Professional Documents
Culture Documents
Attachment
Attachment
Attachment
Prepared By :
Checked By :
(Responsible Manager)
HSSE Reviewed :
(Optional)
Confirmed By :
(PTW issuer/ approver)
JSA Work Details and checklists
Date: JSA Ref #
To check and rectify motor abnormal sound, remove motor to
Description of Work: Permit # (If applicable)
workshop for repair & re-install and perform run test
Originator:
(A) Identify Potential Hazards for The JOB
Hazard Prompt List (Review the job steps and identify if any of the following hazards are applicable) Potential Hazard Exposure Mechanisms
Work Title: To check and rectify motor abnormal sound, remove motor to workshop for repair & re-install and perform run test
A. Subject Discussed
1 Safety
2 Preparation Work
3 Steps / Procedure to be followed
4 Hazards involved in each steps.
5 Equipment in use
B. Attendance List
Name Div./ Section Position Signature
1 Maintenance Electrical
2 Maintenance Electrical
3
C. Feedback
1.
2.
3.
Safe Work Method
Statement No.4 TITLE: To check and rectify motor abnormal sound, remove motor to workshop for repair & re-install and DATE:
perform run test
1.0 To check and rectify motor abnormal sound, remove motor to workshop for repair & re-install and
Purpose / Scope 1.1
perform run test
MD-04-HSE-HS-PD-009 Rev.01 START Procedure.
MD-04-HSE-HS-PD-004 Rev03 JSA and SWMS Procedure
MD-04-HSE-HS-PD-001 Rev03 PPE Management Procedure.
2.0 MD-04-HSE-HS-PD-003 Rev09 PTW Procedure.
References 2.1 etc.
MD-04-HSE-HS-PD-012 Rev02 Lock Out Tag Out procedure
MD-04-HSE-HS-PD-042 Rev01 Electrical safety procedure
MD-04-HSE-HS-PD-048 Rev02 Hot work safety procedure
NSRP Maintenance, Operation
PTW Issuer, PTW Approver: As per the PTW and applicable procedure.
Permit Requester: is responsible for total co-ordination of works such as establishment of detail
3.0 Responsibilities 3.1 etc. plan/schedule/procedures with NSRP permit issuer & subcontractor, arrangement of work location
and required utilities.
Task Supervisor: is responsible for all co-ordination/supervising/implementation works at site.
PECI executes all works.
4.0 Equipment 4.1 etc. 103-P-001B-PM01B
Noted: wear arc Flash PPE during Rack In/ Rack Out.
Name
Signature