Activitate / Sarcina/ Activity / Task: Personnel transfer boat to boat
Activitate/ Departament/ Coordonator activitate/
Amplasament/ Personnel transfer boat to boat Loc lucrare/ Activity Department: Activity coordinator: Location: Worksite: Data JSA/ Data urmatoarei rev./ JSA aprobata de/ JSA revizuita in data/ Revizie JSA Specifica condusa de/ Date of JSA: Date of next review: JSA approved by: JSA revised / reviewed on (date): Review of Specific JSA led by: r Casca / Hard hat Cerinte specifice amplasamentului / r Indicatoare SSO / Safety signs r Incaltaminte de protectie / Safety footwear Site specific requirements r Tag out / lock out r Ochelari de protectie/ Safety glasses r Stingatoare de incendii tip....nr. /Fire EIP necesar / r Manusi de lucru / Work gloves extinguishers type ....... no. ... PPE required r Salopeta / Overalls r Hidrant / Hydrant r Work vest r Bariere (de acces) / Barricades (at access r Safety harness openings) r Bariere anti-incendiu / Barriers against fire Abbreviations: Afectarea Poluarea Apei / Poluarea Aerului Epuizarea Resurselor / Ranire/ Calitatea serv./ Detaliile impactului Poluarea Solului / Poluare Sonora / Florei/Faunei / Imbolnavire / Ill Dauna proprietatii / Reputatie /Reputation Water Pollution / Air Pollution Resources Depletion Injury Service Quality Details of impact Land Pollution (LP) Noise Pollution (NP) Effects on Flora / health (IH) Property Loss (PL) (R) (WP) (AP) (RD) (IN) (SQ) Fauna (FF) Normal/ Rutina/ Normal / Routine(N) Urgenta / Emergency (E) Anormal/ NonRutina / Abnormal / NonRoutine (A) Conditii/ Frequent activities, continuous and Exceptional situation, having the potential to generate disastrous, catastrophic effects. If the aspect/ Low frequency activities, undesired, but necessary for normal, routine Conditions normal for daily operations hazard from which the impact derives from occurs in an emergency situation, risk level is considered operations High, even if in normal conditions it would be low. Project Manager Project HSEQ Man. Project Site Manager Project Dive Supervisor Party Chief Project ROV Supervisor ROV Lead Piot Other-specify Other-specify Responsabilitati/ (PM) (PHSEQM) (PSM) (PDS) (PC) (PRS) (RLP) Responsibilities Vessel Operator Vessel Captain Chief Eng. Client A Rep. OIM Client (C) Other-specify Other-specify Other-specify (VO) (VC) (CE) (CAR) TBT = Toolbox Talk LMRA = Last Minute Risk Assessment (informal; Step back 5x5)
Page 1 from 2 JOB SAFETY ANALYSIS Activitate / Sarcina/ Activity / Task: Personnel transfer boat to boat
No. Masuri de control / Control measures steps / Hazards / Possible impact / Contingency 1. Vessel call as primary option to be considered 2. Person being transferred to agree to transfer 3. Everyone aware of the task TBT. Ensure that personnel not involved in operations is kept clear of the area. 4. Protective equipment to be worn as per the above 5. Suitable lighting/natural lighting in work area. Day Light Hours only 6. Supervised operations. Personnel injury (IN) 7. Personnel training including Sea Survival. 8. Personnel fit for task Damage to equipment 9. Ensure housekeeping and back deck clean including third party (PL 10. Non-skid surface applied to deck 11. MOB Procedure enforced, drills carried out 1. Project Emergency Collision (E) 12. Sea conditions suitable for safe execution Response Plan (PHSEQM) Delay in ops (SQ) 13. Coxswains of both boats satisfied of the environmental conditions for 2. Project Emergency Drills Personnel transfer boat transfer. Program (PHSEQM) 1 to boat Person trapped between Drowning (IN, IH) 3. Project incident reporting the crafts (A) 14. Efficient communications between the 2 boats. 15. Safety rope provided for all personnel ascending or descending over side and investigation procedure Limb/torso/head/internal 16. Boats coxswain ensures an even and safe distribution of passengers. (PHSEQM) Man over board (E) organs injury due to fall (IN) 17. Passenger will get up or sit down on coxswains instructions. Limb/torso/head/internal 18. Personal belongings passed to personnel attached to a safety lanyard. organs injury during 19. Designated transfer points, to minimize risks recovery (IN) 20. . 21. . 22. . 23. . 24. .
Echipa JSA / JSA Team
No. Functie/Companie Nume/Semnatura No. Functie/Companie Nume/Semnatura Position / Company Name/Signature Position / Company Name/Signature 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.