JSA Review Form

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EMPC JOB SAFETY ANALYSIS – REVIEW & HAZARD MANAGEMENT FORM May 2021 – Rev.

Facility / Site: Angore Location within Site: HGCP Workshop Permit No: Permit Type: Date: 22 – 28 OCT 2022
JSA No:
Job Description (include Equipment Numbers as Practical): Welding for Pipes
JSA REVIEW JSA REVIEWER (SUPERVISOR OR DESIGNATE)
Pending confirmation by the Job Leader of site conditions, I agree that the SIGNATURE:
attached JSA identifies the significant Job Phases, Hazards, and Controls.
Note: JSA Reviewer signature not required if JSA is part of a Permit Pack.
NAME (PRINT): Company: NACAP
COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
WORK SITE VERIFICATION
(Sign on to the Permit Declaration if this JSA is associated with a Permit Pack)
The Work Team has assessed the worksite conditions and confirms: Work Team Declaration:
I acknowledge that I have reviewed the attached JSA, I understand my roles
 The JSA addresses the applicable hazards and necessary controls. and responsibilities, and I will comply with the instructions for this job.
 The Team has the appropriate resources (people and equipment) to do the job Name (print): Name (print):
safely.
 Others that could be affected by the work have been informed.
 Energy isolation (if applicable) has been VERIFIED and DEMONSTRATED.

JOB LEADER SIGNATURE:


NAME (PRINT): Company: Nacap

Complete Job Phases / Potential Hazards / Hazard Controls PRIOR to the JSA Reviewer. Complete Assigned Person AT THE WORK SITE (after JSA Reviewer has signed)
JOB PHASES POTENTIAL HAZARDS HAZARDS CONTROLS ASSIGNED PERSON
(Description) (What could go wrong?) (How can harm be prevented?) Name Complete
Daily Prestart  JSA / SWMS review card.
 Change to conditions, environment,
people, plant, or process  PTW - Sign onto any permits required
 Unauthorized Works
 Weather conditions monitored. Radio
 Poor weather conditions – Wet, Hot
communications, water available.
weather.
 Muster and safe haven points
 Unaware of ERP or security if not in
identified – security discussed –
attendance
communicated to any visitors too.
Security - Compliance with WG JMP
and Security plan.

 Ensure correct PPE is use for this task


Personnel body injury for workers while  Safety glasses
performing work.  Impact gloves
 Face shield where required

Prestart check of vehicle  Equipment fault  Daily prestart check – faults reported
 Spills / leaks or machine isolated – tag out, PHA
 Slips and falls reviewed, VOC operator to do check
 Simops  Spill kit to be available with plant –
check contents
 3 points of contact when scaling plant,
clean steps of any mud, check for
obstacles and uneven ground
 Inspect equipment and tools before
use
 Use barriers and signs to segregate
activities
 Spill kit to be available with plant –
clean steps of any mud, check for
obstacles
 Report any faulty equipment
immediately to supervisor and tag out
equipment with danger / caution tags
Lifting and Slinging /  Falling Object  Only approved, tagged, and
Preparation of loads  Machine Failure engineered sling, chains and other
lifting gear complying with relevant
Exxonmobil PNG requirement to be
used
 Confirmation by competence person
prior to lift to avoid overloading of
platform / structure
 Lifting attachment are provided with
operable pins. Safety latches, lifting
eyes and shackles.
Lifting of object /  Falling objects  Lifting area to be barricaded or uses of
materials by machine  Machine failure / overturn spotters to maintain an exclusive zone
 Pre-operational inspection and check
of safety devices in accordance with
the operator’s manual performed by
operator before use
 Lifts only performed by competent and
VOC in accordance with Exxonmobil
Requirement
 Load charts and functions and
limitation to be clearly visible and
followed
 Operators have a clear view of load at
all the times otherwise dogger to be
always followed
 Only necessary and minimal personnel
to be in lifting zone during lifting of load
 Weather conditions to be considered
prior to lift
 Loads not to be lifted over members of
the public or other trades
 Operator to always remain in cabin
Pre buffing of casing  Eye injury – grinding / buffing  Double eye protection, dust down
pipe away from eyes
 Manual handling / repetitive task –  Rotate task / take breaks, stretch
sprain & strains
 Hand injuries / entanglement – rotating  Stop disc on pipe before raising away,
disc always keep hands clear of rotating
disc. No loose clothing
 Ensure disc is rated for grinder,
inspect disc before use.
 Correct hand gloves suited for the task
 Cuts – shattered disc / buff
Use The cutting torch  Burns – flame, hot pipe  Gloves to be worn, do not touch pipe
after pre heat, hands away from torch
hold handle.
 Inspect hose before use, do not rest
 Gas leak –damaged hose, torch resting
torch on hose and ensure equipped
on hose.
flash back arrestor
 Spotter, visual eye contact with
 People / plant interaction – crushing
operator and workers
 Housekeeping – remove all waste from
 Fire – construction waste
are and place in bin.
Arc welding and capping  Electrocution – leads damaged, no  All leads test and tag, RCD provided to
RCD, No earth clamp welding machines, earth clamp
inspected and utilized
 Fire – sparks  Fire-fighting equipment, clear waste
from area
 Burns / radiation / hot welding rods  PPE with heat resistance (leather
gloves), Bucket for used rods, stay
clear of arc of radiation, authorized
 Fumes personnel only.
 Adfolk helmets (positive air flow),
 Eye injury – dust, metal shards, arc extraction fan if canopy down.
flash  Double eye protection, rated shade
glasses for welding. Dust down away
from eyes, first aid kit – eye wash.
 Plant / people interaction  Positive communication with Morooka
operator
 Falling objects in canopy  Secure tools on canopy to side and at
head height
 AC induced voltage  Electrical safety assessment,
temporary earthing of pipe strings
 Inclement weather – lightning  Monitor weather
 Ensure welding places not close to
 Traffic runway of Chopper

Use of Grinders  Kick back – lacerations/ cuts  VOC’d operators


 Damaged / incorrect disc – cuts,  Secure grinder holding with both
lacerations, eye injury hands firmly while grinding
 Hand /finger injury cause by  Effective communication between
changing dice two welder using grinders on either
side of the pipe.
 Loose guard / rotating disc – cuts /  Switch off power completely before
lacerations replacing grinder disc.
 Unplug grinder power cord from the
 Electrocution – damaged leads power point or source when not in
use
 Check disc prior to use for rating
and condition, double eye
protection, dust down away from
eye.
 Guards are checked and tightened;
hands clear from rotating disc – stop
disc on pipe prior to raising from pipe.
 Inspect leads, test, and tag
Housekeeping  Slips falls and trip  Ensure workplace free from tripping
hazards
 Loose guard / rotating disc – cuts /  Conduct housekeeping as routine and
lacerations collet rubbish in bin as label

EMERGENCY  IN CASE OF EMERGENCY  Keep egress route open


PROCEDURES  Keep shower and eye wash stations
accessible
 STAY CALM
 
Lessons Learned: Describe difficulties encountered while performing the job, or any activities, steps or safeguards that could be improved if the job is performed again in the future.

Start Work Checks - Supervisors lifting Working Around Mobile Equipment (WAME) LSA
START WORK CHECK – Crew members discuss and confirm critical Life Saving Actions are in place prior to work
SAFE EXECUTION CHECK – These Life Saving Action checks are used to verify that LSA safeguards are healthy and remain effective throughout the task

Life Saving Actions How to Confirm:


1. Plan work to separate workers and  Work areas reviewed to identify and address specific hazards (i.e., traffic, nearby structures, utilities, sidewalks, simultaneous operations) and
mobile equipment using designated appropriate controls and/or practices are established
pathways/barriers as appropriate
2. Assign qualified/competent mobile  Validate that assigned mobile equipment operators and spotters have the required training and qualifications (Supervisors does validation)
equipment operators, and where  Note: If the equipment operator cannot see what is in the direction of travel follow the spotter/safety device recommendations in #3 or STOP
required use qualified/competent
spotters
3. Verify safety devices are functional  Ensure all mobile equipment that is going to be operated by the crew has the safety devices enabled for the task and are functional (e.g., seat belt,
on mobile equipment. To be back up alarms, etc.)
performed by operator  The powered mobile equipment must be equipped with one or more of the three acceptable alternatives:
 If no proximity detection the equipment must have a standard back-up alarm and a qualified spotter
 If the equipment has a proximity alarm in the cab of the vehicle the equipment must also have a camera system or a qualified spotter
 If the equipment has a proximity alarm in the cab with emergency automatic shutdown than a camera system or a qualified spotter may not be
required
4. Establish clear means of  During the planning and execution phases, communication with the equipment operator and others on the crew must be established for the job
communications with equipment  Examples of communication include hand signals and/or radio communication; ask crew to demonstrate communication plan
operator  Agree on emergency stop signals during the pre-job meeting; test emergency signaling devices such as horns and whistles
5. Adhere to minimum safe zone  Exclusion zone has been defined by the work crew and personnel understand the HALO criteria for the types of equipment being operated. Larger
(HALO), avoid blind spots/crush equipment likely will require a larger HALO/exclusion zone
zones, only approach inside HALO  See and be seen, maintain safe distance. Crew understands that equipment stopped, eye contact with equipment operator, as well as permission,
with permission must be obtained before entering HALO/exclusion zone
 Considerations for distinctive clothing for the spotter are in place

6. Confirm load is secure (work zone  Work plans include a step to have a qualified person inspect the load to ensure it is secured prior to transport by the mobile equipment
segregated and access controlled)  Personnel understand the safe distance to be from a load during transport and during loading and unloading operations
prior to transport or
loading/unloading
Start Work Checks – Team Members lifting Working Around Mobile Equipment (WAME) LSA
START WORK CHECK – Crew members discuss and confirm critical Life Saving Actions are in place prior to work
SAFE EXECUTION CHECK – These Life Saving Action checks are used to verify that LSA safeguards are healthy and remain effective throughout the task

With your supervisor’s support, team members take actions needed to confirm the following Life Saving Actions:
1. Plan work to separate workers and mobile equipment using designated pathways/barriers as appropriate
2. Assign qualified/competent mobile equipment operators, and where required use qualified/competent spotters
3. Verify safety devices are functional on mobile equipment. To be performed by operator
4. Establish clear means of communications with equipment operator
5. Adhere to minimum safe zone (HALO), avoid blind spots/crush zones, only approach inside HALO with permission
6. Confirm load is secure (work zone segregated and access controlled) prior to transport or loading/unloading
Stop and seek help if any of the above Life Saving Actions are not in place (Stop Work Authority)

EMPC JOB SAFETY ANALYSIS – TASK HAZARD ASSESSMENT FORM May 2014 – Rev.
This table of Hazards and Controls can assist the work group to manage hazards for the proposed job. 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 job and identify the Controls to be implemented.
Simultaneous
Pressurized Poor Lighting
Personnel Confined Space Operations Weather Ignition Sources
Equipment or visibility
(SIMOPS)

11
Perform isolation – LO/TO, Provide alternate lighting Provide induction or training Discuss confined space Follow SIMOPS matrix Implement controls for Remove, isolate, or contain
blinding, or defeat Wait or defer until visibility for new workers entry safe work practice MOC required for deviation slippery surfaces combustible materials
Depressurize, drain, purge, improves Mentor, coach, or supervise Conduct atmospheric testing from SIMOPS restrictions High winds – goggles Provide fire fighting equipment
and vent No work over water that Verify competencies, skills, Monitor access or entry Interface between groups Heat – hydration, breaks Construct a fire-safe habitat
Relieve trapped pressure could require rescue and experience Protect surfaces from Use barriers and signs to Cold – PPE, heaters Provide a fire watch during
Avoid auto-refrigeration (including sea state) Address applicable inadvertent contact segregate activities and after hot work
Lightening – tool
when depressurizing limitations Do not locate mobile engines Have permit counter signed selection, defer work Conduct continuous gas
Anticipate residual pressure (fatigue, exhaustion, and near confined space by leader of affected groups testing
or fluids restricted duty) Provide observer Bond or earth for static
Secure temporary hoses Manage multiple languages Develop rescue plan electricity or cathodic
protection

Hazardous Equipment Falling or Lifting


Potential Spills High Noise Work at Heights
Substance Hot or Cold Dropped Objects Equipment

Drain or purge equipment Drain equipment Heat or cool equipment Wear correct hearing PPE Use signs and barriers to Confirm lifting equipment Discuss working at heights
Follow MSDS controls Provide spill containment before work starts Manage exposure times restrict entry or access condition and certification safe work practice
equipment Install barriers under work at elevation Obtain approval for lifts Verify fall restraint and arrest
Implement health hazards Shutdown equipment
controls (Lead, Asbestos, Have spill cleanup materials Provide warning signs Use lifting equipment to over processing equipment certification
Use "quiet" tools
raise tools to or from the equipment

12
H2S, Iron Sulfide, and equipment on hand Implement cold temperature Apply abseiling safe work
Sound barriers or curtains work platform
Sulfur Dioxide, NORM) Restrain and isolate hoses and brittle failure controls Have a documented and practice
Provide or use suitable Secure tools (tie-off) approved lift plan
Test or analyze material when not in use Wear thermal gloves communication techniques

Portable Electrical Moving Objects Equipment Vibrating Slips, Trips,


Radiation Hazard Manual Handling
Equipment or Equipment and Tools Equipment and Falls

Inspect equipment for Use barriers and signs to Confirm machinery guard Assess manual handling task Inspect equipment and tools Manage exposure times Identify and shield uneven
condition and test date restrict access integrity Limit load size No use of modified tools Assess effect of vibration surface or projections
currency Notify personnel who may Provide protective barriers on equipment Secure or cover cables, cords,
Manage posture Use protective guards
Implement continuous gas be affected Observer to monitor Use low vibration and tubing
Confirm stability of load and Use correct tools and
testing Implement NORM controls proximity of people and equipment Clean up liquids
work platform equipment for task
Protect electrical leads from Conduct RAD testing equipment Apply noise controls Barricade or rope-off openings
Get assistance or mechanical Protect or remove sharp
impact or damage Shut down or lockout and holes
aid to avoid pinch points edges
equipment Apply hand safety principles
Do not work in the line of fire

High Energy or Waste Clean Up Other Energy Mobile Emergency


Excavations Other Hazards
High Voltage and Disposal Sources Equipment Response

13
Restrict access to authorized Have an excavation plan or Apply environmental Spring compression or Assess equipment condition Implement abrasive Keep egress route open
personnel only safe work practice management practices expansion control Implement controls on users blasting controls (for Keep shower and eye wash
Discharge equipment and Locate underground pipes Follow site waste Implement electromagnetic or access equipment and practices) stations accessible
make electrically dead or cables by hand digging management procedures (radio) controls Limit and monitor proximity Prepare a dive plan Have a rescue plan in place
Observe safe work distances De-energize underground Clean up equipment and Manage pressure or vacuum to live equipment or cables Manage potential blocked Keep emergency alarm, fire
for live cables services materials at site Manage heat generating Manage overhead hazards or plugged equipment equipment, and shutdown
Use flash burn PPE suit Implement confined space Optimize task to minimize processes Adhere to road and site MOC required for locations unobstructed
Use insulated gloves, tools, entry controls waste production Use seismic activity safe work rules temporary connections
and mats practice or modifications

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