JOB SAFETY ANALYSIS

Facility / Site: GORDHAB Location within Site: TATAOUINE Permit No: Permit Type: COLD Date:

Task Description: Unloading, loading and placing of CW materials and equipments using telescopic loader

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: Company: SOCOBAT
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:

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): High Vis Jacket

 TASK STEPS
(Number)
Mob of equipments
-Lifting PILES, CW materials or
equipment (tower light, Cabine
generator, compressor, form
work, reinforcement steel,
formwork……..) using the
forklift or telescopic
- Moving the equipment
- Release of CW materials or
equipment.
Adverse weather condition:
Scorpions and snakes
POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(What could go wrong?) (How can harm be prevented?) MITIGATION STATES
Adverse weather conditions PTW/TBT ENI Emergency
Trips/falls Adequate PPE /First aid response plan
Accident Manual handling technique (medical treatment)
ill-health-eye problem Speed limit
severe injuries Secured load
Beacon lights
PIC to be on place
Limit the area
Failure of loading Barricaded work area ENI Emergency
Mechanical failure Banks man to be present response plan
Possible personnel injury Lifting procedure (medical treatment )
Hurt and damage to the personal and or equipment A competent operator
Non competent workers Good supervision
Poor communication PTW/TBT
Not clear vision Ensure good communication
Falling objects Only competent workers
Stuck with another equipment onsite Vitesse to be limited
Equipment damage Adequate PPE ENI Emergency
Falling hazards / Unbalanced load Barricaded work area response plan
Mechanical failure Competent Banks man (medical treatment)
Hit another equipment and or a worker Good communication
Damage to the equipment Only trained riggers to handle load. ENI Emergency
possible personnel injury Keep hands away from nipping points response plan
Slips /trips Adequate PPE (medical treatment)
Manual handling Correct Manual Handling
Muscle skeletal injuries House keeping
Poor communication Tag line to be used
Bites Job rotation to be applied and share outdoors ENI Emergency
Poisonous insects activities between all workers response plan
Slip, trips and fall Big and fresh quantity of water to be displayed (medical treatment)
Dehydration Manual technique
Heat struck Awareness session to workers to aware them
Dizziness about hazards associated with poisonous insects
Fatigue First aid kit and first aider should be available
Working in extreme temperature Frequent breaks to be taken for recovery
Workers should wear adequate coverall
Time management culture among work force
-End of the job and Slips trips and falls Perform good housekeeping ENI Emergency
housekeeping Backpain Adequate PPE response plan
Heavy load Manual handling techniques (medical treatment)

Name Position Date Signed

Prepared By
Checked By HSSE Supervisor
Approved By