CB&I JOB HAZARD ANALYSIS

Date: Project # and Name: 1321771104 VC PM/HSO: JHA#:

Summer
Work Type (Task):
Development Team: Master Revision Rev#: 0
(maintain hard copies on site
for audit)
Equipment / Tools / Materials Personal Protective Equipment Reason for JHA Revision
Required

Potential Risks /
Step Job Steps Corrective Actions / Mitigation
Hazards
1

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 CB&I JOB HAZARD ANALYSIS
Step
Job Steps Potential Risks / Corrective Actions / Mitigation
Hazards
4

Stop Work Authority All on-site personnel are empowered, expected, and have the responsibility to stop their own work and
the work of co-workers, or other contractors if any persons safety or the environment is at risk. NO negative repercussions will
result from this action.

Chemicals Description/Health Hazards

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Required Training: Required Permit(s): Other Information:

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JSA Hazard Checklist

Potential Hazards
Chemical Exposure Ignition Sources Fire/Explosion
Hazardous Atmosphere Pressure Spills
Confined Spaces Lifting Slips/Trips
Noise Overhead Chips/Slivers
Working/Walking Surfaces Falls Pinch Points
Environment/Weather Machinery Hot Surface
Arc/Flash Heat Stress Simultaneous
Open Hole
Other -

Hazard Controls and Emergency/Contingency Plans

Personnel Protective Equipment Spill Control/Contingency Plan

Physical Barriers Fire Fighting
Safety Equipment Emergency Evacuation Procedures
Ignition Source Controls Eyewash/Safety Shower Location
Lock Out Tag Out Material Safety Data Sheets
Required Work Permits Simultaneous Operations
Fall Protection/Open Hole Policy Hot Bolting Policy
Other
Describe:

Safety Equipment Required

Hard Hats Work Vest/Life Jacket Respirator
Safety Shoes Full Body Harness Fire Extinguisher
Safety Glasses Double Lanyard w/ Shock Fire Retardant Tarps
Face Shield Absorber
Life Line Lock Out Tag Out
Devices
Goggles Safety Cable Gas Detector
Cotton Gloves Safety Barricade Hearing Protection
Leather Gloves Caution Tape Adsorbent Pads
Rubber/Chemical Clothing Containment Pans
Chemical Apron Work Permit Proper Tools
Other
Describe:

CONTACT WITH Will the task put you in
contact with hazardous energy/materials-
electricity, chemicals, heat, cold radiation,
gases or fumes, water, steam, or poor air
quality?
STRIKE AGAINST Can you strike your body
against stationary, moving, protruding, sharp or
jagged objects?
SLIPS, TRIPS, OR FALL Can you slip, trip or
fall? Will the fall be to the same level or a
lower level?
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STRUCK BY Can you be struck by moving objects,
flying objects or falling material?
CAUGHT IN, ON, OR BETWEEN Can you be caught in,
on, or between anything? Look for pinch points,
protruding objects, moving and fixed objects.
OVEREXERTION (LIFTING, PULLING, PUSHING) Does the
task involve lifting, pulling or pushing? Is there a
possibility for over exerting or straining yourself? Is the
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job highly repetitive?

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