Job Safety and Environmental Analysis Worksheet

Job Safety Analysis
CONTRACTOR IDENTIFICATION CODE
3911-LZ-PC-AA000126 REV.0
LOCATION: PROJECT: OWNER (ORPIC) IDENTIFICATION CODE
SOHAR, SULTANATE OF OMAN LIWA PLASTICS PROJECT S000-CN-PRO-00126-00-TCMT
JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET
Work Activity: Unloading of Crawler crane components JSA Protocol No: 3911-LZ-JSA-010-17-156
Issued Date: 04/10/2017
SUBCONTRACTOR Name: TOWELL ENGINEERING SERVICES CO.LLC Revalidation Date: 03/01/2017
(To be Reviewed after 90 days)
JSA Work Team:
JSA Team Members: Ramasamy, Sudan Shu, Ramprasath
Task Location: Plot 10 A251,252,253
 Is a site visit to the job location required - Yes/No (*)  Is everyone trained qualified to do the work - Yes/No (*)
 If it is confined space entry job they have all issues as per confined space (*) Need to answer to these questions!!!
procedure been considered / addressed? Yes/No (*)
Sequence of Basic Job steps Potential Incidents or Hazards Way to Eliminate or reduce potential Hazards
List the task required to perform the Against each task list the hazards List the control measures required to eliminate or minimize the risk of injury arising
S.N.
activity in the sequence they are that could cause injury when the from the identified hazard
carried out task is performed
1 Unloading of Crawler crane  Non-compliance with Orpic/  Ensure that proper Cold Work Permit to Work and Lifting Work Permit are
components Tecnimont HSSE Procedure obtained from Tecnimont Issuing Authority for the lifting activities.
 Ensure that all permit requirements are fully implemented.
 Approved PTW must be displayed at work place in the permit box.
 Approved Work method Statements and JSA/RA shall be available at job
location and same to be explained to the workforce prior commencement of
each task.
 Ensure the availability of first aid kit & authorized first aider at site.
 Conduct the STARRT activity prior of commencing of any activity
 Ensure competent workers for the task.
 Ensure attendance to the follows mandatory HSSE training:
o Site HSSE Induction (all personnel),
JSA Protocol No: 3911-LZ-JSA-10-17-156 | Date: 04/10/2017
Job Safety Analysis
3911-LZ-PC-AA000126 REV.0
o PPE Training (all personnel),

o PTW Training (all Supervisors/ foreman),
o Fire prevention training (all Supervisors/ foreman/ fire watch),
o First Aid Training (First Aiders)
o Environmental awareness (all personnel),

o Rigging and lifting operation awareness training for all lifting
equipment operators and Riggers.
o Banksman (all banksman),
o STARRT Training (all Supervisors/ foreman)
o Heat Stress Training (all personnel).
o Emergency Response Training (all personnel)
o Proper Illumination of the area of working during Night Shift Activity
2 Unloading of Crawler crane  Failure of lifting tools &  Ensure that proper PTW are obtained from TCM
components with Mobile crane Equipment  TBT to be conducted before the start of work (STARRT)
 Noncompliance with Orpic  More than 20 Ton we shall submit the lifting plan to TCM for approval.
/Tecnimont HSSE Procedure  Lifting Equipment, Tools & Shackles shall have valid third party certificate and
 Incompetent and untrained color coded, crane plot plan available
workers  Operator to complete the daily crane checklist. Visual inspection shall be
conducted for all the lifting tools and tackles by lifting supervisor prior to lifting
operation.
 Trained & certified Crane operator, Riggers shall be deputed.
 Use softeners for protecting webbing slings on sharp edges of the load
 Suspended load  Nobody is allowed to stay or pass below the suspended load
 Area shall be barricade & sign board will be displayed

Job Safety Analysis
3911-LZ-PC-AA000126 REV.0
 Ensure all loads secured properly

 Proper supports to be provided to avoid falling of materials
 Flag man shall be assigned for controlling unauthorized entrant.
 Swing Load  Use at least two tag lines to control the load
 Loose structural members shall not be lifted as bundled
 Swinging radius has to be barricaded
 Crane should hold the 3rd party documents
 Visual inspection to be conducted by crane operator and lifting supervisor prior to
lifting operations
 Adverse Weather conditions  Lifting activity shall be stopped whilst rain/dust/storm/poor visibility occur
 Lifting is allowed only when the wind force is 6 Beaufort (equivalent to 10.8-13.8
m/sec) or below
 Uneven ground  Level the unloading area place wood supports ready to unload the materials,
never enter below the load
 No jumping from trailer to ground.
 Riggers on trailer top must come down once the sling have stretched and ready
for lift
03 Working in Hot Environment.  Exposure to Heat  Adequate and clean cool water supplies are readily available in close proximity to
the work area.
 Frequent breaks in shaded area to allow workers to adequately recover from
work periods in direct sunlight shall be provided to all workers.
 Constant monitoring and behavioral observation of the workers is required by
Field Safety supervisors, Foreman and Supervisors to observe specifically for
signs and symptoms of heat stress.
 A shaded area large enough that all workers can take periodic breaks in an area
that is shielded from direct sunlight.
 The utilization of “buddy systems” for worker to observe each other for signs and
Job Safety Analysis
3911-LZ-PC-AA000126 REV.0
symptoms of heat stress.

 Hydration Self Evaluation, Pre-employment medical examinations, Regular
rehydration, Eat healthy, Salt and Fluid Supplements.
 Workers shall be rotated within job skill activities when possible to distribute high
work load activities during extreme heat periods.
 All employees shall receive annual Heat Stress Awareness Training prior to or at
the beginning of hot season
 No work will be permitted during 12:30 to 03:30 Pm during summer time (Jun to
Aug as per MD 286/2008)
 Ensure to follow Tecnimont heat stress procedure and Flag system
Heat Index should be communicated as follows
 Above 39 degree Celsius Heat-Index, a Yellow flag will be shown in high
location(All works can be carried out)
 Above 45 degree Celsius Heat-Index , a Red flag will be shown on high location
(No heavy works like manual excavation, manual handling, shuttering etc should
be carried out)
 Above 54 degree Celsius Heat-Index , a Black flag will be shown on high location
( All works should be stopped except ongoing concreting and lifting activities)
04 Emergency at work location  Personal injury  Any incident / emergencies shall be reported to Towell first aider & site
 Traffic accident supervisor. Towell HSSE advisor will take control of situation and report to
 Incident possibility Tecnimont HSSE within 30 minutes or less.
 Fire possibility  Initial written notification of accident, incident or NM to Tecnimont HSSE within 12
 Hazards of gas leakage hrs. or less
Spillage  All personnel will be instructed on procedure to take and system of contact
(Towell/Tecnimont) should an incident occurs.
 Reporting of incidents shall be informed in daily STARRT Meeting.
 Supervisor/ Engineer in charge are responsible for leading HSE and compliance

Job Safety Analysis
3911-LZ-PC-AA000126 REV.0
by workforce.
 Trained First Aider to be provided.
 Ensure availability of first response vehicle.
 Emphasize in tool box talk what to in case of emergency
 Supervisor shall communicate all the emergency muster point and escape routes
to the workforce through tool box talk
 Emergency drill planned to be conducted in working area
 Emergency preparedness: In case of emergency alarm assemble in the nearest
Tecnimont assembly point.
 In case of incident emergency contact: Tecnimont Emergency no 93208091 –
ORPIC Emergency no_22105555
 Slip, Trip, Fall  Remove all flammable material from work site prior to starting hot work
 Fire  Maintain good house keeping
 Ensure emergency access/ egress are obstruction free
 Keep sufficient fire extinguishers
 Ensure proper cable management
05 Housekeeping
 Ensure proper supervision
 Remove all material from site immediately after completion of job
 Ensure proper shaded drinking water station with chilled drinking water for all
workers

Job Safety Analysis
3911-LZ-PC-AA000126 REV.0
Specific prevention and protection measures:

All Hazards and the Mitigation measures reported in the JSA shall be discussed with the working crew by Supervisor/ Foreman and attendance sheet to be signed only at beginning of the work
activity. Later, on daily basis, the STARRT Meeting shall be done prior to the activity start and card to be signed by all participants.
Task Supervisor HSSE Representative CONTRACTOR HSSE Manager

Issued Checked Approved
Signature
Name
Emp. No:

Job Safety Analysis
3911-LZ-PC-AA000126 REV.0
Specific prevention and protection measures:

All Hazards and the Mitigation measures reported in this JSA has been discussed with the working crew by Supervisor/ Foreman and the below reported attendance sheet has
been signed (only at beginning of the work activity). Later, on daily basis, the STARRT Meeting shall be done prior to the activity begin and Card to be signed by all participants.
Pos. # Attendant Name & Surname Trade Signature

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Supervisor Name & Signature Date:

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Job Safety Analysis

CONTRACTOR IDENTIFICATION CODE

JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET

o PPE Training (all personnel),

o Environmental awareness (all personnel),

JSA Protocol No: 3911-LZ-JSA-10-17-156 | Date: 04/10/2017

 Ensure all loads secured properly

symptoms of heat stress.

JSA Protocol No: 3911-LZ-JSA-10-17-156 | Date: 04/10/2017

JSA Protocol No: 3911-LZ-JSA-10-17-156 | Date: 04/10/2017

Specific prevention and protection measures:

Task Supervisor HSSE Representative CONTRACTOR HSSE Manager

JSA Protocol No: 3911-LZ-JSA-10-17-156 | Date: 04/10/2017

Specific prevention and protection measures:

Pos. # Attendant Name & Surname Trade Signature

Supervisor Name & Signature Date:

JSA Protocol No: 3911-LZ-JSA-10-17-156 | Date: 04/10/2017

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