Doc. No.

FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 1 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Department Work Area Prepared by (Supervisor) Approved by (Dept. Leader) JSA No. Rev. No.
Name: Name:
CAR-001
Signature: Signature:

Operation/Job description: Confined Space Entry Rig Name: Scarabeo 9

Date:
Risk Assessment
Responsible for the
Seq. No. Activity Step Hazards Precautions/Measures to be taken (L: Low / M: Medium / H: High)
measure
Cons. Prob. Risk
1 Coordinate with other discipline
supervisors, other work permit
Work conflict with other activities
applicants
Misinterpretation of the scope of work and
Prepare Work Permit \ JSA Ensure that all the persons involved in Supervisor H L M
associated hazards and precautions required
the operation understand the exact work
Language barrier
scope (verify to avoid misunderstanding
due to spoken language)
2 Wear proper PPE for mechanical job
Tripping hazard
Circulation on bridges (helmet, safety shoes, safety glasses, M L L
Falls, trip, slip Supervisor
working clothes, gloves)
3 PTW Systems prior activity start.
Activities performed by trained and
competent personnel.
Maximum occupants: n°4 people.
Maximum continuous work time: 2
HSE Off
Lack of oxygen hours.
Firewatcher
General precaution for Narrow space Fixed limit for oxygen concentration
Supervisor H M H
confined space work Breathing difficulties are: Upper 21,5%, Lower 20%.
Awkward postures Interruption of activities and evacuation
All CS Team
of internal area if oxygen concentration
is outside external fixed limit, and
subsequently ventilation.
Visive contact from the outside
Musculoskeletal disorders
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 2 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E
4 Ventilation 24h before entry
Radio for CS team and stand-by man
Gas test is required to enter the
confined spaces
HSE Off
Low level of oxygen Gas Test to be performed immediately
Firewatcher
Breathing difficulties prior to the entrance of personnel.
Access to Tank Supervisor H M H
Contaminated atmosphere Gas Test performed from outside with
Falls, trip, slip a probe, by competent person, using an
All CS Team
AGT, and with measurement log.
Entry log of access/egress of personnel.
Pay attention to vertical stairs,
especially in very deep cases
5 Tripod and winch avaible
Safety harness for all CS operator
Interruption of activities and evacuation
of internal area
In case of emergency, Firewatcher order
Low level of oxygen Firewatcher
Emergency management immediately evacuation of the workers H M H
No serious illness Supervisor
inside.
perform the ventilation and gas test
before entering the tank again.
After satisfying gas testing, Firewatcher
decrees the restart of the activities.
6 Do not lift manually anything
Supervisor
Manual handling of heavy or big materials above 15Kg
Manual Handling M L L
Muscle-skeletal disease Follow good safety practices to lift
All CS Team
loads
7 Housekeeping Improper waste disposal Check after work that all Supervisor M L L
Completion of activities Trip and slip hazard equipment is removed and placed
Unsafe working conditions in stock. All CS Team
Leave objects inside the tanks Dispose of generated waste in
proper container.
All electrical leads/cables, air
hoses and materials shall not be
left lying across walkways or
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 3 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E
vertical stairs.
Supervisor to monitor their workers.
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 4 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Probability for the analysis

PROBABILITY Before mitigation After mitigation
of the quantified risk
The event is highly unexpected by the HSE risk assessment team because the preventive/protective measures applied have always shown to be
A Very unlikely Never occurred in the Energy sector. Less frequent than 10-5 events/year
effective and/or it could only happen under a freak combination of adverse conditions.
Already occurred in the Energy sector. Similar occurrences have already been recorded in the The event is unexpected by the HSE risk assessment team the preventive/protective measures applied have always shown to be effective
B Unlikely Between 10-5 and 10-4 events/year
Energy sector. and/or it can only happen under a freak combination of adverse conditions.
Already occurred in the Company. Some similar occurrences have already been The HSE risk assessment team is aware that the event could happen even if the preventive/protective measures applied have shown themselves to
C Possible Between 10-4 and 10-2 events/year
recorded in the Saipem group (less than once a year). be effective and/or presence freak combination of adverse conditions is not necessary for it to occur.

It has occurred many times in the Company. Many occurrences have already been recorded The event would not surprise the HSE risk assessment team because the preventive/protective measures applied have often shown to be ineffective
D Probable Between 10-2 and 10-1 events/year
in the Saipem group (more than once a year). and/or it probably will occur if the conditions remain unchanged.

It has occurred on the site many times a year. Many occurrences have already been recorded The event would not surprise the HSE risk assessment team because the preventive/protective measures applied have almost always been shown to More frequent than 10-1
E Very probable
at one particular branch in the Saipem group (more than once a year). be ineffective and/or it is certain that it will occur if the conditions remain unchanged. events/year

EFFECTS ON ENVIRONMENT and Communities

SEVERITY ANNUAL FREQUENCY / PROBABILITY OF OCCURRENCE
INJURY TO DAMAGE TO
OF
PERSONS ASSET IMPACT ON HIGH CLEAN UP
INCIDENT LOCAL
REQUIREMENTS/ REPUTATIONAL A B C D E
SPATIAL EXTENSION VULNERABLE INTERVENTION/ COMMUNITIES
AREAS* REMEDIATION AUTHORITIES IMPACT
IMPACT
Very Very
Slight injury or Managed with Unlikely Possible Probable
Slight damage unlikely p robable
L1 limited health internal Reporting not Not reported
No disruption Very Minor Not impacted Not impacted
Negligible effects emergency necessary in the news
to operation

SEVERITY OF THE CONSEQUENCES

(First Aid) team 1 Minor
Minor pollution
Minor injury Minor damage
contained at site Managed with Reported to
Effects on health Brief disruption
L2 level and that internal Local authority Not reported 2 Low
(Medical Treatment (cost10K€- Not impacted Not impacted
Low doesn’t spread on emergency without any in the news
or Work Restricted 100K€ or 1day
the environmental team fines
Case) downtime)
media
3 Medium
Pollution of the
Serious injury or environmental media,
Local damage
health effects or up to a medium area Managed with Reported to Local
Partial disruption Might be 4 High
L3 temporary or (within the operational internal authority (Port Reported in
(cost100k€-500k€ or Not impacted impacted with no
Medium permanent total site, or at most within emergency Authority, etc) with Local News
1-7 days lasting effect
invalidity a team negligible fines
downtime)
(Lost Time Injury) few km) with short
term effect. 5 Major
Reported to
Red Area - inacceptable risk: the activities Pollution of the
Majorcannot
damagebe carried out until additional control measures able to reduce the risk to anwith
Impacted acceptable levelauthority
National (yellow or green area) have been implemented.
environmental media
L4 - the risk is tolerable Major
as it disruption
is assessed as ALARP
up to (As LowImpacted
a vast area as Reasonably Required the short term (inspections, fines, Reported in
with short Practicable). The activities can be commenced, but it is necessary to:
Single fatality (cost 500k€-3M€ or intervention of effect (up to stop of operations) National
High (beyond the site of the term effect o Identify adequate risk reduction control measures
1-2 weeks external facilities few months with not negligible News
incident) with medium o Ensure that the risk is subjected to periodic monitoring and assessment so that it remains
downtime) effect) fines
term effect. constantly within the ALARP range.
Pollution of the Reported to o Guarantee, in this way, that a risk threshold considered inacceptable is not exceeded.
Extensive damage Impacted with The ALARP level can be defined by using a qualitative assessment or with a cost/benefit analysis to assess
environmental media Required the National authority
Very mayor medium or long
L5
up to a vast area Impacted with intervention of
term effect
(inspections, fines, Reported in whether the implementation of measures to mitigate the identified consequences or reduce the frequency
Multiple fatalities disruption (cost (beyond the site of medium or long external facilities or stop of operations) International
Very High 3M€-10M€ or more (significative can be pursued with a cost that is unreasonably greater than the benefits actually obtained.
the incident) with term effect remediation not with not negligible News
than 2 weeks time spawn fines Green Area - acceptable risk: the activities can start without the need of any additional control
long term possible
downtime) effect. effect)
measures.
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
LIFE
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 5 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

POTENTIAL HAZARDS (tick those that apply) SAVING RULES

ICON HAZARD  ICON HAZARD  ICON HAZARD  (TICK IF APPLICABLE TO THE TASK)
Fall from height Suspended loads Confined space

Pinch points / sharp Dangerous

Fall into water
edges atmosphere
Bypassing Energy
Dropped objects
Crush points / caught Difficult access / ☐ safety control ☐ Confined space ☐ Driving ☐ Isolation ☐ Hot Work
in between egress
Moving / rotating /
Electrical hazard remotely controlled Manual handling
machinery

Weather conditions /
Fire / explosion Slip / trip hazard
Sea state
Safe Mechanical Work Working at
New / ☐ Line of Fire ☐ Lifting ☐ Authorisation ☐ Height
Oil / Chemical
inexperienced Poor visibility
Spills
personnel
Hazardous /
Hot/cold surfaces /
chemicals Biological hazard
substances
exposure
Potential release
Communication Ionizing radiations
of energy

High noise / vibration Vessel

Pressure
levels emergencies

Other
Other Other

All personnel involved in this job must sign the JSA to confirm that they have taken part of the meeting to discuss the JSA measures and have clearly understood their duties and responsibilities.
If the JSA is associated to an ADC, the signatures can be recorded only in the ADC Form.

NAME SURNAME POSITION SIGNATURE