JOB SA
AFETY ANALYSIS

JOB DETA
AILS:
n: Trinity Galeota Ta
Location ank Farm Sttart Date: 15/01/21 Finish Date: 12/03//19 JSA #: TGCL‐JJSA‐21‐002‐REV‐0 Permit #:
Job Desc
cription: Trinity Gale
eota Tank Farm Scaffolding Services sessment Level: 1 
Risk Ass 2 3
Estimate
ed No. of Employees
s: 4 Site Visited? : Yes  No OPS? : Yes No
Are there any SIMO Emergen wn? : Yes 
ncy Response Know No

Prepared
d by 1. Jason Dooloosingh Signature Approved by:
b 1. Francis Guyy Signature
(BLOCK (BLOCK
LETTERSS) 2. Signature LETTERS) 2. Signature
3. Signature 3. Signature
4. Signature 4. Signature
SAFETY E EQUIPMENT REQUIR RED:
Safety ha
ard hat Safety Face Shield
S Barricad
des Goggles High Impact Gloves F
Fire Blanket Firre extinguishers
√
Glassees √ √
Safety Haarness Hearingg Vessel Entry Hot worrk Leather gloves
g Chemica al Resistant L
Lock Out / Chemical
√
Protecttion
√ permitt permit
√ gloves T
Tag out ma
ask
Safety Booots sistant
Fire res Fire watch Rope offf area Gas dete
ectors Lifting precaution
p D
Dust mask Oth
her: Rescue equipm
ment
√
Clothinng
√ √ √
HAZARD C CHECKLIST:
Falls from
m heights Falling objects n
Collision ccess/Egress
Ac Moving M
Machinery Liquid or Gas u
under Pressure
  √ √ √ √
Noise
√ Chemical exposure
e    Illumina
ation Fla
ammable Materials Environm
mental Impact Electricity
Oil/ Chem
mical    Competence of
√ Confined Space Co
orrosive Material    Manual H
Handling
√ Naked Flames
personnel
RISK RANKING MA
ATRIX:
RISK ASS SESSMENT (Insert value based on Risk Grid)
Severity (S
S) x Likelihood (L) = Risk value or Risk Level (R)

Risk definnitions:
Severity oof an accident which may occur
o
1 - Negligible, No first aid treatment necessary,
n Minor Loss/ Injurry (E.g. Scratches to equip
pment, Minor dents etc), No o visible impact to the enviironment.
2 - Marginnal Damage (not affecting thet performance of equipm ment or systems or injury) (Minor
( first aid treatment/d damage). Cost
effective a
applications can be applie ed to control effluent from processes that can cause damage to the environmen nt
 
3 - Medium m – Damage to equipment of systems likely to be in the range of US$ 1,000 to $10,000 $ or injury. Injury req
quiring medical treatment. Could
 
cause LTI (Loss Time Injury), monito oring and recording needs s to be undertaken from efffluent emitted from processes
4 - Major, Results in critical injury but not death, Damage to Eq quipment of systems in ex xcess of US$ 10,000 or Major M injury, may result in
on of habitats and death of some
destructio s terrestrial and aquatic
c life
5 - Catastrophic, Results in death off person(s), Damage resultting in the loss of essential equipment, resulting in substantial financial loss an nd
decline in production, widespread deathd of terrestrial and aqu
uatic life and contributes siignificantly to ozone depletion

Likelihoood of an accident which maay occur

1 – Unlikeely – not expected to occurr in 5 years
2 – Improobable – not expected to occcur in 2 to 3 years
3 – likely - not expected to occur on
nce per year
4 – Proba able - could occur once peer year
5 – Frequent – Likely to occur any moment
m

*L – Likelihood after Corrective Mea

asures  

EV-0
TGCL-HSE-FORM-0001-JSA-2021015-RE
  
 

                                                                                                                                                                                                                                                             JS

SA #: TGCL-JS
SA-21-002-REV
V-0
    *RR *ALAR
RP 
Item  Job Stepss  Hazards Identified Hazard Effect S L  Corrective Meeasures *LL
=Sx*L (Y/N)) 
FIELD W
WORKS
1. Mobilizing Works
s Manual handling Upper body Limb
L Disorders 4 2 8 Praactice of safe worrk practices 1 4 Y
- Pinch fingers s, Strains, inccluding proper ma anual
Working g at heights Sprains hanndling techniquess and proper
Head and Bod dy Injuries from liftinng and rigging prrocedure.
Lifting Equipment
E falling objectss/falls – Enssure that loads are packaged,
including fracttured/ broken trannsported and load ded safely.
Slips Trrips and Falls bones Prooper housekeepin ng shall
Equipment Co ollision with enssure that potentia al for tripping
Dropped Objects people and prroperty. Other andd collision is remo oved or
associated injjuries including redduced. Use of ade equate
Exposure to chemical annd crushing by th he equipment lighhting. Use of certiified
hazardo ous material or the load equuipment, operated d by trained
Irritation from contact with andd competent indivviduals
chemical or blasting Enssure that absolute e care is
materials. Damage to takken while mobilizing, refer to
property/ enviironment MS SDS.

EV-0
TGCL-HSE-FORM-0001-JSA-2021015-RE
  
2. Erecting and Dismantling Personnnel at Height Personnel In
njury 3 2 6 Ennsure pathways a are clear.
of Scaffolding Collapse of Equipment Damage to plant
p and Maaintain adequate
Droppeed Objects property coommunication and d awareness
Trips and
a Falls of work area among all team
Manua al Handling meembers. Utilise fa all arrest
syystems – maintain n 100% tie-
offf when working o on heights.
Ennsure all personn nel are
coompetent to carryy out task.
Insspect all tools and equipment/
maaterial before use e. Ensure
sccaffold is certified
apppropriately. Follo ow all
appplicable procedu ures. Take
caare when ascendiing and
deescending. Ensurre three point
coontact is maintained when
cliimbing. Ensure all scaffolding
is secure and adeq quate.
Ennsure rescue kit a and rescue
pro
rotocol are availab ble. Secure
alll tools on personn nel
apppropriately. Ensu ure life vests
annd vessels are pro ovided
acccordingly. Pass e equipment
saafely. Do not throw w equipment/
toools. Maintain ade equate
hoousekeeping so a as to avoid
tripp hazards. Mainta ain a clean
are
rea. Install properr signage and
baarricade.

EV-0
TGCL-HSE-FORM-0001-JSA-2021015-RE

House Keeping and
a De- Manual handling Upper body Limb
L Disorders 4
3.
Mobilization - Pinch fingers
s, Strains,
Lifting Equipment Sprains
Head and Bod dy Injuries
Slips Trips and Falls from falling objects/falls
o –
including fracttured/ broken
d Objects
Dropped bones
Equipment Co ollision with
people and prroperty. Other
associated injjuries including
crushing by thhe equipment
Damage to prroperty or
harm to the environment
2 8 Praactice of safe worrk practices 1 4 Y
inccluding proper ma anual
hanndling techniquess and proper
liftinng procedure. En
nsure that
loaads are packaged, transported
andd loaded safely.
Prooper housekeepin ng shall
enssure that potentiaal for tripping
andd collision is remooved or
redduced. Use of ade equate
lighhting. Use of certiified
equuipment, operated d by trained
andd competent indivviduals
Keeep work area free e of debris.
Co llect and dispose e of all waste,
inccluding chemical,
apppropriately.
Usee proper PPE.
EV-0
TGCL-HSE-FORM-0001-JSA-2021015-RE
  
 

DA
ATE  EMPLOYEE N
NAME  EMPLLOYEE SIGNATUR
RE  TIME IN  TIME OUT 
         
         
         
         
         
         
         
         
         
         
         
         
         
         

         
         
         
                                                                                                            

EV-0
TGCL-HSE-FORM-0001-JSA-2021015-RE