EMPC JOB SAFETY ANALYSIS – REVIEW FORM March 2010 – Rev.

Facility / Site: West Qurna I Oil Field Location within Site: DS6 inside near Permit No:       Permit Type: Date: 4/1/2016
transformer area
Task Description (include Equipment Numbers as Practical): installing panel foundation and panel by using Hiab.electrical work include wiring and fxing panel ,drilling work and operating portable generator

REQUIRED REFERENCES JSA REVIEW

Have the relevant Procedures, Standards, Guidelines,
Yes N/A Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the
or Safe Work Practices been reviewed?
significant Task Steps, Hazards, and Controls.
Attach or List Procedures:      
JSA REVIEWER (SUPERVISOR OR DESIGNATE) SIGNATURE:
RISK ASSESSMENT
Must existing Procedures or Work Practices be
Yes No NAME (PRINT):       Company:      
modified to perform this work? (MOC required)
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (Scenario-Based Yes No
Risk Assessment required)
The Work Team has assessed the worksite conditions and confirms:
IF YES TO EITHER QUESTION ABOVE, ATTACH THE  The JSA addresses the applicable hazards and necessary controls.
MOC OR RISK ASSESSMENT BEFORE PROCEEDING
 The Team has the appropriate resources (people and equipment) to do the job safely.
PPE REQUIRED DURING THIS TASK
(Summarize PPE fron the THA and/or Hazard Management Form)
 Others that could be affected by the work have been informed.
 Energy isolation (if applicable) has been VERIFIED and DEMONSTRATED.
HARD HAT SAFETY GLASSES
FACE SHIELD
SAFETY SHOES / BOOTS TASK LEADER SIGNATURE:
GOGGLES
HEARING PROTECTION: GLOVES: NAME (PRINT): ALI SALEH Company: ALMCO-M088
SINGLE COTTON
COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
DOUBLE LEATHER
(Sign on to the Permit Declaration if this JSA is associated with a Permit Pack)
IMPACT PROTECTION
RESPIRATOR TYPE Work Team Declaration:
OTHER (specify): I acknowledge that I have reviewed the attached JSA, I understand my roles
(specify):      
      and responsibilities, and I will comply with the instructions for this task.
SCBA
CHEMICAL (specify): Name (print): Name (print):
DUST MASK                  
FALL PROTECTION CHEMICAL SUIT            
FALL RESTRAINT APRON            

LIFE VEST FOUL WEATHER GEAR (specify):            

WORK VEST      
           

FLAME RESISTANT            

CLOTHING            
OTHER PPE (specify):                  
           

EMPC JOB SAFETY ANALYSIS – TASK HAZARD ASSESSMENT FORM March 2010 – Rev. 1

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 This table of Hazards and Controls can assist the work group to manage hazards for the proposed work. The table does not include all possible hazards. It is expected
that the required PPE for the activity and work conditions will be used. Determine the Hazards that are present for the task and identify the Controls to be implemented.
Pressurized
Equipment
Perform isolation – LO/TO,
blinding, or defeat
Depressurize, drain, purge,
and vent
Relieve trapped pressure
Avoid auto-refrigeration
when depressurizing
Anticipate residual pressure
or fluids
Secure temporary hoses
Hazardous
Substance
Drain or purge equipment
Follow MSDS controls
Implement health hazards
controls (Lead, Asbestos,
H2S, Iron Sulphide,
Sulfur Dioxide, NORM)
Test or analyze material
Portable Electrical
Equipment
Inspect equipment for
condition and test date
currency
Implement continuous gas
testing
Protect electrical leads from
impact or damage
High Energy or
High Voltage
Restrict access to authorized
personnel only
Discharge equipment and
make electrically dead
Observe safe work distances
for live cables
Use flash burn PPE suit
Use insulated gloves, tools,
and mats
Poor Lighting
or visibility
Provide alternate lighting
Wait or defer until visibility
improves
No work over water that
could require rescue
(including sea state)
Potential Spills
Drain equipment
Provide spill containment
equipment
Have spill clean up materials
and equipment on hand
Restrain and isolate hoses
when not in use
Radiation Hazard
Use barriers and signs to
restrict access
Notify personnel who may
be affected
Implement NORM controls
Conduct RAD testing
Excavations
Have an excavation plan or
safe work practice
Locate underground pipes
or cables by hand digging
De-energize underground
services
Implement confined space
entry controls
Personnel
Provide induction or training
for new workers
Mentor, coach, or supervise
Verify competencies, skills,
and experience
Address applicable limitations
(fatigue, exhaustion, and
restricted duty)
Manage multiple languages
Equipment
Hot or Cold
Heat or cool equipment
before work starts
Install barriers
Provide warning signs
Implement cold temperature
and brittle failure controls
Wear thermal gloves
Moving Objects
or Equipment
Confirm machinery guard
integrity
Provide protective barriers
Observer to monitor proximity
of people and equipment
Shut down or lockout
equipment
Do not work in the line of fire
Waste Clean Up
and Disposal
Apply environmental
management practices
Follow site waste
management procedures
Clean up equipment and
materials at site
Optimize task to minimize
waste production
Confined Space
Discuss confined space
entry safe work practice
Conduct atmospheric testing
Monitor access or entry
Protect surfaces from
inadvertent contact
Do not locate mobile engines
near confined space
Provide observer
Develop rescue plan
High Noise
Wear correct hearing PPE
Manage exposure times
Shutdown equipment
Use "quiet" tools
Sound barriers or curtains
Provide or use suitable
communication techniques
Manual Handling
Assess manual handling task
Limit load size
Manage posture
Confirm stability of load and
work platform
Get assistance or mechanical
aid to avoid pinch points
Other Energy
Sources
Spring compression or
expansion control
Implement electromagnetic
(radio) controls
Manage pressure or vacuum
Manage heat generating
processes
Use seismic activity safe work
practice
Simultaneous
Operations
(SIMOPS)
Follow SIMOPS matrix
MOC required for deviation
from SIMOPS restrictions
Interface between groups
Use barriers and signs to
segregate activities
Have permit counter signed
by leader of affected groups
Falling or
Dropped Objects
Use signs and barriers to
resrict entry or access under
work at elevation
Use lifting equipment to raise
tools to or from the work
platform
Secure tools (tie-off)
Equipment
and Tools
Inspect equipment and tools
No use of modified tools
Use protective guards
Use correct tools and
equipment for task
Protect or remove sharp
edges
Apply hand safety principles
Mobile
Equipment
Assess equipment condition
Implement controls on users
or access
Limit and monitor proximity to
live equipment or cables
Manage overhead hazards
Adhere to road and site rules
Weather
Implement controls for
slippery surfaces
High winds – goggles
Heat – hyrdration, breaks
Cold – PPE, heaters
Lightening – tool selection,
defer work
Lifting
Equipment
Confirm lifting equipment
condition and certification
Obtain approval for lifts
over processing
equipment
Have a documented and
approved lift plan
Vibrating
Equipment
Manage exposure times
Assess affect of vibration
on equipment
Use low vibration
equipment
Apply noise controls
Other Hazards
Implement abrasive
blasting controls (for
equipment and practices)
Prepare a dive plan
Manage potential blocked
or plugged equipment
MOC required for
temporary connections
or modifications
Ignition Sources
Remove, isolate, or contain
combustible materials
Provide fire fighting equipment
Construct a fire-safe habitat
Provide a fire watch during
and after hot work
Conduct continous gas testing
Bond or earth for static
electricity or cathodic protection
Work at Heights
Discuss working at heights safe
work practice
Verify fall restraint and arrest
equipment certification
Apply abseiling safe work
practice
Slips, Trips,
and Falls
Identify and shield uneven
surface or projections
Secure or cover cables, cords,
and tubing
Clean up liquids
Barricade or rope-off openings
and holes
Emergency
Response
Keep egress route open
Keep shower and eye wash
stations accessible
Have a rescue plan in place
Keep emergency alarm, fire
equipment, and shutdown
locations unobstructed
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 EMPC JOB SAFETY ANALYSIS – HAZARD MANAGEMENT FORM March 2010 – Rev. 1

Task Description: Installation of panel foundation and panel by using 12 hiab

Note: If the scope of work or the conditions change significantly, STOP THE JOB. Revise the JSA to address the hazards before proceeding.
Complete Task Steps / Potential Hazards / Hazard Controls PRIOR to the JSA Reviewer. Complete Assigned Person AT THE WORK SITE (after JSA Reviewer has signed)

TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS ASSIGNED PERSON

(Number) (What could go wrong?) (How can harm be prevented?) Name Complete

Hiab movement Traffic hazard 1.Control traffic by flagman; wear high visible vests
Pinch point / person caught by 2. watch moving equipment, use reverse horn/use flag
equipment Man.
‫مخاطر مرورية‬ 1. ‫مراقبة حركة المرور‬
‫ شخص اشتعلت من قبل معدات‬/ ‫قرصة نقطة‬ .‫التي كتبها حامل الراية‬
‫ارتداء سترات ومرئية‬
‫عالية‬
2. ‫مراقبة المعدات‬
‫ استخدم‬،‫المتحركة‬
‫ استخدام‬/ ‫العكسي قرن‬
‫العلم مان‬.
1. Hiab outriggers shall be deployed in accordance with manufacturer’s instructions.
Setting up of Hiab. Overturning of the Hiab 2. When riggers are fully deployed the crane shall be level with all wheels clear on the
Collapse of the ground beneath ground.
‫تنصيب الهياب‬ 3. Sufficient Ballast/Counter-weight shall in place.
outriggers
‫ انقالب الهياب‬. 4. Outriggers (where applicable) shall only be deployed on firm level ground.
5. Outriggers feet shall be fully supported on purpose made Pans or adequate timbers
‫انهيار األرضية تحت قواعد االهياب‬ ‫يتم تنصيب الكرين حسب استندرات الشركة المصنعة‬.1
‫يجب ان يكون مسنوى القواعد االربعة متساوية على االرض‬.2
‫يجب مكافئة وزن الكرين على االرض‬.3
‫يجب تنصيب الكرين على االرضية المستوية‬.4
‫يجب ان تكون القواعد التي يرتكز عليها الهياب قوية‬.5

Installation of panel
foundation and panel by
using 12 hiab
Pinch point 12. watch your hand and finger placement,            
Fall from ladder use proper PPE(hand gloves)
Collapse of ladder 13.Fallow fall protection procedures(use proper harness)
Hit by Equipment/load 14.Inspect the ladder before use, hold ladder by one person
Equipment failure/tools failure 15.Watch for moving equipment, use tag line to control load, use signal person
16.Inspect equipment before use, make sure rigging tool rated properly
Traffic issues 17.Control traffic by flagman, barricade work area to divert traffic
Crane/load collapse 18.Make sure area well compacted, fallow the load chart and make sure wind
speed limit less than 36 km/h

‫االنتباه الى مواضع اليدين واالصابع وارتداء الكفوف‬ .1

) ‫اتباع نظام الحماية من السقوط (ارتداء حزام‬ .2
‫فحص السلم قبل االستخدام ومسك السلم من قبل شخص اخر‬ .3

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 EMPC JOB SAFETY ANALYSIS – HAZARD MANAGEMENT FORM March 2010 – Rev. 1

Task Description: Installation of panel foundation and panel by using 12 hiab

Note: If the scope of work or the conditions change significantly, STOP THE JOB. Revise the JSA to address the hazards before proceeding.
Complete Task Steps / Potential Hazards / Hazard Controls PRIOR to the JSA Reviewer. Complete Assigned Person AT THE WORK SITE (after JSA Reviewer has signed)

TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS ASSIGNED PERSON

(Number) (What could go wrong?) (How can harm be prevented?) Name Complete

‫ االنتباه الى حركة المعدات واالحمال واستخدام حبال لسيطرة على الحمل و وجود شخص العطاء‬.4
‫االشارة لمشغل الكرين‬
‫ فحص المعدات قبل بدء العمل واستخدام وسائل رفع جيدة‬.5
‫ وجود رجل راية لسيطرة على حركة االليات ووضع شريط تحذيري لتحديد منطقة العمل‬.6
‫ التاكد من ان االرضية محدولة جيدا واتباع جدول االحمال والتاكد من حدود سرعة الريح ان تكون اقل‬.7
‫ساعة‬/‫كم‬36
6. HIAB outriggers shall be deployed in accordance with manufacturer’s instructions.
Set Down Hiab Overturning of the crane. 7. When riggers are fully deployed the crane shall be level with all wheels clear on the
Collapse of the ground beneath ground.
‫انسحاب الهياب من موقع‬ outriggers 8. Sufficient Ballast/Counter-weight shall in place.
‫العمل‬ ‫ انقالب الكرين‬. 9. Outriggers (where applicable) shall only be deployed on firm level ground.
10. Outriggers feet shall be fully supported on purpose made Pans or adequate timbers
‫انهيار األرضية تحت قواعد الكرين‬ ‫يتم تنصيب الكرين حسب استندرات الشركة المصنعة‬.1
‫يجب ان يكون مسنوى القواعد االربعة متساوية على االرض‬.2
‫يجب مكافئة وزن الكرين على االرض‬.3
‫يجب تنصيب الكرين على االرضية المستوية‬.4
‫يجب ان تكون القواعد التي يرتكز عليها الكرين قوية‬.5
Elecrtical Conduits, panel , Pinch point 1.watch your hand placement, use proper hand gloves            
: Wiring and cable tray Manual handling 2.fallow manual handling technics
Material placement Trip/fall (Ask for help, don’t over load, bend knees while lifting load)
‫نقاط القرص‬ 3.make sure pathway clear of obstructions
‫التحكم اليدوي نقل الموااد‬ 1- ‫االنتباه{ الماكن وضع اليدين واستخدام الكفوف‬
‫التعثر والسقوط‬ 2 - ) ‫الرفع يصورة صحيحة (طلب االستعانة من زمالء العمل والرفع بصوره صحيحة بثني الركبتين‬
3- ‫تنظيف ارضية الموقع ومسالك الدخول والخروج الماكن العمل‬
Fixing panel ,boxes and Injury (eye/hand/head) 14. Use proper PPE(goggles/hand gloves/hard hat)            
install pipes )‫الرأس‬,‫اليدين‬,‫االصابة بجروح (العينين‬ 14- )‫حذاء سيفتي‬, ‫كفوف‬,‫ارتداء معدات السالمة الشخصية (نظارات‬
{‫ربط حامالت االنابيب وتنصيب‬
{‫االنابيب‬

Pulling wire in to conduit Injury (eye/hand/head) 4.use proper PPE(goggles/hand gloves/hard hat)
‫ الرأس ) مد انابيب{ الكهرباء وتسليك‬,‫ اليدين‬, ‫االصابة بجروح (العينين‬ 4- ‫اتداء معدات السالمة الشخصية‬
‫الوايرات‬ 5

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 EMPC JOB SAFETY ANALYSIS – HAZARD MANAGEMENT FORM March 2010 – Rev. 1

Task Description: Installation of panel foundation and panel by using 12 hiab

Note: If the scope of work or the conditions change significantly, STOP THE JOB. Revise the JSA to address the hazards before proceeding.
Complete Task Steps / Potential Hazards / Hazard Controls PRIOR to the JSA Reviewer. Complete Assigned Person AT THE WORK SITE (after JSA Reviewer has signed)

TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS ASSIGNED PERSON

(Number) (What could go wrong?) (How can harm be prevented?) Name Complete

Drilling a holes panel Dust expose 9.use proper PPE and dust mask and spray water
board Injury (hand /foot/eye) 10.Use proper PPE(hand gloves/safety shoe/goggles)
Manual handling 11.Follow manual handling techniques
Trip, falls 12.Make sure pathway is clear ,watch your walk steps and maintain good
Tools failure housekeeping in your site
Noice /vibration 13.inspect hand tools before use it
Fire hazard 14.wear correct hearing PPE ear muff / reduce the exposure time
Electrical shok 15.keep fire extinguisher near from work
16. Inspect the tool, wires, insulation, grounding
‫التعرض التربة والغبار المتطاير‬ 9.)‫ارتداء معدات السالمة الشخصية االزمة وكذلك ارتداء واقية التنفس من االتربة والغبار (كمامة‬
)‫االصابة بجروح في (اليدوالقدم والعين‬ 10. )‫ارتداء معدات السالمة الشخصية المناسبة للعمل (كفوف عمل وحذاء سيفتي ونظارات سالمة‬
‫المناولة اليدوية‬ 11. ‫وثني الركبتين عند‬, ‫استخدام المناولة بصورة صحيحة عند الرفع والسحب (االستعانة بزمالء العمل‬
‫التعثر والسقوط‬ ‫الرفع ) وكذلك الوقوف بصورة مناسبة اثناء العمل لتحاشي االم الظهر‬
‫فشل المعدات اليدوية‬ 12. ‫المحافظة على نظافة الموقع والتاكد من ان مسالك الدخول والخروج الى موقع العمل نظيفة‬
‫االهتزاز‬/ ‫الضوضاء‬ 13.‫فحص المعدات اليدوية قبل استخدامها‬
‫االصابة بصعقة كهربائية‬ 14.‫ تقليل وقت التعرض الهتزاز‬/ ‫ارتداء معدات حماية الجهاز السمعي الصحيحة‬
15.‫وجود طفاية حريق في موقع العمل‬
16.‫فحص المعدات الكهربائية والكيبالت والتاكد من وجود ارضي للمولد‬

Fixing bolt by using hand
tools
‫تثبيت البولتات بأستخدام معدات‬
‫يدوية‬
Injury (hand /foot/eye) 16.Use proper PPE(hand gloves/safety shoe/goggles)
Manual handling 17.Follow manual handling techniques
Trip, falls 18.Make sure pathway is clear ,watch your walk steps and maintain good
Tools failure housekeeping in your site
19.inspect hand tools before use it
)‫االصابة بجروح في (اليدوالقدم والعين‬ 16. )‫ارتداء معدات السالمة الشخصية المناسبة للعمل (كفوف عمل وحذاء سيفتي ونظارات سالمة‬
‫المناولة اليدوية‬ 17. ‫وثني الركبتين عند‬, ‫استخدام المناولة بصورة صحيحة عند الرفع والسحب (االستعانة بزمالء العمل‬
‫التعثر والسقوط‬ ‫الرفع ) وكذلك الوقوف بصورة مناسبة اثناء العمل لتحاشي االم الظهر‬
‫فشل المعدات اليدوية‬ 18. ‫المحافظة على نظافة الموقع والتاكد من ان مسالك الدخول والخروج الى موقع العمل نظيفة‬
19.‫فحص المعدات اليدوية قبل استخدامها‬

Operating poratable Injury (hand /foot/head) 6. Use proper PPE(gloves, safety shoe/hard hat)
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 EMPC JOB SAFETY ANALYSIS – HAZARD MANAGEMENT FORM March 2010 – Rev. 1

Task Description: Installation of panel foundation and panel by using 12 hiab

Note: If the scope of work or the conditions change significantly, STOP THE JOB. Revise the JSA to address the hazards before proceeding.
Complete Task Steps / Potential Hazards / Hazard Controls PRIOR to the JSA Reviewer. Complete Assigned Person AT THE WORK SITE (after JSA Reviewer has signed)

TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS ASSIGNED PERSON

(Number) (What could go wrong?) (How can harm be prevented?) Name Complete

Generator Manual handling 7. fallow manual handling techniques

Failure hand tools/electrical tools (Ask for help, don’t over load, bend knee while lifting)
Electrical shock 8.Inspect hand tools/electrical tools before use
‫نقاط القرص‬ 9.Inspect wire, cords, grounding before use
‫الرأس) بجروح‬,‫القدمين‬, ‫اصابة (اليدين‬ 6- - ‫ارتداء معدات السالمة الشخصية‬
‫التحكم اليدوي الخاطئ‬ 7-- )‫اتباع تكنيك التحكم اليدوي (طلب المساعدة من االخرين في حالة الحمل الزائد وثني الركبة اثناء الرفع‬
‫فشل المعدات اليدوية والكهربائية‬ 8-- ‫فحص المعدات اليدوية والمعدات الكهربائية قبل االستخدام‬
‫االصابة بصعقة كهربائية‬ 9- ‫فحص الكيبالت{ واالسالك والتأريض قبل بدء العمل‬
Re-fuel the generator Injury (hand /foot/head) 6. Use proper PPE(gloves, safety shoe/hard hat)
Manual handling 7. fallow manual handling techniques
Chemical Exposure (Ask for help, don’t over load, bend knee while lifting)
Spilt fuel on the ground 8. follow MSDS , use hand pump and fuel tank to refuel and use rubber gloves
9. use box under the generator and cover it with nylone and put cap on the fuel
tank after you finsh refuel
‫نقاط القرص‬ 6- - ‫ارتداء معدات السالمة الشخصية‬
‫الرأس) بجروح‬,‫القدمين‬, ‫اصابة (اليدين‬ 7-- )‫اتباع تكنيك التحكم اليدوي (طلب المساعدة من االخرين في حالة الحمل الزائد وثني الركبة اثناء الرفع‬
‫التحكم اليدوي الخاطئ‬

Working inside degases H2S ‫التعرض لغاز‬ 35.SOC monitoring is required (H2S,Cables,Pipes)
station ‫كبريتيد الهايدروجين‬ 35- {‫فحص الغاز من شركة نفط الجنوب واالنابيب‬

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