Beruflich Dokumente
Kultur Dokumente
Work Location:
MC3
Step
1.0
Signature:
Date:
Potential Hazards:
Crane failure
Potential Hazards:
Fire hazard
Falling down / Struck against / Struck
By
Potential Hazards:
2.0
Inadequate PPES
Poor communication
Potential Hazards:
Improper supervision
Potential Hazards:
Fire hazard
Skin injury due to improper use of
compressed air.
Improper earthing
4.0
Air
Blowing
decompression)
(Continuous
Potential Hazards:
Quick
Improper planning
Improper isolation
Improper use of tools
Faulty gauges
Leakage from blind / spade, valves
5.0
Mechanical Cleaning
Potential Hazards:
Slip/trip hazard
Dust / Noise
6.0
Potential Hazards:
7.0
Potential Hazards:
Unskilled Manpower
workers
8.0
Potential Hazards:
Workforce has been trained relevant to the job they have to perform. Air Flushing, Confined Space entry, Working at Height,
Rigging Refueling and Heat stress training will be given to skilled workforce as per their job natures. Supervisor will conduct tool
box talk daily before start of work. Equipment has been inspected and certified by JGC
Communications / Workforce Consultation
Have all members of the Work Party attended the Toolbox Talk, and have they been made fully aware of the risks that they are taking (Residual risks)?
Yes
Supervisor to conduct tool box talk daily before start of work explaining the hazards involved in the job and preventive measures
To be taken.
External Risk
Has an assessment been conducted to identify all external (to the activity) hazards and potential risks (3rd parties such as other workforce teams or other adjacent parties)? What is the
result?
Risk Assess. No.
Job Safety Analysis has been carried out keeping in view all external Risks / Hazards. No simultaneous activities will be carried out
in the barricaded area
H&S Training
Employees should be trained in the proper interaction with equipment, and the proper response to incidents involving this equipment. List the training your employee(s) has received.
All employees attended JGC induction training and DESCON HSE trainings. Workforce will be trained relevant to the job they have to perform.
Air Flushing / Cleaning, Working at height, confined space entry, Refueling, Rigging and Heat stress training will be given to
workforce as per their job natures.
Specialist Training
Will the workforce require any specialist training?
YES
YES / NO (IF YES, list the specialist training required for the job):
YES / NO
Working at height
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the Health and Safety of the team members?
YES
Heat Stress
PTW / Isolations: Other Certificates / Permits
What other precautions (e.g. electrical isolation, permits to work) are required and who will authorize them?
YES
Permit to work will be obtained wherever applicable.
Contingency / Emergency Response
Should special emergency procedures be instituted, e.g. Emergency Drill, providing Fire Wardens, extra First Aid cover, etc.?
No
Air Emissions
Will the work you perform produce or cause the release of any air emissions?
No
YES / NO
(If YES, list air emissions and method for preventing impact to the environment):
No
Materials
What materials (chemicals, oils, etc.) and/or equipment will you be handling or bringing on-site to perform the contracted work?
NOT APPLICABLE.
Environmental Training
Have employees been trained in the proper handling of materials and equipment, and the proper response to incidents involving these materials? List the training your task employees
have received.
YES
All waste will be disposed off as per JGC Waste Management Procedure RLO-0000-FPR-50126.
Energy
Will the work you perform consume energy (electricity, compressed air, natural gas, steam, etc.)? YES / NO (IF YES, explain what type of energy will be consumed, and how you will
minimize consumption):
Yes, Diesel fuel will be used in cranes, generators, air compressors etc. Equipment will be stopped if it is not needed to reduce fuel consumption
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the environment?
No
Environmental Monitoring
Describe any environmental monitoring to be performed, including sampling methods, frequency, analytical requirements and laboratory to be used:
Not Applicable
Legal requirements
Identify environmental legal requirements applicable to the work that has not already been addressed by the Project.
Not Applicable
Standard
Codes
ASTM-1599
ASME B31.3
ASME B16.5
PPEs:
Safety Helmet
No
Type
Reference/Documents
Safety Shoes
Safety Glasses
Coverall
NB: List of qualifications/experience is held in local JGC files see JGC HSE Group for details.
Name: .
Position:
Name: .
Position:
Signature: .................................................................
Signature: .................................................................
For a list of names and signatures of staff instructed in this Safe Work Method Statement and JSA, see JGC training records.
Copy 1 - To be posted at the Worksite / Supervisor at the Worksite
Copy 2 - To be retained by JGC HSE Group (24 months)
Copy 3 - To be held by the subcontractor (24 months)
Date:
Foreman (print
name):
Location:
Task Description:
MUSTER / ASSEMBLY POINT LOCATION:
IS YOUR DESIGNATED PLACE OF WORK TIDY? - YES or NO (If "NO" housekeeping must be performed prior to work commencing).
PERMIT TO WORK REQUIREMENTS
YES
(tick box)
NO
N/A
Excavations
Access Only
Plant & Equipment
Electrical
Confined Spaces
Isolations
Lock Out / Tag Out
Hot work
Instrumentation
Pre / Commissioning / START-UP
EXCAVATION
YES
NO
N/A
FIRE EXTINGUISHER
LADDERS PROVIDED
FIRE BLANKET
COMBUSTIBLES REMOVED
EXCAVATION INSPECTED
CONFINED SPACES
NO
N/A
EMERGENCY COMMUNICATIONS
WORK BELOW RESTRICTED
PERMIT to WORK
EMERGENCY ACCESS
CHEMICALS
COMMUNICATIONS
SAFETY HARNESSES
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
SCAFFOLD INSPECTED
SIGNS POSTED
HAZARDS COMMUNICATED
HANDRAILS SECURED
GROUNDING
YES
NO
N/A
PORTABLE TOOLS
DEFECTS REPORTED
OPERATOR CERTIFIED
OPERATORS CERTIFIED
OCCUPATIONAL HEALTH
N/A
VENTILATION
NO
YES
STANDBY MAN
SCAFFOLDING
YES
GUARDS POSITIONED
YES
NO
N/A
PPE
HARD HAT
HEAT STRESS
BOOTS
DUST
GLASSES
NOISE
FACE MASKS
VIBRATION
YES
ELECTRICITY
NO
N/A
SPECIALIST PPE
HARNESSES / LANYARDS
SYSTEM DISCONNECTED
WELDERS SCREEN
SYSTEM TESTED
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
MANUAL HANDLING
YES
NO
N/A
RESPIRATORS
LIFTING, PULLING
STRETCHING
ENVIRONMENTAL CONSTRAINTS
GENERAL
YES
NO
N/A
FLYING PARTICLES
SPILL CONTAINMENT
Foreman
/ Supervisor: I have discussed the above potential hazards involved in the task, reviewed the SAFE
ACTIVITY PRECHECKLIST SHEET Card with the employees under my control, and implemented suitable and sufficient
controls to minimize the risks involved.
Name (print)
Signature
Employees: I / WE ACCEPT THE RESPONSIBILITY FOR THE SAFE BEHAVIOUR OF MYSELF AND MY CO-WORKERS
DURING THE TASKS IDENTIFIED ABOVE:
EMPLOYEE NAME
SIGNATURE
EMPLOYEE NAME
1.
10.
2.
11.
3.
12.
4.
13.
5.
14.
6.
15.
7.
16.
8.
17.
9.
18.
SIGNATURE