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ANALYSIS_x000D_Job

Safety Analysis Local Delivery

1 (36)

Job Safety Analysis Local Delivery


Johann Sookdeo

Field Supervisor

Name of the person doing the JSA

Position

11/2/2015

Digicel

Date

Customer

Aspirona

Mason Hall - 716

Supplier Name

Site Name (with ID)


Rural area

Link Upgrade

Urban area

Activity performed
Geographic location of the site and the nearest hospital:

Scheme or site map of execution of work

Address / Location

Plymouth Town Centre

Phone:

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

2 (36)

Verification (Mark with an "X")


Yes

No

N/A

Yes

Good physical and mental condition to perform assigned


activities:

It has insurance policies (medical expenses, car):

Good condition of the structure for work at heights:

First aid kit on site:

All persons on site include personal protective


equipment:

Staff working at height are trained:

Team Full protection for the work activity:

Staff working at heights is certified:

Protective Equipment in good condition for the work


activity:

Procedure "Safe Work at Height":

No

N/A

Complete hand tools and energy:

Personnel performing electrical work is certified:

Hand tools and power in good condition:

Personnel performing electrical work is qualified:

Procedure "Safe work with electricity":

Performing safety briefing 5 minutes:

"The risks qualified as UNACCEPTABLE and NO ACTION THERE MITIGATING, should be channeled immediately to the Project Manager (IM Er

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

3 (36)

Photos: Personal Protective Equipment, Emergency Plan, aid kit and fire extinguisher on site

Emergency MOP:1:Notify appropriate response personnel. 2:Shut down operations and evacuate the
designated assembly area(s): 4.Assess the need for site evacuation, and evacuate the site as warranted: 5.
as required by shareholders.

Selection of hazards, risks and recommended actions (Mark with an "X")


Yes

Driving (transfer to the site)

Probability

No

High

Risks:

Medium

x
x

Vehicular collision
Insecurity (robbery, kidnapping, threats)

Low

Consequence

Multiple lesions

Fatality

Other (specify):

Permanent or total disability


Permanent partial disability
First aid
Affectation of service
Impact on the brand Ericsson or Client

x
x
x
x
x
x

Other (specify):
Yes

Site Access

Probability

No

High

Risks:
Insecurity (robbery, kidnapping, threats)
Aggression of neighborhood
Animal aggression
Undergrowth
Poor lighting conditions

Medium

x
x
x
x

Low

Fatality

x
x
x

Consequence
Permanent or total disability
Permanent partial disability

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

Other (specify):

4 (36)

First aid
Affectation of service
Impact on the brand Ericsson or Client

x
x
x

Other (specify):

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

5 (36)

Photos: Risks to access the site

Yes

Work at Height

Probability

No

High

Risks:
Fall more than 2 meters
Amputation
Fractures
Damage to back

Medium

x
x
x
x

Low

Consequence
Fatality
Permanent or total disability

Electrical overhead lines


Sprain
Knocking
Adverse weather (rain, strong wind, etc.)
Insolation (heat stroke)

Permanent partial disability

x
x
x
x

First aid
Affectation of service
Impact on the brand Ericsson or Client

x
x
x
x
x
x

Other (specify):

Hypothermia (low temperatures)


Animal aggression
Panic (working at heights)
Fall of equipment and / or tools

x
x

Poor lighting conditions


Other (specify):

Work in excess of 2 meters, alone, heights are prohibited; should have a vigia or companion
Photos: Risks work at heights

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

6 (36)

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery


Probability

Yes

Works with electricity

No

7 (36)

High

Risks:

Medium

Electrocution

Low

Consequence

Amputation
Burns

Fatality

Fire

Permanent or total disability

Cardiac arrest

Permanent partial disability

Poor lighting conditions

First aid

Explosion

Affectation of service

Other (specify):

Impact on the brand Ericsson or Client


Other (specify):

Works with high voltage are prohibited, works with energy must have a lookout or companion (except lo
"Low voltage (" LV ")" usually refers to the voltage exceeds low voltage levels, but without exceeding 1000 V AC or 1500 V DC betwe
between conductors or ground.
Photos: Risks works with electricity

Probability

Yes

Hot work

No

High

Risks:

Medium

Burns
Fire

Low

Consequence

Explosion

Fatality

Exothermic mold in poor condition

Permanent or total disability

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

Poor lighting conditions

8 (36)

Permanent partial disability

Electrocution

First aid

Other (specify):

Affectation of service
Impact on the brand Ericsson or Client
Other (specify):

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery


Probability

Yes

Manual handling

9 (36)

No

High

Risks:

Medium

Damage to back

Low

Consequence

Multiple injuries
Entrapping

Fatality

Luxations

Permanent or total disability

Contusions

Permanent partial disability

Poor lighting conditions

First aid

Other (specify):

Affectation of service
Impact on the brand Ericsson or Client
Other (specify):

Photos: Risks hot work and / or manual handling

Handling chemicals / hazardous waste

Probability

Yes
No

High

Risks:

Medium

Intoxication
Spills, leaks of chemicals

Low

Consequence

Explosion

Fatality

Water Pollution

Permanent or total disability

Soil contamination

Permanent partial disability

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

10 (36)

Air Pollution

First aid

Affectation of flora

Affectation of service

Allocation of wildlife
Fire

Impact on the brand Ericsson or Client


Other (specify):

Burns
Other (specify):

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

11 (36)

Photos: Risks works with chemical handling / hazardous waste

Probability

Yes

Working on "confined spaces"

No

High

Risks:

Medium

Damage to back

Low

Consequence

Multiple injuries
Entrapping

Fatality

Luxations

Permanent or total disability

Contusions

Permanent partial disability

Poor lighting conditions

First aid

Fall more than 2 meters

Affectation of service

Fall of equipment and / or tools

Impact on the brand Ericsson or Client

Explosion

Other (specify):

Fire
Other (specify):

Photos: Risks work in confined spaces

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

12 (36)

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

13 (36)

Photos: Other risks identified

Executing the analysis and determination of controls:

Name and position

Signature

Name an

Name and signature of the members of the crew:


Johann Sookdeo
Name
Oral Barnett

Name
Sibron Barnett

Name
Keston Emmanuel

Name
Randolph Maman

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

14 (36)

Name
Name

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

15 (36)

Analysis Local Delivery


Trinidad
Area
LTE Upgrade
Project

Link Upgrade

Activity performed

n of the site and the nearest hospital:

ite map of execution of work

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

Yes
Emergency plan and emergency numbers:

Equipment for rescue activity:

Rescue Plan:

Extinguisher on site and car:

No

N/A

Procedure "Safe Hot Work":


Procedure "Safe work with heavy loads":

16 (36)

Procedure "Safe work with chemicals / hazardous waste"

Procedure "Safe work in confined spaces":

uld be channeled immediately to the Project Manager (IM Ericsson) with a copy to contact OHS Ericsson".

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

17 (36)

response personnel. 2:Shut down operations and evacuate the immediate work area:3.Account for personnel at the
need for site evacuation, and evacuate the site as warranted: 5.Conduct Incident Notification,Reporting and Investigation
as required by shareholders.

Recommended actions to prevent the risk in "Driving


(transfer to the site)"
Training on "Safe driving"
Using Seatbelt
Have tools for automobile
Having spare tire
Having equip signaling

x
x
x
x
x

Other (specify):

Recommended actions to prevent risk "Site Access"

Security recommendations followed


Have insect repellent

x
x

Using lighting equipment


Security personnel to access the site

Other (specify):

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

18 (36)

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

19 (36)

Recommended actions to prevent the risk in "Working at


Height"
Training on "working at height"
Using Fall Protection Equipment
Simulate lifeline (horizontal / vertical)
Using sunscreen

x
x
x
x

Escalators in good condition


Having tool bag

Signaling / delimit workspace


Safety distances vs. electrical arc
Using lighting equipment
Hydration (drinking water)
Use of equipment to handle loads at height
Clothing for low temperatures

x
x

Other (specify):

ghts are prohibited; should have a vigia or companion

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

20 (36)

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

21 (36)

Recommended actions to prevent the risk in "Working with


electricity"
Training on "Electrical risk"
Dielectric PPE use
Use of insulated tools
Using lighting equipment
Lockout / Tagout
Use voltmeter to check electricity
Other (specify):

h energy must have a lookout or companion (except low voltage)


but without exceeding 1000 V AC or 1500 V DC between conductors, or 600 V AC or 900 V DC
conductors or ground.

Recommended actions to prevent risk "Hot work"


Training on "Fire Prevention"
Use of personal protective equipment
Using lighting equipment
Other (specify):

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

22 (36)

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

23 (36)

Recommended actions to prevent the risk in "Manual


handling"
Training on "Manual Handling"
Use of personal protective equipment
Maintenance to heavy machinery
Using lighting equipment
Other (specify):

Recommended actions to prevent risk on "Management of


chemical / hazardous waste"
Training on "Fire Prevention"
Training on "Waste Management"
Use of personal protective equipment
Using waste management kit
Using spill kit

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

24 (36)

Having MSDS / Safety Data Sheets


Other (specify):

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

25 (36)

Recommended actions to prevent risk "Confined Works"


Training on "working at height"
Use of personal protective equipment
Having tool bag
Using lighting equipment
Delimit workspace
Having vigia or companion
Having a explosimeter
Other (specify):

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

26 (36)

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

27 (36)

Reviewed by:

Name and position

Signature

Signature

Signature

Signature

Signature
Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

Safety Analysis Local Delivery

28 (36)

Signature
Signature

Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public

ANALYSIS_x000D_Job

29 (36)

Safety Analysis Local Delivery

Personal Protective Equipment Inspection


to working at heights
Company:
Project:

Aspirona
LTE Upgrade

Inspected by: Johann Sookdeo


Date: 11/2/2015
The personal protective equipment check up must be daily before use it

Element

Condition / Failure to be reviewed

Fulfillment

Safety harness

Harness code

Date of manufacture

Harness straps

YES

NO
NO
NO

Abrasion especially in areas of contact with accessories


Overstretching
Damage contact with heat, corrosive substances or solvents

Carabiners

YES

They are in perfect condition (rusted , broken , heat damage)


Wear on pins or insurance
Broken springs , worn or out of place

NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO

Deformation or physical harm


Spoilage or physical harm
Buckles

Breakage or deformation
Deformed beards
Unadjusted
Cracks, especially at the intersection of the straight portion and curved
They are in perfect condition (rusted , broken , heat damage)

D - Rings

Sewing

Deformation or physical harm


The side D rings are deformed or presents corrosion
The side D rings have cracks or crazing
The dorsal D -ring presents deformation or corrosion
The dorsal D-ring has cracks or crazing
The front D ring has deformation or corrosion
The front D ring has cracks or crazing
Broken sewing , cut or worn
Damage or weakness seams due to contact with heat , corrosive or mildew

Sling "Y" with shock absorber

Lifeline straps

Absorber

NO

YES

Is in good condition (breakage , cutting, tearing, etc.)

Sling code

Date of manufacture

YES

NO

NO
NO
NO
NO
NO

Cuts
Abrasion or frayed
Overstretching
Deterioration by rotting, mold or ultraviolet exposure
Check overload indications

YES

Protector of the shock absorber in good condition


The impact absorber is activated and / or is outside of its home position.

NO
NO

Carabiners / hooks Carabiners / hooks with deformations, cracks or corrosion.


Positioning Lanyard

Sling code

Date of manufacture

YES

NO

Fall arrestor code

Date of manufacture

YES

NO

Sling code

Date of manufacture

YES

NO

Date of manufacture

Delivery date

YES

NO

Cuts
Sling straps

Abrasion or frayed
Overstretching
Deterioration by rotting, mold or ultraviolet exposure

Carabiners / hooks Carabiners / hooks with deformations, cracks or corrosion.


Fall arrestor (trolley for lifeline)
Insurance worn
Excessive wear and tear section
Fall arrestor (trolley
Deterioration or physical harm
for lifeline)
Arrestor is missing bolts / pins.
The system is locked and / or does not work.
Anchorage connector
The connector has tears, crushing or deformation on straps and / or metal elements
(Tie-off / Track plus) There presence of paint and / or outside of core components of the anchor structure
The joins and / or seams have loose threads.
Others
Helmet
Gloves
Goggles
Safety boots

Helmet without a visor (dielectric E class)


Support chinstrap is broken or damaged
Chinstrap in good condition, without presenting loose threads
Gloves suitable for climbing, in good condition and good fit
Goggles in good condition
Safety boots with toe cap, dielectric and in good condition

DOES WORK AT HEIGHT EQUIPMENT HAS THE ANSI Z 359.1 CERTIFICATION?

After this evaluation is considered personal protective equipment:


Name and signature of crew leader at work:

SIGNATURE

OPERATIONAL

Name and signature of person using protective equipment:

SIGNATURE

Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved: TAM/O/N/M/A [Acela Juarez]


Date: 2014-12-23
Sheet: Inspection PPE (English)
Public

No: OPER/RLAM-14:004435 Uen_x000D_Rev: A

Digicel Trinidad - Method of Procedure

Activity
Arrive onsite and gain access to the site
Place call to the NOC upon entering
Team assess site for any issues & hazards
Team reports issues & hazards to NOC
Team organizes tools, materials, & safety equipment
Team conducts safety meeting, ways to mitigate issues and hazards, and warmup
FS take backups of system
Crew begins climb
Crew assess tower for ability to preinstall equipment or perform swap
Crew perform installation when ready
FS configures RAU
Alignment of Antenna perormed
Traffic restored and confirmed with NOC
All areas of installation are completed
Site is cleared
Place call to the NOC upon leaving

Notes:
Team may arrive early and begin assembling material on the ground
Alloted time for install is 3 hours granted no major issues are encountered

Name

Safety
Helmet

Chin
Strap Vest

Steeltoe
Boots

Caution
Tape

Safety Head
Cone
light

Harness

Date: