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ATTACHMENT 1: JOB SAFETY ANALYSIS WORKSHEET

DO IT SAFELY OR NOT AT ALL


Hazard/Risk Management THERE IS ALWAYS TIME TO DO IT RIGHT
(Check boxes that apply, read the references, & decide what to do)
Potential Hazards Job safety Analysis Process Flowchart
Hazardous Substances (SPM 7.2) Overhead (SPM 4.10) W ork C rew W o rk R esp on sib le P erson P erso n in C harge
Hazardous Atmosphere (SPM 4.9) Working at Height (SPM 4.10)
Confined Space (SOP-404) Diving Operations (SPM 9.8) Star t
Working in Noisy Area (SPM4.6) Machinery/Moving Objects
Environmental Impact (SPM 17.0) (SPM 8.4 & SOP-403)
Arc/Flash (SPM 4.7) Heat Stress (SPM 7.6) No

Radiation Work (SPM 7.4) Power/Hand Tools (SPM 8.4) Pr epare JSA Prepare JSA
Is JSA
R equir ed
Ignition Source (SPM 5.3) Fire/Explosion (SPM 5.0 & 9.0)
Pressure (use permit to work system) Slips/Trips/Falls (SPM 8.1) Yes
Lifting Plan Required (SOP-406 & -504) Pinch Points (SPM 8.2 & 8.4) R eview JSA w ith
Manual Handling (SPM4 4.8, 8.2 & 8.4) Hot Surfaces (SPM 8.4) PIC
D iscuss w ith W R P
Additional Workers (SOP-401) Adequate Lighting (SID 12.4)
Over-the-side work (SOP-506) Excavations (SOP-405)
Bees/Snake Attack (SPM 7,6)
R eview JSA
Hazard Controls Safety Equipment Required

PPE (SPM 4.1) Face Shield/Goggles (SPM 4.7) Effect C hanges Effect C hanges Yes No
Physical Barriers (SPM 4.10) Hand Protection (SPM 4.8) C hanges
Safety Equipment (SPM 4.0) Chemical Gloves (read MSDS) required
Ignition Source Controls (SOP-402) Chemical Apron (read MSDS)
Lockout-Tagout (SOP 403) Work Vest/Life Jacket (SPM 16) R eview JSA at R eview final JSA
Required Work Permits (SPM 9.0) Full Body Harness (SPM 4.10) T ool box talk w ith W ork crew
Spill Control Plan (discuss with HES) Life Line (SPM 4.10) Accept JSA

Fire Fighting/ERT Standby (contact HES) Safety Barricade (SPM 8.1)


Emergency Evacuation Plan Respirator (SPM 4.9, SOP 404)
(Contact HES) Fire Retardant Tarps (SOP-402) Sign reverse of
Eyewash/Safety Shower Location GW P that Job task
Hearing Protection (SPM 4.6) and condition are
C om m ence task
(SPM 4.11 & SID 10.0) Spill Control (contact HES) understood
Material Safety Data Sheets (obtain from Fire Extinguishers (SPM 6.2)
supplier before using product) Others (specify)
Hot Bolting Procedure
(contact Construction)
SPM – Safe Practices Manual SID – Safety in Designs Manual
SOP – Standard Operating Procedure
GWP Number Work Location Completed By Discussed At Toolbox Talk on (date)     
      EGTL SITE , ESCRAVOS Ajith Singh.B By (name)      initial

Describe work to be Performed


Installation of Crawler Crane

Task Hazard Controls Responsibilities


Detail the steps involved in doing What could go wrong and what would the How can the hazard be prevented Who is going to take action
the job effect be?
Inspection of worksite Slip, Trip and Fall. Remove all waste materials from the work Work Supervisor, Foreman
site. arrange the materials in good fashion
order.
Manuel handling of materials Pinch Points, Waist pain Follow good mauel handling technique Work Supervisor, Foreman
Required PPE must be used during
material handling
Lifting of Boom with the crane Struck by mobile equipment Lifting area should be cordoned off to Work Supervisor, Foreman
Equipment tipping over due to unlevelled avoid unauthorized movement. Operator and Rigger
ground surface . Out rigger should be exteneded in firm
Struck by the lifting load and level ground.
Crushing by the counter weight Trained rigger should control the
suspended load by using tag line.
Trained and competent operator should
operate the crane.     

Lifting and installation of crawler Heavy object, avoid line of fire Work Supervisor, Foreman
suspended load do not work under suspended load Operator and Rigger
line of fire ensure that tag lines are used to direct
damaged slings and lifting gears and position the crawler.
Struck by the Swinging boom ensure lifting plan is discussed and
followed.
Only qualified and certified riggers to be
used during lifting and positioning .
inspect all rigging equipment.
use signal man with reflector jacket.
adequate and smooth communication
between rigger, signal man and crane
operator mst be ensured throughout the
operation
Tightening,grinding and fixing of Pinch Point, Heavy object, Airborn Use proper hand gloves, faceshield. clean Work Supervisor, Foreman
plates. particles, slip,trip and fall. Electrical the work area if there any oil spill or
shock   grease to avoid slipping and tripping
hazard.
Check all the hand and power tools
before use.
Working on Noisy and heat stress Heat stress, Noise  Drink enough cold water, use hearing Work Supervisor, Foreman
area protection all the time while on noisy zone
Working on height to assemble the Fall from height, dropping object, Entangle Full body harness to be used while Work Supervisor, Foreman
booms. between the mechanical structure. working above 1.8 m from the groung and
100% tie off procedure to be followed.
Secure the area where the chance of
falling objects are high.
Always position your body in safe
distance to avoid entanglement between
the mechnical structure.

Arranging of materials        Trip and fall All unnecessary materials should be Work Supervisor, Foreman
removed.
Do good housekeeping
                        

                       


                       

                       


                       
                       
Can all personnel in the group answer YES to all the following questions
Have all the significant hazards involved with the work been identified? Yes/No Has everyone on site been issued with appropriate PPE? Yes/No
Have control measures been identified for these hazards & implemented? Yes/No Are we aware of what everyone else is doing at the work-site? Yes/No
Has the method of communication been agreed and tested? Yes/No Does everyone know that any changes to the work plan have to be communicated to Yes/No
everyone involved in the work?

Is everyone aware of what is being done at the work-site? Yes/No Does everyone know that anyone new to the job should be given this JSA for review and Yes/No
any questions answered prior to joining in on the work

PIC Signature: WRP Signature:


Date: Date:
If the answer to any of these questions is NO, then the safety of people is at risk and additional action is required as to why the answer is NO