STAATSOLIE MAATSCHAPPIJ SURINAME N.V. Owner Job No.

STATE OIL COMPANY SURINAME N.V. PTW No.

EWO-0205

Contractor Job No.

STAATSOLIE REFINERY EXPANSION PROJECT _________________
032096

Rev
Job Safety Analysis .

JOB SAFETY ANALYSIS

ACTIVITY: TURNING SPECTACLE BLIND IN CLOSE POSITION (AREA 400-300-

500)
Description of the activities to be performed: In order to isolated from CW unit 400, 300 and 500 spectacle
blind at battery limit has to be put in close position
Form code: MDT.GG.QUA.0004 Sh. 01/Rev. 3.96
This document and the information herein contained are confidential and the sole property of Saipem who will safeguard its rights according to the civil and penal provisions of the law. It shall neither
be shown to third parties nor used for purposes other than those for which it has been disclosed.
 STAATSOLIE MAATSCHAPPIJ SURINAME N.V. Owner Job No.
STATE OIL COMPANY SURINAME N.V. PTW No.
EWO-0205

Contractor Job No.

STAATSOLIE REFINERY EXPANSION PROJECT ______________
032096

Rev
Job Safety Analysis .

Job Safety Analysis report form PROJECT: Refinery Expansion Project

CLIENT: STAATSOLIE

Activity: Turning spectacle blind in close position Date: Sheet 1 of

Remarks/Action
Steps Hazards Control Measures to be Enforced
Preparation of the isolation Permit to work
Tool Box Talk
Proper housekeeping in the working areas.
Tripping/slipping Scaffolding verification (check presence of green tag).
Correct use of safety harness if required (installation of the life
line)
Wear proper PPE (safety shoes)
All openings to be barricaded or covered with fixed planks.
Unguarded opening Instruct supervision personnel to keep away from unprotected
opening.
Proper housekeeping in the working areas.
Tool Box Talk
Wear proper PPE (helmet)
Falling objects Scaffolding verification (check presence of green tag).
Lifting areas must be barricaded. Inform personnel not to stand
under lifting loads.

Scaffolding verification (check presence of green tag).

Working at height Tool box talk
Wear proper PPE (safety harness with double lanyard)

_______________________________

Form code: MDT.GG.QUA.0004 Sh. 01/Rev. 3.96 File name: 395048750.doc

This document and the information herein contained are confidential and the sole property of Saipem who will safeguard its rights according to the civil and penal provisions of the law. It shall neither
be shown to third parties nor used for purposes other than those for which it has been disclosed.
 STAATSOLIE MAATSCHAPPIJ SURINAME N.V. Owner Job No.
STATE OIL COMPANY SURINAME N.V. PTW No.
EWO-0205

Contractor Job No.

STAATSOLIE REFINERY EXPANSION PROJECT ______________
032096

Rev
Job Safety Analysis .

Sharp/abrasive objects

Proper housekeeping in the working areas

Tool Box Talk
Struck against equipment, tools or materials Wear proper PPE (helmet, safety shoes, gloves for mechanical
activities).

Struck against equipment, tools or materials

System isolation through blind and valve closure (refer to blind

Line connected to cooling tower system register and lockout sheet as per LOTO procedure)
potentially started

Improper use of tool

Proper housekeeping in the working areas
Spectacle Blind removal Tool Box Talk
Wear proper PPE (helmet, safety shoes, gloves for mechanical
Struck against equipment, tools or materials
activities).

Sharp/abrasive objects

Proper housekeeping in the working areas

Spectacle blind put in close position Line connected to cooling tower system Tool Box Talk
potentially started Wear proper PPE (helmet, safety shoes, gloves for mechanical
activities).

Improper use of tool

Struck against equipment, tools or materials

_______________________________

Form code: MDT.GG.QUA.0004 Sh. 01/Rev. 3.96 File name: 395048750.doc

This document and the information herein contained are confidential and the sole property of Saipem who will safeguard its rights according to the civil and penal provisions of the law. It shall neither
be shown to third parties nor used for purposes other than those for which it has been disclosed.
 STAATSOLIE MAATSCHAPPIJ SURINAME N.V. Owner Job No.
STATE OIL COMPANY SURINAME N.V. PTW No.
EWO-0205

Contractor Job No.

STAATSOLIE REFINERY EXPANSION PROJECT ______________
032096

Rev
Job Safety Analysis .

Sharp/abrasive objects

JSA Prepared by HSE Check / Approval

Name: Name:

Position: Position:

Date: Date:
Signature: Signature:

_______________________________

Form code: MDT.GG.QUA.0004 Sh. 01/Rev. 3.96 File name: 395048750.doc

This document and the information herein contained are confidential and the sole property of Saipem who will safeguard its rights according to the civil and penal provisions of the law. It shall neither
be shown to third parties nor used for purposes other than those for which it has been disclosed.