Instrument, Installation & Maintenance Co.

Job Safety Observation Report No: IMCO_JSO_27

P. O. Box 22803, Doha, Qatar
Tel no. 0974-466-79-10/23/24 REPORT Project Title: EPIC FOR POWER
SUPPLY TO DSSA & NWDH

Describe in detail the Job Safety Observation: (including scenarios and recommendations)
_________________________________________________________________________________________________
Date of Job Safety Observation: 02 Sept.’ 07 Time of JSO: 08:00 pm
Person Involved: Not Applicable Company Name: Inter Continental
Nationality: Not Applicable Badge Number: Sub Contractor
Location of Incident: Near Kahramaa substation IMCO Worksite Supervisor: Jojo Macasa & Ayan

Brief Description of incident:

At around 8:00 am during cable pulling and laying, I found out the unsafe condition of the cable drums loading
in the cable stand with stud shaft which is in improper position in the inclined area near kahramaa s/s while
they are pulling the cable, the rotation of the drum in the stud shaft is very fast and possible cause of hazards
if a drum comes drop to the ground and rolled down which is possible to injury to the workers or damage to
property.

Attach separate sheets if insufficient space; NOTE IMCO_FO_JSO_019a

Action Taken:
Immediately stop the job task and given instruction to minimized the speed of the pulling machine control to
prevent possible hazards which is causing to personnel injury or damage to property.

State actions taken to correct and prevent such occurrence: If closed what evidence have you to verify:
If still OPEN state measures for closure:

Recommendation;

1) Ensure that the work In-Charge in the site shall correct the unsafe act or unsafe condition noticed by an individual
and take measure to reduce the risk.
2) Prepare toolbox talks before start to job task and discuss the possible hazards in cable pulling using a machine.
3) Assign appropriate signalman in uneven distant location to prevent injury or damage to property.
4) Ensure to minimize the speed limit of pulling machine control.
5) If any unsafe acts of unsafe condition exist due to ignorance, explain the applicable Safety Rules and Regulation to
the workers involved and make him/them aware to the hazards.
6) Ensure that the Safety Rules and Regulation are adhered to and that relevant Safety Precaution is taken.

Confirm if Job Safety Observation is Open or Closed

OPEN CLOSED

If closed sign: Safety Officer: I hereby confirm that the Job Safety Observation has been closed and corrective preventive
methods applied

Signature: Roger P. Drillon Date open: Date closed:

Reported By: Reviewed and Checked by HSE In-Charge ONLY:

Name: Roger P. Drillon Name: Francis E. Tan

Signature: Date: Signature: Date:

Designation: Safety Officer Confirm closure if applicable
Are their attachments
YES NO Closed: YES NO

Form Created: 16_January_07 IMCO_FO_JSO_019

Form revision # : 0
 Instrument, Installation & Maintenance Co. Job Safety Observation Report No: IMCO_JSO_27
P. O. Box 22803, Doha, Qatar
Tel no. 0974-466-79-10/23/24 REPORT Project Title: EPIC FOR POWER
SUPPLY TO DSSA & NWDH

Note: Form must be completed in all sections where possible; clear precise legible reporting must be made, ensure that any
attachments are correctly filled out and stabled or adequately clipped

Form Created: 16_January_07 IMCO_FO_JSO_019

Form revision # : 0