JSA Title: Topographical Survey JSA No: JSA-2005- 001

Project Project No: Date:

Name: Prepared By:
Work Approved By:
Location:
Permit/s Required: (circle below) Additional PPE Requirements: Special Tools or Equipment Required
Permit/s Required: (Tick below) (list on pre-start) (eg. gas detection, fall protection, ventilation fans, lighting,
high pressure water blasting, scaffolding etc)
Confined Space Work at Heights 1. Safety footwear & Hat 1. Hand Tools
2. Safety glasses 2. Measuring tapes
Excavation Radiation
3. hand Gloves 3. Topographical survey electronic equipment
Hot Work High Voltage 4. Dust/ Face Mask/ Respirators 4.
5. Hearing Protection
Permit to Work √
6. Long Sleeves & Long Trousers

Potential Environmental Hazards Hazardous Materials Fire/Emergency Equipment Requirements

(circle below) (attach MSDS) (eg. fire extinguisher, rescue gear etc)

Air Pollution (dust) Noise 1) 1)

Spills to Water Spills to ground

2) 2)
Hazards to flora and fauna Soil Erosion
3) 3)

Other Potential Electrical Chemical Light/Dark Other Comments

Hazards Pressure (air, water, gas) Heat/Cold Dust and/or fume
to Consider Mechanical (crush points) Ignition Sources Other Trades
Manual Handling Ground conditions Wind
Slit Trenching Work GC 4

RISK ASSESSMENT / JOB SAFETY ANALYSIS Petrofac

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JSA Title: Topographical Survey JSA No: JSA-2005- 001

STEP ACTIVITY HAZARD RISK CONTROL MEASURES RESIDUAL REFERENCED

RATING RISK DOCUMENT
(1-6) RATING
1- LEAST
6-EXTREME

1. Task preparation 1  Identify potential hazards 1 Method

and assess risks by statement
completing risk
assessment
 Obtain the marked up
drawings from the
company
 Check existing services
are marked and isolated
as required
 Obtain reference marks on
location plans
 Obtain necessary permits
to work (Cold work)
 All personnel have
appropriate training and
qualification.
 PPE is correct for area
 All PPE available

2 Taking readings  Equipment not safe for area 2  Mention in work permit 1 Method
with Total  Trips and Falls and obtain clearance to statement
Station  Exposure to heat use this equipment at
 Exposure to dust field
 Physical exertion  Tool box meetings to
 Potential toxic gas release emphasize to all to look

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JSA Title: Topographical Survey JSA No: JSA-2005- 001

 Bites by reptiles/ Insects around and to keep each

 UV rays exposure step carefully.
 Electromagnetic waves  To advise all to use long
exposure sleeves, long trousers,
 Falling objects gloves, PPE's to protect
 Hitting with other personnel from hot sun and sand
 Unidentified objects storms. Also to take
exposure plenty of water fluids in
between with a break
 To prevent falling objects
from hand, the equipment
and tools carried shall be
secured suitably
 Restrict personnel
movement to facilitate
surveying activities
smoothly
 Stop the activity and
report to company
personnel about the
unidentified object. Tool
box meetings would
emphasize about un-
detonated explosives or
unidentified objects.

 Hitting with other  All personnel would be

3 Marking of base equipment or pipe lines or 2 emphasized in the tool 1 Method
lines walkways box meetings about this statement
 Tripping or slipping hazards hazard and to take care
and look around while

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JSA Title: Topographical Survey JSA No: JSA-2005- 001

walking
 All personnel would be
advised to use only
walkways, roads and not
to jump over any
obstruction

 Injury on hands due to  To use hand gloves

4 Fixing of bench handling of sharp edged 3 compulsorily while 1 Method
mark concrete concrete objects handling the concrete statement
pillars on  Injury on legs due to falling pillars
ground of concrete pillars on legs  Tool box meetings to
 Falling objects could emphasize the personnel
damage the existing facility to use hand gloves
 Work permit to capture
this point as a mandatory
practice
 Metal toed safety shoes
must be worn by all
 Materials delivery to
personnel shall be by hand
only
 Tool box meetings to
emphasize that materials
shall not be passed on by
throwing from one's hand
to other

 Injury on hand by handling  To use hand gloves

5 Embedding of brass plates 3 compulsorily while 1 Method
brass  Injury on legs by falling handling the concrete statement
plates on each objects from hand pillars

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JSA Title: Topographical Survey JSA No: JSA-2005- 001

bench  Injury on hand or fingers by  Tool box meetings to

mark concrete handling hand tools for emphasize the personnel
pillar embedding to use hand gloves
 Work permit to capture
this point as a mandatory
practice
 Metal toed safety shoes
must be worn by all.
 Toolbox meetings to
emphasize all personnel
to use the right
equipment / tool for
doing to job safely.