Professional Documents
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JSA For Flange Alignment
JSA For Flange Alignment
1
Nghi Son Refinery and Petrochemical Limited Liability Company
Electric Shock
5. Manual Handling
Ergonomic Problems. Supervisor /
Follow NSRP manual handling procedure. Workers
Pinch point and obstructions.
L L L Use Buddy system for manual lifting.
Physical Injuries. Follow safe manual handling Technique.
Keep the load close to the body as much as possible.
Slips/trips/falls hazard.
Keep the body in a comfortable/correct position
Improper handling of Load.
Don’t place fingers in a pinch point.
Use Specific PPE’s.
Ensure access & egress are clear from obstructions.
Remarks:
P: Person, E: Environment, A: Assets, R: Reputation, L: Likelihood, S: Severity, RC: Record.
JSA Prepared by JSA Reviewed by JSA Verified by Mr.
Name: Name: Name:
Signature: Signature: Signature:
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Nghi Son Refinery and Petrochemical Limited Liability Company
JSA Checklist
JSA Work Details and checklists
Date: Job Title: Alignment Check JSA Ref #
Description of Work: Alignment Permit # (If applicable):
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
□ Electricity □ Weather □ Excavations/ Earthworks □ Struck – by, against
□ Hot/ Cold Objects □ Insect/ Animal Bites □ Fire □ Contact with
□ Rotating Equipment □ Lighting □ Introduction of Non Native Species □ Contacted by
□ Vehicles □ Driving Hazards □ Harm to Flora/ fauna □ Caught – in, on, Under, between, against
□ Muscular Stress X Falling Objects □ Historical Sites □ Exposure – temperature, chemicals, noise, dust
□ Mental Stress □ Noise □ Vegetation Clearing X Slip, Trip or Fall – from heights, same level
□ Repetitive Work □ Radiation X Spills/ Leaks X Complete Manual Handling Risk Assessment attached
X Heights X Hydrocarbon/ Gas Release □ Other Mobile/ Stationary Equipment □ Overexertion/ excessive force – lifting, pushing, pulling,
□ Lone Worker □ Surfaces X Pressure (Stored Energy) □ Escape of Material – oil spill, gas release, light spill
□ Vibration X Tools/ Equipment □ Fumes/ Vapour/Dust □ Human Factors
□ Moving Objects □ Human Factors □ Light Spill
□ Confined Spaces □ Off Road □ Depths
□ Asbestos □ Chemicals □ Other (List additional Hazards below)
Personal Protective Equipment
X Eye/Face protection □ Hearing protection □ Respiratory protection X Weather conditions
X Head protection □ Safety/Rescue line X Safety harness
•hot/dry
X Foot protection X Hand protection □ Gas detector •wet
X Body protection □ Spill prevention and clean up □ Light shields •windy
• cold
□ Other
3
Nghi Son Refinery and Petrochemical Limited Liability Company
A. Subject Discussed
1 Adjacent works
2 Work at Height
3 Manual Handling.
4 Housekeeping
B. Attendance List
Name Div./ Section Position Signature
1
2
3
4
5
6
7
8
C. Feedback
1. Adjacent activities to be considered.
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Nghi Son Refinery and Petrochemical Limited Liability Company
9.0 Attachments 9.1 etc JSA, Contractor SWMS (VV3160-001-A-131 Rev 1.)
Maintenance Section Approval
Prepared by: (Contractor) Checked by: (Maintenance)
Permit Requester Section Manager
Name
Signature
Date