JOB SAFETY ANALYSIS FRONT SHEET

INSTALLATION / SITE AISH/ABH/AWP # 0 DATE 9/4/2021

JSA REF NUMBER SLB-ABH-0017, JSA TEAM (NAME LIST)
DEPARTMENT Mechanical NAME POSITION
PERMIT TO WORK NO
TASK DESCRIPTION

Hot Work insid , Welding , Cutting , Grinding

REFERENCES AND ANY OTHER RELEVANT INFORMATION ( e.g P & CONFIRMED ALARP
ID's , Drawings,Procedure , Work Instructions, Certificates , Special Tools or Equipment) JSA APPROVED BY (Installation / Facility /Site Manager)

Name
Signature
Position Sr,CM
rev,12/12/2019 Date

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Task Description Summary -Hot Work, Grinding , Cutting , Welding
JSA Ref No,SLB-ABH-0017,REV
1. 2.
STEP
Activity Description Potential Hazard
1. Working without work
permit
1 Obtain Permit To Work 2. Performing Authority not
available at work location
1. Slippery surface
2. Defective tools
3. Floor openings
2 Work Area prepration
1. Inadequate use of hand
tools
3 Use of hand tools 2. Failure to use PPE
3. Using makeshift tools
1. Spark from grinding
2. Open flame from gas cutting
3. Cumbustible materials around
4. Damage electrical cable
Hot work activity
4 Welding , cutting and grinding
1. Leakage of toxic & flammable
gases
5 Working in HC atmosphere
1.Accumulation of debris
Housekeeping & close
7 of work for the day
1. Slippery surface
2. Floor openings
8 Work at Height
JOB SAFETY ANALYSIS WORKSHEET
3. 4. IR 5. 6. 7. RR
Hazard Effect E P R Existing Controls & Controls Required Responsible E P R
1. Illegal operation 1.Strict compliance to the PTW procedure and requirements
2. Clash of activities 2.PTW must be kept visible at work location Site Engineer /
2 1 L 3. Permit issuer and receiver must conduct work site inspection Performing 2 1 L
Authority
Prior issuing the permit
1.Slip, trip and fall on same 1. Inspection of work location prior starting the job
level 2. Floor opening should be hard barricaded .
2. Personal Injury 3 Clear the area and indentify safe access
3. Damage to equipment's 4. No unauthorized movement Site Engineer /
3 2 M Performing 3 1 L
tools & tackles Authority
4. Fall of personnel due to
floor opening
1. Finder Caught in between 3 2 1.Inspect tools before using
2. Personal Injury 2.Use right tools for the job Site Engineer /
3. Damage to equipment M 3. Use appropriate PPE Performing 3 1 L
4. Do not use any makeshift or damaged tools at site Authority
1. Fire & Explosion 1.Continous gas monitoring
2. Electrocution 2 Pre job check shall be done
3. Personal Injury 3. Hot work check list shall be filled
4 Ensure no combustible or flammable materials around worksite
5 Ensure proper housekeeping priro strating hot work Site Engineer /
3 2 M 6. Proper Hot work booths shall be provided to contaminate Performing 2 1 L
splatters with Fire blankets. Authority
7. Stand By Fire Watch along with appropriate Extinguisher to be
made available
8.Ensure all Cables and connectors are checked to be routed overhead.
1. Exposure to CO,CO2 & H2s gases 1.Continuous gas monitoring to be don
2. Fire 2.Pre Use Inspection checks to be done
3.Explosion 3 Ensure no combustible/flame material around, ensure good HK
4.Strictly follow Zero Tolerance & Life Saver Guideline
5.Appropriate Extinguisher to be made available
6. Ensure adequate supervision Site Engineer /
4 3 H 7.No mobile is allowed inside the premises Performing 2 1 L
8.Ensure atmospheric test to prevent exposure Authority
9. case of exposure crew should be aware about emergency
action & response
10.Ambulance shall respond at NA-4
11.Emergency Response awareness during TBT.
1. Tripping /Falling hazard 1. Housekeeping shall be maintined during
2. Non closure of permit the activity and at the end of job
2 Remove all debris from the site Site Engineer /
2 1 L Performing 1 1 L
3 Permit must be closed and submitted to Authority
CIL upon completion of job
1.Slip, trip and fall on same 1.Working at Height Training should be Mandatory.
level 2.Proper Supervision at sight
2. Fall of personnel due to 3.Uses of Safety Herness should be Mandatory. Site Engineer
floor opening 3 3 M 4.Use appropriate PPE. Performing 2 1 L
3.Fall from Height 5.No Height Work at Night auhthority
 6.HSE Supervision at task.

1. Extreme weather condition 1 Collapse of individual 1.Evacuation procedure shall be in place

2 Lack of supervision 2. Fire 2. Effective TBT , shall include Emergency
3.leakage of toxic or flamable 3.Explosion response Site Engineer /
9 Emergency Response 2 2 M Performing 2 1 L
gases 4 Unvailbility of emergency 3. Ensure emergency vehicle arrangement Authority
vehcile is on place

1. Poor communication 1. Human fatigue 1.Ensure enagaged crew is trained in working

2. Inadequate illumination 2. Poor Visibility night shift
3. Lack of supervision 3. Attracting Live Reptiles 2. Ensure adequate lighting arrangement
4. Eating at site are made.
5. Working withour extension 3. Ensure effective night shift supervision Site Engineer /
10 Night Shift Work 2 2 M Performing 3 1 L
of permit 4. Stop work in the event of adverse climate Authority
5. Ensure night shift personnel get enough sleep or rest during day
6. Ensure personnel are trained to meet any emergency that may
occur at night

1. Unvailbility of drinking water 1. Heat related illness 1.Esnure plenty of cold drinking water is available at site
2. Lack of or inadequate rest shed 2.Collapse of workmen 2. Ensure adeqaute rest shelter is available for workmen to take rest Site Engineer /
11 Heat Stress Management 3. Failure to follow heat index flag 2 3 M as per procedure and heat index flag system Performing 2 1 L
system Authority
 RISK MATRIX

Severity
5.
1. 2. 3. 4.
Significant
Minor Moderate Serious Major
Permanent
No or Minor Off Site Serious Injury & More than One
Disability and
Injury Medical Treatment LTI LTI
Fatality

5.
Will Occur in 5 10 15 20 25
present state
Probability (Likelihood of the Occurance)

4.
More likely to 4 8 12 16 20
occur than not

3.
Possible 50/50 3 6 9 12 15
chance

2.
Unlikely Could
2 4 6 8 10
occur less than
50/50 chance

1.
Very Unlikely
1 2 3 4 5
little or no chance
of occurrence

1-3 Low Risk Managed by routine procedures.May be acceptable,however review

to see if risk can be reduced further

4-6 Modrate Risk Task should only proceed with appropriate management
authorisation

8-12 High Risk Task needs further review and consultation with specialists and
where possible the task should be re-defined to take account
of the hazards involved or the risk should be reduced to further before
the task is allowed to commence

15-25 Extreme Risk Task should not proceed

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