Rig No :

Job Safety Plan (JSP) Page No :

Permit No : Task : Load Briefing area 02 Using Two Cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position cranes, Drive into equipment. Injuries to personnel. Damage to Rigger gives proper hand Rigger/ Truck
Trucks Truck hits personnel in equipments. signal. Good communication. Pusher
Truck Pusher/
the area. Check the area
Rigger

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Rigger/ Truck
equipments Lifting equipment failure. equipments. Inspect all lifting gears for pusher / QSO
Truck Pusher damages.

3. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves. Keep RAP / A/D / QSO
the load Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / A/D /
equipments. load. Only rigger who give QSO
Crane Operators signals

5. Drive truck to Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck driver/
load. Truck Driver / something. equipments. signal. Good communication. Truck Pusher /
Truck Pusher One flag man only. QSO
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger/RAP / A/D
truck. Rigger / Crane by or swing hit. equipments. feet and legs away from load. / QSO
Operator

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.
8. Secure the load Dropped load Damaged equipments Tied and secure tanks before Truck Drivers
Drivers move trucks, check boomers
chain every 50KM

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Unload Skids with Cranes (Tandem Lift)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Rigger give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher/
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep Rigger/ RAP / A/D
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP/AD equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger/ RAP / A/D
Rigger/ Crane equipments. load.
Operators

5. Drive back in Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Rigger/ RAP / A/D
under load. Truck Driver / something. equipments. signal. Good communication.
RAP One flag man only.
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Use tag line. Clear area under Rigger
truck. Rigger / Crane by or swing hit. equipments. load. Keep feet and legs away
Operator from load.

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. Rigger/ RAP / A/D
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Unload Chemical box with Cranes (TANDEM LIFT)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position cranes, Drive into equipment. Injuries to personnel. Damage to Rigger gives proper hand Rigger/ Truck
Trucks Truck hits personnel in equipments. signal. Good communication. Pusher
Truck Pusher/
the area. Check the area
Rigger

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Rigger/ Truck
equipments Lifting equipment failure. equipments. Inspect all lifting gears for Pusher / QSO
Truck Pusher damages.

3. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves. Keep RAP / A/D / QSO
the Box Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling

4. Pick up Box. Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / QSO
equipments. load. Only rigger who give
Crane Operators signals

5. Drive truck to Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck driver /
load. Truck Driver / something. equipments. signal. Good communication. Truck Pusher
Truck Pusher One flag man only. QSO
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger/RAP / A/D
truck. Rigger / Crane by or swing hit. equipments. feet and legs away from load. / QSO
Operator

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.
8. Secure the Dropped load Damaged equipments Tied and secure tanks before Truck Drivers
tanks Drivers move trucks, check boomers
chain every 50KM

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Diesel Tanks (TANDEM LIFT)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher/
to where load is to Truck hits personnel in equipments. signal. Good communication. Truck Driver
Truck Pusher/
be loaded. the area. One flag man only.
Truck Driver

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger / QSO
equipments. swing motion. Clear area
Crane Operator under suspended load.

5. Drive back in Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Rigger/ Truck
under load. Truck Driver / something. equipments. signal. Good communication. Pusher / QSO
RAP One flag man only.
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Use tag line. Clear area under Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. load. Keep feet and legs away
Operator from load.

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load/ Unload Drill pipe box with Cranes (TANDEM LIFT)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on RAP / A/D / QSO
equipments. swing motion. Clear area
Crane Operator under suspended load.

5. Drive back in Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
under load. Truck Driver / something. equipments. signal. Good communication. Truck Driver/
Truck Pusher One flag man only. QSO
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Use tag line. Clear area under Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. load. Keep feet and legs away
Operator from load.

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Hopper Using Two Cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position cranes, Drive into equipment. Injuries to personnel. Damage to Rigger gives proper hand Rigger/ Truck
Trucks Truck hits personnel in equipments. signal. Good communication. Pusher
Rigger/ Truck
the area. Check the area
Pusher

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Rigger/ Truck
equipments Lifting equipment failure. equipments. Inspect all lifting gears for Pusher / QSO
Truck Pusher damages.

3. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves . Keep RAP / A/D / QSO
the load Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / QSO
equipments. load. Only rigger who give
Crane Operators signals

5. Drive truck to Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Driver/
load. Truck Driver / something. equipments. signal. Good communication. Truck Pusher /
Truck Pusher One flag man only. QSO
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. feet and legs away from load.
Operator

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.
8. Secure the load Dropped load Damaged equipments Tied and secure tanks before Truck Drivers
Drivers move trucks, check boomers
chain every 50KM

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Koomy Unit Using Two Cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position cranes, Drive into equipment. Injuries to personnel. Damage to Rigger gives proper hand Rigger/ Truck
Trucks Truck hits personnel in equipments. signal. Good communication. Pusher
Truck Pusher the area. Check the area

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Rigger/ Truck
equipments Lifting equipment failure. equipments. Inspect all lifting gears for Pusher/ QSO
Truck Pusher damages.

3. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves . Keep RAP / A/D / QSO
the koomy Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / QSO
equipments. load. Only rigger who give
Crane Operators signals

5. Drive truck to Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Driver /
load. Truck Driver / something. equipments. signal. Good communication. Truck Pusher/
Truck Pusher One flag man only. QSO
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. feet and legs away from load.
Operator

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.
8. Secure the Dropped load Damaged equipments Tied and secure tanks before Truck Drivers
koomy Drivers move trucks, check boomers
chain every 50KM

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Drill pipe box with Cranes (TANDEM LIFT)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher/
to where load is to Truck hits personnel in equipments. signal. Good communication. Truck Driver
Truck Driver/
be loaded. the area. One flag man only.
Truck Pusher

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger / QSO
Crane Operator/ equipments. swing motion. Clear area
Rigger under suspended load.

5. Drive back in Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
under load. Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Use tag line. Clear area under Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. load. Keep feet and legs away
Operator from load.

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Mud Tank Using Two Cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position cranes, Drive into equipment. Injuries to personnel. Damage to Rigger gives proper hand Rigger/ Truck
Trucks Truck hits personnel in equipments. signal. Good communication. Pusher
Rigger/ Truck
the area. Check the area
Pusher

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves . Keep RAP / A/D / QSO
the tank Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / QSO
equipments. load. Only rigger who give
Crane Operators signals

5. Drive truck to Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
load. Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. feet and legs away from load.
Operator

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.
8. Secure the tank Dropped load Damaged equipments Tied and secure tanks before Truck Drivers
Drivers move trucks, check boomers
chain every 50KM

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Pipe Boxes Using Two Cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position cranes, Drive into equipment. Injuries to personnel. Damage to Rigger gives proper hand Rigger/ Truck
Trucks Truck hits personnel in equipments. signal. Good communication. Pusher
Truck Pusher/
the area. Check the area
Rigger

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves. Keep RAP / A/D / QSO
the boxes Injuries to personnel. Damage to fingers and hands clear
RA/ A/D equipments. between block hook latch and
sling

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / QSO
equipments. load. Only rigger who give
Crane Operators signals

5. Drive truck to Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
load. Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. feet and legs away from load.
Operator

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.
8. Secure the Dropped load Damaged equipments Tied and secure tanks before Truck Drivers
boxes Drivers move trucks, check boomers
chain every 50KM

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :
Permit No : Task : Load Unload Sub Base using Three cranes
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. PTW/TBT Miss Communication Wrong job being done PTW/TBT Truck Pusher
Injury to personnel Personnel can get injured Insure it is understood by all
Truck Pusher
Equipment Damage while rigging down pins beams crew members involved in the
Equipments can get damage job.
2. Inspect GLG Injury to personnel, Set base dropped, Serious injures PTW/TBT TP/DR/AD
slings Truck Pusher/ Dropped objects, Load Good visual inspection of GLG
Driller/ A/D failed

3. Set Cranes Load failed, drooped Wrong job being done PTW/TBT Truck Pusher
position crane failed Personnel can get injured Insure it is understood by all Rigger 1
while Propriety damage crew members involved in the
job.
Rigger Correct crane position
Rigger 1 only will give signal
to crane operator(If
necessary) Use of taglines
for the load
4. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves . Keep RAP / A/D / QSO
load Injuries to personnel. Damage to fingers and hands clear
equipments. between block hook latch and
RAP sling

5. Pick up Sling Injury to personnel Collapse, Serious Injured , PTW/TBT TP/DR/AD

Pinch points, Fall, Slip, Propriety Damage Insure it is understood by all Rigger 1
Rigger/Truck Trip hazards crew members involved in the
Pusher/Truck Dropped objects job. Correct hand placement
Driver Equipment Damage Rigger 1 only will give signal
to crane operators Truck
pusher to assist on the load
 being loaded at the truck.
Good communication with the
driver and rigger 1. Use of
taglines for the load
Set Truck Struck, Serious injures Personal Injury, Propriety Damage Set Truck and reversing Truck Pusher/
Truck Pusher/
Rigger Truck
Rigger/ truck
driver
Driver
6. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. Attach lanyard and secure
RAP
self from fall.

7.Closed out PTW Injury to personnel
Pinch points, Fall, Slip,
Trip hazards
DR/AD
Dropped objects
Equipment Damage
Wrong job being done Supervisor responsible for the DR/AD
Personnel can get injured PTW to be closed out.
while rigging down pins beams
Equipments can get damage

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job, inform supervisor.
2. Provide first aide, evacuate personnel from area.
3. Call Medics attention to provide additional medical assessment.
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Unload BOP Skid (TANDEM LIFT)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position cranes, Drive into equipment. Injuries to personnel. Damage to Rigger gives proper hand Rigger/ Truck
Trucks Truck hits personnel in equipments. signal. Good communication. Pusher
Rigger/ Truck
the area. Check the area
Pusher

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Rigger / QSO
equipments Lifting equipment failure. equipments. Inspect all lifting gears for
Truck Pusher damages.

3. connect Sling on Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves . Keep RAP / A/D / QSO
the Skid Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling

4. Pick up Skid Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / QSO
equipments. load. Only rigger who give
Crane Operators signals

5. Drive truck to Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
load. Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set Skid to Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
truck. Rigger / Crane by or swing hit. equipments. feet and legs away from load.
Operator

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.
8. Secure the Dropped load Damaged equipments Tied and secure tanks before Truck Drivers
tanks Drivers move trucks, check boomers
chain every 50KM

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load Unload Dog House with Cranes (Tandem Lift)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Rigger give proper hand Rigger/ Truck
to where load is to Truck hits personnel in equipments. signal. Good communication. Pusher / A/D
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Rigger/ RAP / A/D
equipments Rigger/ Truck Lifting equipment failure. equipments. Inspect all lifting gears for
Pusher damages.

3. Rig up Dog Struck by crane hook Pinched hands and fingers. Use full body harness. Keep Rigger/ RAP / A/D
House to crane block. Caught by. Injuries to personnel. Damage to fingers and hands clear
hook RAP/AD equipments. between block hook latch and
sling/shackle.

4. Pick up Dog Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger/ RAP / A/D
House. Rigger/ Crane equipments. load.
Operators

5. Drive back in Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Rigger/ Trcuk
under load. Truck Driver / something. equipments. signal. Good communication. Pusher
Truck Pusher One flag man only.
6. Set load to Trap under load. Caught Injuries to personnel. Damage to Use tag line. Clear area under Rigger/ Truck
truck. Rigger / Crane by or swing hit. equipments. load. Keep feet and legs away Pusher
Operator from load.

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. Rigger/ RAP / A/D
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :LR#218
Job Safety Plan (JSP) Page No :
Permit No : Task : Lowering Draw works
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. After lowering Miscommunication. Serious physical injuries. Discuss all potential hazards. Driller / QSO / TP
mast, conduct TBT Personnel unaware of Properties damage/lost. Down time Review PTW. Designate
TP operation and personnel for specific job.
procedures. Dropped
draw works.
2. Run hydraulic Hydraulic unit failed to Uncontrolled descend of draw Follow instructions and CM / Mech
unit start. Leaking hydraulic works setback. Total equipment recommendation/procedures
lines, pressure release- loss, serious physical injuries, per DOP/DOI. Check all
CM / CE lines not secured to fatality. hydraulic lines for proper
connection connection, leaks and or
damages, use whip check if
necessary
3. Set pull line and Line snaps, short line, Multiple injuries, fall-injuries, Wear full body harness, AD / RAP / FLO
forklift forklift wrong angle, drop equipment damage, dropping lines properly secure wire rope to
TP / AD line from height, slips and tools from heights. lifting eyes. Clear area before
and fall. pulling. Good hand signals,
continuous communications.
3. Position all Trapped and caught Rollers, sheaves and moving Make sure designated TP / AD
watchmen in their cables, slings. Sheaves mechanical parts stuck or caught. personnel watch closely his
post and rollers stuck. Falling Equipment damage. Personnel post. Stop operation for any
objects. struck by falling objects. Slings and unusual thing. Keep clear from
TP / Drl
cables catching against parts. drop area and under the
derrick. Tie-off all cables and
wire rope before lowering the
derrick.
4. Remove lock Struck by flying objects. Pin hits personnel. Tools dropping Clear area below. Use tie-off TP / Driller
pins, slack draw Fall, smash hands and below. Personnel slip and fall. rope to secure pin, hammer,
TP / Drl
works setback fingers. Serious physical injuries. tools, etc. Wear full body
harness.
5. Engage Uncontrolled speed. Brake unable to stop uncontrolled Set hydraulic speed to TP / Driller / CM
Hydraulic unit and Draw works line snags. descends of setback. Major appropriate level and work two
lower draw works Loose lines caught /trap equipment and property lost. winches in unison. Continuous
slowly Fatalities. and channelled
TP / Drl / CM communication between
personnel. Keep clear under
rig floor and set back. Watch
out for dropping or loose
items.
6. Secure all lines, Falling objects. Struck-by While travelling loose cables, Tie-off all cables and slings. TP / Driller
cables, slings, etc. or hit by. Dangling cables slings, shackles, pins etc, drops Double check all shackles and
AD / RAP
and slings. Loose and hits other vehicles and pins and the mast for any
objects. personnel. loose objects.
Contingency Plans “”What to do if something goes wrong?”
1. Stop the job
2. Reassessment of the task and job at hand according to risks and hazards
3. Conduct TBT and Plan new strategies accordingly.
4. If there are some injuries, immediately call for help and provide first aid.
5. Medevac the patient to nearest medical facilities
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :
Permit No : Task : Lowering Mast
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Conduct Pre-job Miscommunication. Panic. Serious physical injuries. Discuss all potential hazards. Driller / AD / QSO
safety meeting Personnel unaware of Property damage and lost. Review PTW. Designate / TP
with crew and TP operation and Procedures not followed as personnel for specific job.
raise PTW. procedures. Dropped planned.
derrick.
2. Secure Bridal Bridal line not attached. Uncontrolled descend of derrick. Wear full body harness, one TP / Driller
Bridal line out of Severe damage on bridal lines. flag man and designate a n
TP / QSO sheaves. Personnel falls. Damage sheaves. Serious experienced man rider winch
physical injuries. operator. Secure bridal line as
per DOP/DOI.
3. Position all Trapped and caught Rollers, sheaves and moving Make sure designated TP / AD
watchmen in their cables, slings. Sheaves mechanical parts stuck or caught. personnel watch closely his
post and rollers stuck. Falling Equipment damage. Personnel post. Stop operation for any
objects. struck by falling objects. Slings and unusual thing. Keep clear from
TP / Drl
cables catching against parts. drop area and under the
derrick. Tie-off all cables and
wire rope before lowering the
derrick.
4. Slack Derrick Struck by flying objects. Pins hits personnel. Tools Clear area below. Use tie-off TP / Driller
and remove lock Fall, smash hands and dropping below. Personnel slips rope to secure pin, hammer,
TP / Drl
pins. fingers. No Full Body and falls. Serious physical injuries. tools, etc. Wear full body
Harness. harness.
5. Engage Draw Uncontrolled speed. Drill Brake unable to stop uncontrolled Set draw works speed to TP / Driller
works and line snags. descend of derrick. Major appropriate level. Continues
lower mast TP / Drl equipment and property lost. and channelled
slowly Fatalities. communication between
personnel.
6. Position High- Incorrect spotting. Derrick not resting on stand Lower derrick close enough to TP / Driller
horse (derrick Incorrect setting. properly. Damage or dent on mast mast stand. Adjust mast stand
AD / FLO
stand) to spot Personnel struck or hit by members and beams. Personnel into position as you lower the
fork truck. No weight struck by fork truck. Serious derrick. Clear area while
 support. physical injury and equipment heavy equipments in
damage. motion. Use cranes to
support mast weight.

7. Secure all lines, Falling objects. Struck-by While travelling loose cables, Tie-off all cables and slings. TP / Driller
cables, slings, etc. or hit by. Dangling cables slings, shackles, pins etc, drops Double check all shackles and
AD / RAP
and slings. Loose and hits other vehicles and pins and the mast for any
objects. personnel. loose objects.
Contingency Plans “”What to do if something goes wrong?”
1. Provide first aid.
2. Seek additional medical care from medic.
3. For serious accident, alert supervisors for emergency purposes.
4.
5.
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No : UTMN 1644
Job Safety Plan (JSP) Page No :1
Permit No : Task : Raising Mast
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Conduct Pre-job Miscommunication. Panic. Serious physical injuries. Discuss all potential hazards. Driller / AD / QSO
safety meeting Personnel unaware of Property damage and lost. Review PTW. Designate / TP
with crew and TP operation and Procedures not followed as personnel for specific job.
raise PTW. procedures. Dropped planned.
derrick.
2. Secure Bridal Bridal line not attached. Bridal line disengage while raising Wear full body harness, one TP / Driller
Bridal line out of derrick. Severe damage on bridal flag man and designate a n
TP / QSO sheaves. Personnel falls. lines. Damage sheaves. Serious experienced man rider winch
physical injuries. operator. Secure bridal line as
per DOP/DOI.
3. Position all Trapped and caught Rollers, sheaves and moving Make sure designated TP / AD
watchmen in their cables, slings. Sheaves mechanical parts stuck or caught. personnel watch closely his
post and rollers stuck. Falling Equipment damage. Personnel post. Stop operation for any
objects. struck by falling objects. Slings and unusual thing. Keep clear from
TP / Drl
cables catching against parts. drop area and under the
derrick. Tie-off all cables and
wire rope before lowering the
derrick.
4. Engage Draw Uncontrolled speed. Drill Drill line snags due to fast speed Set draw works speed to TP / Driller
works and line snags. while raising derrick. Major appropriate level. Continues
lower mast TP / Drl equipment and property lost. and channelled
slowly Fatalities. communication between
personnel.
6. Set Derrick and Struck by flying objects. Pins hits personnel. Tools Clear area below. Use tie-off TP / Driller
lock in pins. Fall, smash hands and dropping below. Personnel slips rope to secure pin, hammer,
TP / Drl
fingers. No Full Body and falls. Serious physical injuries. tools, etc. Wear full body
Harness. harness.
Contingency Plans “”What to do if something goes wrong?”
1. Provide first aid.
2. Seek additional medical care from medic.
3. For serious accident, alert supervisors for emergency purposes.
4.
5.

Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No : UTMN 1644
Job Safety Plan (JSP) Page No :1
Permit No : Task : Raising Mast + Draworks
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Conduct Pre-job Miscommunication. Panic. Serious physical injuries. Discuss all potential hazards. Driller / AD / QSO
safety meeting Personnel unaware of Property damage and lost. Review PTW. Designate / TP
with crew and TP operation and Procedures not followed as personnel for specific job.
raise PTW. procedures. Dropped planned.
derrick.
2. Secure Bridal Bridal line not attached. Bridal line disengage while raising Wear full body harness, one TP / Driller
Bridal line out of derrick. Severe damage on bridal flag man and designate a n
TP / QSO sheaves. Personnel falls. lines. Damage sheaves. Serious experienced man rider winch
physical injuries. operator. Secure bridal line as
per DOP/DOI.
3. Position all Trapped and caught Rollers, sheaves and moving Make sure designated TP / AD
watchmen in their cables, slings. Sheaves mechanical parts stuck or caught. personnel watch closely his
post and rollers stuck. Falling Equipment damage. Personnel post. Stop operation for any
objects. struck by falling objects. Slings and unusual thing. Keep clear from
TP / Drl
cables catching against parts. drop area and under the
derrick. Tie-off all cables and
wire rope before lowering the
derrick.
4. Engage Draw Uncontrolled speed. Drill Drill line snags due to fast speed Set draw works speed to TP / Driller
works and line snags. while raising derrick. Major appropriate level. Continues
lower mast TP / Drl equipment and property lost. and channelled
slowly Fatalities. communication between
personnel.
6. Set Derrick and Struck by flying objects. Pins hits personnel. Tools Clear area below. Use tie-off TP / Driller
lock in pins. Fall, smash hands and dropping below. Personnel slips rope to secure pin, hammer,
TP / Drl
fingers. No Full Body and falls. Serious physical injuries. tools, etc. Wear full body
Harness. harness.
Contingency Plans “”What to do if something goes wrong?”
1. Provide first aid.
2. Seek additional medical care from medic.
3. For serious accident, alert supervisors for emergency purposes.
4.
5.

Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :
Permit No : Task : Raising Mast
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Conduct Pre-job Miscommunication. Panic. Serious physical injuries. Discuss all potential hazards. Driller / AD / QSO
safety meeting Personnel unaware of Property damage and lost. Review PTW. Designate / TP
with crew and TP operation and Procedures not followed as personnel for specific job.
raise PTW. procedures. Dropped planned.
derrick.
2. Secure Bridal Bridal line not attached. Bridal line disengage while raising Wear full body harness, one TP / Driller
Bridal line out of derrick. Severe damage on bridal flag man and designate a n
TP / QSO sheaves. Personnel falls. lines. Damage sheaves. Serious experienced man rider winch
physical injuries. operator. Secure bridal line as
per DOP/DOI.
3. Position all Trapped and caught Rollers, sheaves and moving Make sure designated TP / AD
watchmen in their cables, slings. Sheaves mechanical parts stuck or caught. personnel watch closely his
post and rollers stuck. Falling Equipment damage. Personnel post. Stop operation for any
objects. struck by falling objects. Slings and unusual thing. Keep clear from
TP / Drl
cables catching against parts. drop area and under the
derrick. Tie-off all cables and
wire rope before lowering the
derrick.
4. Engage Draw Uncontrolled speed. Drill Drill line snags due to fast speed Set draw works speed to TP / Driller
works and line snags. while raising derrick. Major appropriate level. Continues
lower mast TP / Drl equipment and property lost. and channelled
slowly Fatalities. communication between
personnel.
5. Fork lift in Derrick jerks while Falling objects. Connections gets Guide the derrick while raising TP / AD
position raising. In vertical loose. Drill line breaks. Derrick with fork lift pulling at the other
position derrick shakes over pulled to back side. Derrick end gradually releasing equal
AD / FLO
when raising stops collapse. to the draw works pull to
minimize sudden jerking, slack
and shake.
 6. Set Derrick and Struck by flying objects. Pins hits personnel. Tools Clear area below. Use tie-off TP / Driller
lock in pins. Fall, smash hands and dropping below. Personnel slips rope to secure pin, hammer,
TP / Drl
fingers. No Full Body and falls. Serious physical injuries. tools, etc. Wear full body
Harness. harness.
Contingency Plans “”What to do if something goes wrong?”
1. Provide first aid.
2. Seek additional medical care from medic.
3. For serious accident, alert supervisors for emergency purposes.
4.
5.
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Page No :

Job Safety Plan (JSP)

Permit No : Task : RIGGING DOWN AND PREPARING TO LOWER DERRICK
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Pre-job meeting Misunderstanding Discussion of procedures. Driller
procedures. Prepare and inspect all tools
Drilling crew
Personal injury. and equipment. Proper
personal protective equipment
2. Removing bails Wrong hand placements. Pinch points – struck by. Strains by Air hoist should be used to Driller/DM
and elevator from Equipment failure. Load derrick man – struck by. Pinch assist – inspect the air
the block swing. Awkward position points – caught between. hoist prior to use
Drilling crew
The hook should be opened
and a rag put between the
hook and lock
3. Check derrick Loose items dropping Serious physical injuries. Damage Derrick man to secure any DM
for any loose from heights, struck equipments. High-potential loose ropes, wire ropes,
Derrick man
debris by/hit by. incident shackles, pins.

4. Secure / remove Struck by, hit by, drop Serious physical injuries. Damage Remove any debris – be DM
stabbing board loose items, equipments, equipments. High-potential aware of any person who may
Secure monkey slip and fall incident be working under you – use
board and fingers fall protection
Secure with at least three (3)
Derrick man ropes or remove completely
Fall protection secured –
secure monkey board and
finger with at least two (2)
ropes

5. Check again for Struck by, hit by, drop Serious physical injuries. Damage Remove anything that may fall DM / FM
debris and check Derrick man / loose items, equipments, equipments. High-potential when derrick is lowered –
the rig lights, Floor man slip and fall incident always use fall protection
secure safety Fall protection equipment –
cables, check secure / remove any debris
sheave and drill
line

6. Pass air hoist Struck by – falls Serious physical injuries. Damage Right tool for the job DM / FM
line through derrick Dropping loose items, equipments. High-potential Fall protection equipment –
above monkey equipments, slip and fall. incident secure / remove any debris
board (after rig Floor men Remove anything that may fall
floor is secured) when derrick is lowered –
always use fall protection

7. Secure all lines, Struck by – falls Serious physical injuries. Damage Right tool for the job DM / FM
cables, wire ropes, Dropping loose items, equipments. High-potential Fall protection equipment –
ladders equipments, slip and fall. incident secure / remove any debris
Floor men Remove anything that may fall
when derrick is lowered –
always use fall protection

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job immediately
2. Reassessment of the task and job at hand according to risks and hazards
3. Conduct TBT and Plan new strategies accordingly.
4. If there are some injuries, immediately call for help and provide first aid.
5. Med-evac the patient to nearest medical facilities
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :
Permit No : Task : Rig Down Rig Up Mud pump
Prepared By : Sign : Date :
Basics Steps Responsible Hazard Identification Assessment Controls Responsible for
“How to do the Job?” for Step “What Can go wrong?” “What can happen if it goes “How do we stop it from going wrong?” Control “Who
“Who will do wrong?” will do it?”
it?”
1. Raise PTW and Job performed without notice. Miscommunication, Accidental Raise PTW. Conduct TBT and discuss JSP. AD / Derrick man
inform neighbouring AD Injury to personnel. JSP not remote start up. Serious physical
department discussed. injury. Steps unknown.
2. Prepare Pump Slips and falls, pinch points, Serious physical injury. Lost time. Follow proper lockout / tag out procedures. Inform AD / Driller / RAP
AD/ Derrick
trapped pressure, overexertion, Damage to tools and equipment. driller and CE. Proper hand signals. Isolate and run
man /
equipment damage. the pump.
Electrician
3. Flush out mud on Slips and falls, pinch points, Pinched fingers, smashed / trap Proper hand and body placement. Firm footing. AD / Derrick man
the lines of the mud trapped pressure, overexertion, hands and bodily parts. Back strains. Use tie-off ropes. Good communication. Keep clear
AD / Derrick
pumps/tanks by means equipment damage. Struck by of pinch and trap area.
man
of water

4. Watch for open lines Slips and falls, pinch points, Pinched fingers, smashed / trap Proper hand and body placement. Firm footing. AD / Derrick man
AD / Derrick
when flushing mud.(If trapped pressure, overexertion, hands and bodily parts. Back strains. Use tie-off ropes. Good communication. Keep clear
man
applicable) equipment damage. Struck by of pinch and trap area.
5. Attachment of slings Slips and falls, pinch points, Pinched fingers, smashed / trap Proper hand and body placement. Firm footing. AD / Derrick
AD / Derrick
on the lifting point of overexertion, equipment hands and bodily parts. Back strains. Use tie-off ropes. Good communication. Keep clear man/RA/RAP
man/RA/RAP
the mud tanks. damage. Struck by of pinch and trap area.
4. Closed work permit Slips and falls, pinch points, Pinched fingers, smashed / trap Proper hand and body placement. Manual handling A/D; C/E; D/M
trapped pressure, overexertion, hands and bodily parts. Back strains. / lifting techniques. Use proper tools for the job.
AD; D/M
equipment damage. Struck by Keep away from swing area. Team work. Make
sure work permit is properly closed.
Contingency Plans “”What to do if something goes wrong?”
1. Stop the job, inform supervisor.
2. Provide first aide, evacuate personnel from area.
3. Call Medics attention to provide additional medical assessment.
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :
Permit No : Task : Rig Down/Rig Up Substructure
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. PTW/TBT Miss Communication Wrong job being done PTW/TBT TP/DR/AD
Injury to personnel Personnel can get injured Insure it is understood by all
DR/AD
Equipment Damage while rigging down pins beams crew members involved in the
Equipments can get damage job.
2. Removal of pins Injury to personnel Pins can hit someone below PTW/TBT TP/DR/AD
Pinch points, Fall, Slip, Pinch points, Falling Insure it is understood by all
DR/AD/FM Trip hazards crew members involved in the
Dropped objects job.
Correct hand placement
3. Raising of the Injury to personnel Wrong job being done PTW/TBT TP/DR/AD
beams Pinch points, Fall, Slip, Personnel can get injured Insure it is understood by all Rigger 1(If
Trip hazards while rigging down pins beams crew members involved in the necessary)
Dropped objects Equipments can get damage job.
DR/AD/FM Equipment Damage Correct hand placement
Rigger 1 only will give signal
to crane operator(If
necessary) Use of taglines
for the load
4. Loading at the Injury to personnel Wrong job being done PTW/TBT TP/DR/AD
truck Pinch points, Fall, Slip, Personnel can get injured while Insure it is understood by all Rigger 1(If
Trip hazards rigging down pins beams crew members involved in the necessary)
Dropped objects Equipments can get damage job. Correct hand placement
DR/AD/FM Equipment Damage Rigger 1 only will give signal
Truck to crane operator(If
Pusher/Truck necessary) Truck pusher to
Driver assist on the load being
loaded at the truck. Good
communication with the driver
and rigger 1. Use of taglines
for the load
5.Closed out PTW Injury to personnel
Pinch points, Fall, Slip,
Trip hazards
DR/AD
Dropped objects
Equipment Damage
Wrong job being done Supervisor responsible for the DR/AD
Personnel can get injured PTW to be closed out.
while rigging down pins beams
Equipments can get damage

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job, inform supervisor.
2. Provide first aide, evacuate personnel from area.
3. Call Medics attention to provide additional medical assessment.
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Job Safety Plan (JSP)
Rig No :LR#218 ds
Page No :
Permit No : Task : Rig Down/Rig Up Substructure
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. PTW/TBT Miss Communication Wrong job being done PTW/TBT TP/DR/AD
Injury to personnel Personnel can get injured Insure it is understood by all
DR/AD
Equipment Damage while rigging down pins beams crew members involved in the
Equipments can get damage job.
2. Removal of pins Injury to personnel Pins can hit someone below PTW/TBT TP/DR/AD
Pinch points, Fall, Slip, Pinch points, Falling Insure it is understood by all
DR/AD/FM Trip hazards crew members involved in the
Dropped objects job.
Correct hand placement
3. Raising of the Injury to personnel Wrong job being done PTW/TBT TP/DR/AD
beams Pinch points, Fall, Slip, Personnel can get injured Insure it is understood by all Rigger 1(If
Trip hazards while rigging down pins beams crew members involved in the necessary)
Dropped objects Equipments can get damage job.
DR/AD/FM Equipment Damage Correct hand placement
Rigger 1 only will give signal
to crane operator(If
necessary) Use of taglines
for the load
4. Loading at the Injury to personnel Wrong job being done PTW/TBT TP/DR/AD
truck Pinch points, Fall, Slip, Personnel can get injured while Insure it is understood by all Rigger 1(If
Trip hazards rigging down pins beams crew members involved in the necessary)
Dropped objects Equipments can get damage job. Correct hand placement
DR/AD/FM Equipment Damage Rigger 1 only will give signal
Truck to crane operator(If
Pusher/Truck necessary) Truck pusher to
Driver assist on the load being
loaded at the truck. Good
communication with the driver
and rigger 1. Use of taglines
for the load
5.Closed out PTW Injury to personnel
Pinch points, Fall, Slip,
Trip hazards
DR/AD
Dropped objects
Equipment Damage
Wrong job being done Supervisor responsible for the DR/AD
Personnel can get injured PTW to be closed out.
while rigging down pins beams
Equipments can get damage

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job, inform supervisor.
2. Provide first aide, evacuate personnel from area.
3. Call Medics attention to provide additional medical assessment.
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :
Permit No : Task : Rig Up Draw works
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. conduct TBT Miscommunication. Serious physical injuries. Discuss all potential hazards. Driller / QSO / TP
Personnel unaware of Properties damage/lost. Down time Review PTW. Designate
TP operation and personnel for specific job.
procedures. Dropped
draw works.
2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher
damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. . Keep fingers and hands RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to clear between block hook
RAP
equipments. latch and sling/shackle.

4. Pick up Load swing. Load falls. Injuries to personnel. Damage to Clear area under suspended Rigger / QSO
Drawwork. Rigger/ Crane equipments. load.
Operator

4. Set lock pins, Struck by flying objects. Pin hits personnel. Tools dropping Clear area below. Use tie-off TP / Driller
Secure draw works Fall, smash hands and below. Personnel slip and fall. rope to secure pin, hammer,
TP / Driller
fingers. Serious physical injuries. tools, etc. Wear full body
harness.
5. Remove unused Falling objects. Struck-by Loose Pins, shackles, pins etc, Tie-off all cables and slings. TP / Driller
tools or hit by. Dangling cables drops and hits other vehicles and Double check all shackles and
AD / RAP
and slings. Loose personnel. pins and the mast for any
objects. loose objects.
Contingency Plans “”What to do if something goes wrong?”
1. Stop the job
2. Reassessment of the task and job at hand according to risks and hazards
3. Conduct TBT and Plan new strategies accordingly.
4. If there are some injuries, immediately call for help and provide first aid.
5. Medevac the patient to nearest medical facilities
 Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :
Permit No : Task : Un Load Sub Base using Three cranes
Prepared By : Sign : Date :
Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. PTW/TBT Miss Communication Wrong job being done PTW/TBT Truck Pusher
Injury to personnel Personnel can get injured while Insure it is understood by all
Truck Pusher
Equipment Damage rigging down pins beams crew members involved in the
Equipments can get damage job.
2. Inspect GLG Injury to personnel, Set base dropped, Serious injures PTW/TBT TP/DR/AD
slings Truck Pusher/ Dropped objects, Load Good visual inspection of
Driller/ A/D failed GLG

3. Set Cranes Load failed, drooped Wrong job being done PTW/TBT Truck Pusher
position crane failed Personnel can get injured Insure it is understood by all Rigger 1
while Propriety damage crew members involved in the
job.
Rigger Correct crane position
Rigger 1 only will give signal
to crane operator(If
necessary) Use of taglines
for the load
4. connect Sling Pinch point, Caught by. Pinched hands and fingers. Use Impact gloves . Keep RAP / A/D / QSO
on load Injuries to personnel. Damage to fingers and hands clear
equipments. between block hook latch and
RAP sling

5. Pick up Sling Injury to personnel Collapse, Serious Injured , PTW/TBT TP/DR/AD

Pinch points, Fall, Slip, Propriety Damage Insure it is understood by all Rigger 1
Rigger/Truck Trip hazards crew members involved in the
Pusher/Truck Dropped objects job. Correct hand placement
Driver Equipment Damage Rigger 1 only will give signal
to crane operators Truck
pusher to assist on the load
 being loaded at the truck.
Good communication with the
driver and rigger 1. Use of
taglines for the load
Set Truck Struck, Serious injures Personal Injury, Propriety Set Truck and reversing Truck Pusher/
Truck Pusher/
Damage Rigger Truck
Rigger/ truck
driver
Driver
6. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. Attach lanyard and secure
RAP
self from fall.

7.Closed out PTW Injury to personnel
Pinch points, Fall, Slip,
Trip hazards
DR/AD
Dropped objects
Equipment Damage
Wrong job being done Supervisor responsible for the DR/AD
Personnel can get injured PTW to be closed out.
while rigging down pins beams
Equipments can get damage

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job, inform supervisor.
2. Provide first aide, evacuate personnel from area.
3. Call Medics attention to provide additional medical assessment.
Supervisor’s Name : Signature :
I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the remedial
actions to be taken to eliminate, reduce or control the hazards.
Crew’s Name and Signature
1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Briefing area 02 Using two cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher/
to where load is to Truck hits personnel in equipments. signal. Good communication. Truck Driver
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger / QSO
equipments. swing motion. Clear area
Crane Operator under suspended load.

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher/
Truck Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set tanks on the Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
ground Rigger / Crane by or swing hit. Spill equipments. environmental feet and legs away from load.
Operator damage Spill kit

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Briefing area 01 Using two cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger / QSO
equipments. swing motion. Clear area
Crane Operator under suspended load.

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
Truck Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set tanks on the Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
ground Rigger / Crane by or swing hit. Spill equipments. environmental feet and legs away from load.
Operator damage Spill kit

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Load / Unload Skids with Cranes TANDEM LIFT

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Prepare Critical Rigger Wrong Crane position Injuries to personal, damage to Rigger raise proper critical Rigger
lifting plan. equipment lifting plan, discussed the plan

2. Position trucks Drive into equipment. Injuries to personnel. Damage to Rigger give proper hand Rigger / Truck
to where load is to Truck hits personnel in equipments. signal. Good communication. Pusher
Truck Pusher/
be off loaded. the area. One flag man only.
Rigger

3. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

4. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep Rigger / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
Rigger equipments. between block hook latch and
sling/shackle.

5. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger/ QSO
Rigger/ Crane equipments. swing motion. Clear area
Operator under suspended load.
6. Drive truck off Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
load. Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.

7. Set load to Trap under load. Caught Injuries to personnel. Damage to Use tag line. Clear area under QSO/ Rigger
ground. Rigger / Crane by or swing hit. equipments. load. Keep feet and legs away
Operator from load.

9. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Diesel Tanks (TANDEM LIFT)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
to where load is to Truck hits personnel in equipments. signal. Good communication. Driver
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RA equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on QSO/ Rigger
Crane Operator/ equipments. swing motion. Clear area
Rigger under suspended load.

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
Lowbed Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set tanks on the Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
ground Rigger / Crane by or swing hit. Spill equipments. environmental feet and legs away from load.
Operator damage Spill kit

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Gasoline Tank (TANDEM LIFT)

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep Rigger/ QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up Tanks. Load swing. Load Injuries to personnel. Damage to Clear area under suspended RAP / A/D /
Crane Operator/ Collapse. Spill equipment. spill load. Only rigger who gives Rigger
Rigger signals, Prepare Spill kit

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
Lowbed Truck Driver / something. equipments. signal. Good communication.
Truck Pusher One flag man only.
6. Set Tank on the Unbalanced tank. Injuries to personnel. Damage to Set pipe rack properly. Rigger/ QSO
Pipe Rack Rigger / Crane Dropped equipments. Unload Tank in balance
Operator position.

7. Remove lifting Pinch point, . Personal Injury Wear impact gloves . RAP / A/D / QSO
equipment. RAP

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Hopper Unit Using two cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger / QSO
Rigger/ Crane equipments. swing motion. Clear area
Operator under suspended load.

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
Truck Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set Hopper on Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
the ground Rigger / Crane by or swing hit. Spill equipments. environmental feet and legs away from load.
Operator damage Spill kit

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Koomy Unit Using two cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on RAP / A/D / QSO
Rigger/Crane equipments. swing motion. Clear area
Operator under suspended load.

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
Truck Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set koomy on Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
the ground Rigger / Crane by or swing hit. Spill equipments. environmental feet and legs away from load.
Operator damage Spill kit

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Mud Tank Using two cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger / QSO
Rigger/ Crane equipments. swing motion. Clear area
Operator under suspended load.

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
Truck Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set tanks on the Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
ground Rigger / Crane by or swing hit. Spill equipments. environmental feet and legs away from load.
Operator damage Spill kit

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.
 Job Safety Plan (JSP)
Rig No :

Page No :

Permit No: Task: Unload Building With Crane

Prepared By : Sign : Date :

Basic Steps Responsible for Hazard Identification Assessment Controls Responsible

“How to do the Job?” Step “What can go wrong?” “What can happen if it “How do we stop it for control
“Who Will do it?” goes wrong?” from going “Who will do it?”
1. Position trucks to Drive into Equipment Damage to wrong?”give
Spotter
where load is to be off Truck Pusher drive over people. Equipment & Injuries Direction, all other T/P
loaded. to workers. hand clear area.
2. Inspect lifting Truck Pusher Drop load injuries to Equipment damage & Inspect equipment Truck Pusher
Equipment. workers. Injuries.

3. Hook crane up to Roustabout Fall struck by crane Injuries. Fall Protection stay Crane /optr
load. Pusher block. alert. Roustabout
Pusher
4. Pick up load. Crane operator/ Load could shift Equipment damage & Use tag line, do not T/P, Rigger
Rigger swing or fall. injuries. stand under Crane/optr
suspended load,
5. Drive truck out from Truck driver/ Rain over or into Damage Equipment Spotter give T/P
under load. Truck Pusher something. Personal injuries. directions.
6. Set down load. Rigger & Crane Drop load, swinging Damage & injuries Tag line, don’t Rigger/ Crane
Operator loads pinch points. stand in line of fire operator
pinch point area.
 Basic Steps Responsible for Hazard Identification Assessment Controls Responsible
“How to do the Job?” Step “What can go wrong?” “What can happen if it “How do we stop it for control
“Who Will do it?” goes wrong?” from going “Who will do it?”
wrong?”
7. Remove lifting Roustabout Fall Personal injuries Fall protection T/P &
Equipment. pusher Roustabout
pusher
8.

9.

10.

Contingency Plans “What to do if something goes wrong”

1. Stop
2. Reevaluate
3. Make up new plan
4. continue job
5.
Supervisor’s Name: Signature:

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with
my work and the remedial actions to be taken to eliminate, reduce or control hazards.
Crew’s Name & Signature
1. 5.
2. 6.
3. 7.
4. 8.
 Rig No :
Job Safety Plan (JSP) Page No :

Permit No : Task : Unload Pipe Boxes Using two cranes

Prepared By : Sign : Date :

Basics Steps Responsible for Hazard Identification Assessment Controls Responsible for
“How to do the Job?” Step “What Can go wrong?” “What can happen if it goes wrong?” “How do we stop it from going Control
“Who will do it?” wrong?” “Who will do it?”
1. Position trucks Drive into equipment. Injuries to personnel. Damage to Banks man give proper hand Truck Pusher
to where load is to Truck hits personnel in equipments. signal. Good communication.
be loaded. Truck Pusher the area. One flag man only.

2. Inspect lifting Load drops to personnel. Injuries to personnel. Damage to Check for appropriate SWL. Truck Pusher /
equipments Lifting equipment failure. equipments. Inspect all lifting gears for QSO
Truck Pusher damages.

3. Rig up load to Struck by crane hook Pinched hands and fingers. Use full body harness. Keep RAP / A/D / QSO
crane hook block. Caught by. Injuries to personnel. Damage to fingers and hands clear
RAP equipments. between block hook latch and
sling/shackle.

4. Pick up load. Load swing. Load falls. Injuries to personnel. Damage to Use tag line. Counter pull on Rigger / QSO
Crane Operator/ equipments. swing motion. Clear area
Rigger under suspended load.

5. Move out the Ran over or hit Injuries to personnel. Damage to Banks man give proper hand Truck Pusher /
Truck Truck Driver / something. equipments. signal. Good communication. QSO
Truck Pusher One flag man only.
6. Set tanks on the Trap under load. Caught Injuries to personnel. Damage to Clear area under load. Keep Rigger / QSO
ground Rigger / Crane by or swing hit. Spill equipments. environmental feet and legs away from load.
Operator damage Spill kit

7. Remove lifting Slip, trip and falls. Personal Injury Wear full body harness. RAP / A/D / QSO
equipment. RAP Attach lanyard and secure
self from fall.

Contingency Plans “”What to do if something goes wrong?”

1. Stop the job. Reassessment of job at hand.
2. Provide first aid.
3. Call medic for additional medical
attention. 4.
5.
Supervisor’s Name : Signature :

I had fully understood all the details in this Job Safety Plan (JSP) as discussed by my supervisor. I am fully aware of the hazards involved with my work and the
remedial actions to be taken to eliminate, reduce or control the hazards.

Crew’s Name and Signature

1. 5.
2. 6.
3. 7.