Job Hazard Analysis Form

JHA Number: HSSE-JHA-CPF-0001 Date: DD/MM/YYYY PPE (Y/N) Supplementary Docuements

Rare Unlikely Possible Likely Expected
Location: Eye Protection
Face Protection
Major 5 10 15 20 25
Fall Protection
Job Description:
Foot Protection
Serious 4 8 12 16 20
Hand Protection
Head Protection
Conducted by: Average 3 6 9 12 15
Hearing Protection
Respiratory Protection
Approved By: Slight 2 4 6 8 10
Hi Vest

Designation: Other(s): Minor 1 2 3 4 5

RISK RISK
Who or What FACTORS INITIAL Position FACTORS RESIDUAL
# JOB STEPS HAZARD DESCRIPTION CONTROL MEASURES
might be harm RISK Responsible RISK
S L S L

Follow Radiation Transportation Procedure

Fatality road safety requirements
1 Mobilization of crew and Transportation of Personal Injury 3 3 9 Approved vehicles to be used. 0
Radioactive Devices Property /Asset damage
Flasher warning lights to be displayed in rear & front side of the vehicle when carrying radiation source.
Ensure vehicles and equipment will remain at safe working distance from live pipelines.
Approved mandatory PPE should be worn by all crew members

Falling of Equipment TBT to be conducted prior to the beginning of each shift.

Slip & Trip- Equipment damaged Proper manual handling procedure to be followed.
2 Setup of Equipment (Radiographic equipment & Improper handling 3 4 12 Check equipment is in good working order 0
accessories Materials on walk ways Use necessary PPE (Hand gloves, safety shoes, etc.)
Personal injury Only authorized personnel shall be allowed to handle & setup the equipment

Permits
Daily personnel dose log to be maintained and closely monitored
3 Radiographic Testing (Use of Radiographic Personal injury 5 4 20 Radiation area shall be checked to avoid any activities 0
Source) The area around the radiography activity must be barricaded according to the calculated distance.
Warning signs shall be provided on all sides.
All technicians in the crew shall wear their personal TLD badges and dosimeters

Permits if any to be obtained

Display sign boards & flickering lamps.
Provide safe access
Radiography to be confined in the barricaded area.
Fatality/ Personal injury Use full PPE.
4 Radiography Working at Night. Equipment damaged.
4 4 16
Road safety requirement.
0
Radiation area shall be checked to avoid any adjacent activities.
Provide sufficient light.
Work area to be barricaded properly.
Provide flashing lights for road access.

Drive at reduce speed.

Personal injury
Property/ Asset Vehicle damage due
to( Poor visibility due to darkness,
5 Driving at Night
Less Traffic on the road for help and
support, Possibility of fog/poor
visibility)
Driver had enough rest.
Driver is familiar with the road.
Vehicle should be suitable for the journey.
4 4 16 No deviation from the approved road. 0
Speed limit shall be followed. slow down when approaching pipeline crossings,
Communication Means
Sufficient drinking water for crews
Extra care is to take whilst driving on the road during inclement weather conditions

6 0 0

7 0 0

8 0 0

9 0 0

10 0 0

Consistency with
Risk Criteria and Categorization
ALARP

A level of risk that is Very high and require significant and urgent actions to reduce its magnitude. Risk is Unacceptable,

A level of risk is Hight, there is a necessity to provide efforts to ensure the risk has been reduced within the
permissible levels Risk is High, Ensure reduction to ALARP

A level of risk is Medium, adequate supervision, and mentoring are requested for the activity to ensure the risk Risk is Tolerable, Maintain
has not been escalated to a higher rate. acceptability to ALARP
A level of risk is Low, and does not require actions but will be monitored and managed by the HSEMS. Risk is Acceptable
JHA Number Legend Location
HSSE-JHA-CPF-0001 CPF Activity
HSSE-JHA-LY-0001 Lay Down Yard area
HSSE-JHA-PAC-0001 PAC Area
HSSE-JHA-ADM-0001 Admin Building
HSSE-JHA-OFS-0001 Off-Sites
HSSE-JHA-WH-0001 Well Heads' Areas
HSSE-JHA-HUB-0001 Hubs' areas
HSSE-JHA-CMS-0001 Condensate Metering Station
HSSE-JHA-DGMS-0001 Dry Gas Metering station
HSSE-JHA-OSS-0001 OSS
HSSE-JHA-EP-0001 Evaporation Ponds
 Supplementary Docs
Method of Statement YES
Rescue Plan NO
Lifting Plan
P&ID
Appplicable Procedure
MSDS
CSE Checklist
ECR
WO Request
PM/CM Job Plan
As built Drawing

YES
NO