.g. dust mask, goggles
on the worksite
• Damaged equipment  Don’t overload the machine / understand
• Incorrect response to hazardous or the load chart.
emergency situations.  Operate cautiously at a safe speed.
 MSBI Emergency
 Forks not lined up properly response Plan
 Inspect load / pallet to ensure it is safe.
 Don’t insert forks cleanly  First aid kit in place
 Comply with all relevant MSDS’s.
 Other people and traffic  Spill kit in place
 Overload the machine  Get forklift square to the pallets – pivot on
the front axle.  Emergency shower
 Damaged product
station in place
  Moving loads / liquid loads
 Hazardous goods / chemicals  Get forks level before inserting into the  Only qualified
 Chemical spill on the ground pallets. /authorised personnel
 Lift load then tilt back so it is level before on the worksite
reversing out.  MSDS
 Check behind before reversing. Ensure
good vision at all times (all windows
clean).
 Lower load to travel height and tilt back
enough to stabilize the load.
• Don’t overload the machine / understand
the load chart.
• Operate carefully and keep load low.
 A trained banks man should supervise the
operation.
 Wear chemical gloves / plastic gloves long  MSBI Emergency
sleeves response Plan
 Chemical contact with skin (Skin Irretation)  Wear face shield or safety goggles  First aid kit in place
 Chemical contacts with eyes  Rinse eyes immediately with fresh water  Spill kit in place
 Chemical pouring on the coverall or clothes  Wear plastic coveralls / Tyvex coveralls
 Emergency shower
 Throwing empty chemical cans in the desert  Avoid spill of chemicals, proceed carefully
station in place
 Fire catching on chemicals  Collect empty cans and bring back to plant
 Allergy to skins area  Only qualified
5- Chemicals Handling /authorised
 Dermatitis  Keep fire away from chemicals, never smoke
 Abrasion  Fire extinguisher in place personnel on the
 Wounds  Follows instruction as per MSDS (Material worksite
 Breathing chemical spray safety data Sheet)  MSDS
 Manual handling  Seek guidance for the manufacturer
document
 Reduce exposure to chemical
 Avoid manual handling over 25 kg
 Avoid lifting open chemical pallets  MSBI Emergency
 Lifting chemicals containers  Respect the OCCUPATIONAL EXPOSURE response Plan
 Falling of chemicals on the ground ( earth LIMITS (OELS)  First aid kit in place
 Segregation between different chemicals  Spill kit in place
 Fire extinguisher in place
6- Chemicals storage  Emergency shower
 Well ventilated area
station in place
 Storage areas should be clearly defined.
 Separate areas should be used for different
 poisoning) items.
 Storing of mixed chemicals  Certain materials and substances should be  Only qualified
 Storing chemicals in closed container segregated during storage; alternatively, /authorised
 Risk of fire or explosion purpose-built secure storage may be personnel on the
 Dangerous gases and vapours required.
worksite
 No adequate safety signs  Areas should be kept clean and tidy and
 MSDS
 No adequate space for chemical storage should be routinely inspected.
 Appropriate warning signs should be
displayed where necessary (e.g. where
flammable materials are stored).
 Storage areas should not be used for work
activities.
 Stores should have suitable warning/safety
signs (e.g. flammables, no smoking, no naked
flames).
 MSBI Emergency
 Slips trips and falls  Keep work area tidy and clean response Plan
5- Housekeeping  Unsafe access  Regular Housekeeping and keep all  First Aid kit in
 Obstacles in work area area free from hazards place
 Spill kit in place

Name Position Date Signed

Prepared By Med Amine mathlouthi Area Supervisor 01/05/2019

Checked By Taoufik Chibani Area HSSE Supervisor 01/05/2019

Approved By Hbib Bousabbeh PTW Coordinator 01/05/2019