Duqm Refinery Project EPC Package One

JSA for confined space Rev.0

Contractor Name: TECNICAS REUNIDAS & DAEWOO Sub-Contractor Name: Al Hajiry Trading LLC

Project: Duqm Refinery Project EPC Package 01 Address: Wadi Kabir, Muscat

Location: Duqm Area In charge: Rennin Babu

Type of JSA: confined space JSA No: AHT-JSA-10-18-01 New: Revise:

Job Description: Work activity involves confined space for construction purpose.

Prepared By Subcontractor:
Name: Jose Kurian Position: HSE Manager Signature: Date:
Reviewed and Approved By Subcontractor:
Name: Shaji NT Position: Project Manager Signature: Date:
Reviewed and Approved By TRD:
Name: Romao Silva cordeiro Position: TRD-HSE Superintendent Signature: Date:

Reviewed and Approved By TRD:

Name: Position: Construction Manager Signature: Date:

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 Duqm Refinery Project EPC Package One
JSA for confined space Rev.0

Incident Likelihood or Probability

Incident Severity
Improbable Remote Occasional Probable Frequent
Productivity or Severity
Environment Property Personnel A B C D E
Downtime Level

Permanent damage Total facility loss Fatality or

beyond project boundary total
> 2 weeks 5 L M H H H
permanent
disability
Permanent damage
Damage to an
within project Permanent
1 week to entire facility or loss
boundary or partial 4 L M H H H
2 weeks of multiple systems in
reportable release disability
a facility
beyond boundary
Reportable release Damage to an entire
facility or multiple
> 1 day to within project
systems in a facility Days away 3 L L M H H
< 1 week boundary with no requiring repair or
permanent damage replacement
Release within project
Damage to a facility
boundary below OSHA
½ day to element or system
reporting quantity with Recordable 2 L L M M H
1 day requiring repair or
clean-up by external or E-1
replacement
source
Release within project
Damage to a facility
boundary below
element or system
< ½ day reporting quantity with First aid 1 L L L M M
requiring negligible or
clean-up by internal
no repair
source

Operation not permitted; must implement Operation permitted with a time Operation permitted with
Risk Mitigation High controls to reduce risk to an acceptable or Medium Low
limited waiver endorsed by implementation of core HSE program
Controls manageable level. (M) (L)
(H) management. elements.

Activity / Task: Confined space Date: 20/10/2018

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 Duqm Refinery Project EPC Package One
JSA for confined space Rev.0

Work Location: Duqm Refinery Company: A HAJIRY FM/Supervisor:

JSA No: AHT-JSA-10-18-01 Rev.00
Please mark (■) appropriate boxes - (A new JSA is required if the job scope or work conditions changes)

1.0
Permit(s)  Confined Space
 Safe Work Permit
Required:
 Hot Work  Others
 Hard Hat Clear Safety Glasses  Dark Safety Glasses  Chemical Goggles  Cutting Goggles
Dust Mask Welding Hood  Welding Aprons
Ear Plugs
 Face Shield

 Cartridge Respirator  Escape Respirator
 Welding Leggings

Cotton Gloves  Leather Gloves (welding)  SCBA

2.0
Earmuffs 
 Rubber Gloves  Rubberized Cotton
PPE Required: Coverall
 Cut resistant gloves
 Leather Gloves (rigging)
 Disposable Coverall
 Full Body Harness
 Hi-visible Vest / Safety Shoes
 Elect Insulated gloves
 Air supplied
 Nitrile gloves
 Fire resistant coverall
jacket
 Arm Sleeves
 Dielectric footwear
respirator
 Rain Suit
 Gas Badge
 Dosimeter
 Multi-Gas Monitor
 Gas Detective  Light Meter
 Air Blower
 Anemometer
Special Tools and  Thermometer  Ventilation Fans  Fire Extinguisher
3.0 Equipment
Required:
 Lifeline
 Retrieval Line
 Padlock, Hasp, Tags  Lighting (low  Lighting (high lux)
 Air Horn  Traffic Flags voltage)
 Whistle Spill Kits
 Traffic Cones
Potential
4.0 Environmental
Noise
 Soil erosion
 Air Pollution (dust)
 Spills (to ground)
 Air Pollution (smoke)  Air Pollution (vapor)
 Hazards to Flora & Fauna
Hazards Spills (Water)

Hazardous
5.0 Materials (attach  Carcinogen  Irritant  Highly Flammable  Toxic  Explosive
MSDS)

6.0
Other Potential  Electrical  Pressure (air, water,  Mechanical (crush points)  Ergonomics  Temperature (±)
Hazards  Light / Dark
gas)
 Ignition Sources
 Dust / Vapor  Suffocation  Other Trades

Additional Drink water and take rest breaks in hot weather conditions/Wear warm/suitable clothes in cold weather conditions. No work
7.0 Instructions during low visibility

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 Duqm Refinery Project EPC Package One
JSA for confined space Rev.0

RISK RESIDUAL
SN JOB STEPS POTENTIAL HAZARDS PREVENTIVE AND CONTROL MEASURES RESPONSIBLE
RATING RISK

 The Alhajiry Construction Safety

Entry Supervisor must review and
Permit-required Confined approve the entry documentation
Space Entry: prepared by the subcontractor (i.e.:
entry permit, plans to isolate the
Entry into a confined space space, purging procedures,
that has one or more of the monitoring equipment, equipment
following 4 characteristics: calibration records, communications
Hazardous atmosphere
1. Contains or has a methods, training records,
(i.e.: oxygen deficiency,
potential to contain coordination procedures, and
flammable, explosive,
a hazardous authorizations) and concur on their
toxic) or physical hazard
atmosphere; adequacy.  Site Manager
(i.e.: electrical,
2. Contains a material  For all permit entries into a PCRS,  Construction
mechanical, pressure,
that has the Alhajiry Construction shall provide Manager
1 moving parts, H L
potential for for emergency rescue capabilities  Foreman/supervisor
engulfment, internal
engulfing an and personnel as required by OSHA.  HSE Supervisor
configuration) that
entrant.  First aider
cannot be eliminated by If there are multiple employees who
3. Has an internal
a means that does not will simultaneously enter the PRCS, or if
configuration such
require active subcontractor and Alhajiry personnel
that an entrant
intervention to maintain. will be working in or near the PRCS, a
could be trapped.
meeting will be convened to discuss the
4. Contains any other
work that will be performed in and
recognized serious
around the PRCS. Entry operations will
safety or health
be coordinated such that employees of
hazard.
one subcontractor do not endanger
Alhajiry employees or the employees of
any other subcontractor.

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 Duqm Refinery Project EPC Package One
JSA for confined space Rev.0

RISK RESIDUAL
SN JOB STEPS POTENTIAL HAZARDS PREVENTIVE AND CONTROL MEASURES RESPONSIBLE
RATING RISK

 Follow all provisions of Alhajiry’s

Reclassification Entry:
Entry into a confined space
2
where there is no actual or
potential hazardous
atmosphere and all
physical hazards can be
eliminated from outside of
the space prior to entry.
Physical hazard (i.e.:
electrical, mechanical,
pressure, moving parts,
engulfment, internal
configuration) that can
be eliminated by a
means that does not
require active
intervention to maintain.
Confined Space Program.
 Analyze and eliminate all physical
hazards and confirm as acceptable.
 Reclassify the space as non-permit
 Site Manager
confined space
 Construction
 Proceed with work per the general Manager
H safe work practices for the space, if L
 Foreman/supervisor
any (review the confined space  HSE Supervisor
inventory).  First aider
Alhajiry Construction Safety Entry
Supervisor continually evaluates
conditions to assure that the terms of
the entry remain valid.

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 Duqm Refinery Project EPC Package One
SN JOB STEPS
Alternate Entry:
Entry into a confined space
where the only hazard is
actual or potential
3 H
hazardous atmosphere and
continuous forced air
ventilation is sufficient to
safely maintain the space
for entry.
JSA for confined space Rev.0
RISK RESIDUAL
POTENTIAL HAZARDS PREVENTIVE AND CONTROL MEASURES RESPONSIBLE
RATING RISK
 Follow all provisions of the under
Alhajiry's Confined Space Program.
 Analyze and eliminate through
continuous forced ventilation all
atmospheric hazards and confirmed
through air monitoring as
acceptable.
Actual or potential  Reclassify the space as alternate
entry permit-required confined  Site Manager
hazardous atmosphere
space.  Construction
(i.e.: oxygen deficiency,
flammable, explosive,  Proceed with work per the general Manager
safe work practices for the space, if L  Foreman/supervisor
toxic) that can be
any (review the confined space  HSE supervisor
eliminated through
inventory).  First aider
continuous forced
ventilation. Alhajiry Construction Safety Entry
Supervisor continually evaluates
conditions to assure that the terms of
the entry remain valid. This includes
periodic air quality testing to support
the determination that continuous
forced air ventilation protects workers
in the space.
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 Duqm Refinery Project EPC Package One
SN JOB STEPS
Entry into Non-permit
Confined Spaces:
Entry into a confined space
that does not contain or,
4 with respect to
atmospheric hazards, has
the potential to contain
any hazard capable of
causing death or serious
physical harm.
JSA for confined space Rev.0
RISK RESIDUAL
POTENTIAL HAZARDS PREVENTIVE AND CONTROL MEASURES RESPONSIBLE
RATING RISK
 Verify that confined space is a non-
permit confined space with Alhajiry
Competent Person.
Determine if the work may introduce a  Site Manager
hazard into that space. If the work may  Construction
introduce a hazard, then the space may Manager
NIL H L
need to be reclassified as PRCS. Contact  Foreman/supervisor
the Ajhajiry (Safety Manager) to discuss  HSE Supervisor
further. If the work will not introduce a  First aider
hazard, proceed per the general safe
work practices for the space, if any
(review inventory).
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 Duqm Refinery Project EPC Package One
JSA for confined space Rev.0

Task Supervisor HSSE Representative CONTRACTOR HSSE Manager

Issued Checked Approved

Signature:

Name:

Emp. No:

Specific prevention and protection measures:

All Hazards and mitigation measures reported in the JSA shall be discussed with the working crew by Supervisor/ Foreman and attendance sheet to be signed
before starting the work activity. Later, on daily basis, TBT shall be done prior to the activity and signed by all participants.
Pos. # Attendant Name & Surname Trade Signature
1
2
3
4
5
6
7
8
9
10

Supervisor Name & Signature: ______________________________ Date: ________________________

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