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SFM-08.10-SHEM-009 Job Safety Analysis Form

1. The document describes a job safety analysis for installing loop scanner utilities at a plant. It lists the job steps which include mobilizing equipment, installing transformers and conduits, and testing and commissioning. 2. Hazards associated with each job step are identified, like collapsed cranes, falling objects, and electrical shock. Control measures are provided to reduce risks, such as using certified lifting tools, wearing PPE, and implementing lock-out/tag-out procedures. 3. Responsibilities are assigned and residual risks are classified as minor after controls are applied. The analysis aims to complete the task safely by identifying hazards and implementing appropriate risk controls.

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0% found this document useful (0 votes)
177 views

SFM-08.10-SHEM-009 Job Safety Analysis Form

1. The document describes a job safety analysis for installing loop scanner utilities at a plant. It lists the job steps which include mobilizing equipment, installing transformers and conduits, and testing and commissioning. 2. Hazards associated with each job step are identified, like collapsed cranes, falling objects, and electrical shock. Control measures are provided to reduce risks, such as using certified lifting tools, wearing PPE, and implementing lock-out/tag-out procedures. 3. Responsibilities are assigned and residual risks are classified as minor after controls are applied. The analysis aims to complete the task safely by identifying hazards and implementing appropriate risk controls.

Uploaded by

salmankhanehs
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 6

Classification: Internal Use

Date:09-01-2023 FORMAL JOB SAFETY ANALYSIS


Page 1 of 1

Plant / Department HADEED/ PDC Date : JSA Number

Activity / Task Loop scanner utilities installation New Revised

1. Mobilization & demobilization of material tools and equipment by using


Job Steps (Sub-Task) Mobile crane and trailer forklift dyna trucks etc .
2. Installation of step-down transformer ,480 V TO 220 V ,60hz ,50 VA.
3. installation of suitable auxiliary contact and terminal block & line testing
and termination of power cable in mmc panel in substation wo1.
4. installation of GI conduit.
5. installation of 16mm tubing for chilled water line and isolation ball valve
&flexible hoses to connect between isolation ball valves inside the loop
scanner box.
6. Testing & commissioning Tie In
7. Scaffolding erection, dismantling erection & work at height
8. Plant emergency
9. House keeping
Job Step Initial Residual Risk Responsibility
Hazard Risk Control Measures
SN
Probability Severity Risk Probability Severity Risk Responsible Person
Collapse of crane  Obtain work permit and necessary lifting
Suspended loads certificate/ rigging plan, before start lifting
1
Falling object activity.
Struck-by to adjacent structure or Significant C2 L5 Minor
C2 L3  Barricade the rigging area, and place sign
overhead object boards.
Equipment failure
Uninspected Lifting tools  Keep away unauthorized personal access.
Vehicle movement  Ensure the ground is level and stable for
Wind speed / weather adverse condition the crane activity.
 Crane and lifting tools are in good
conditions and have the inspection sticker
from United- inspection department. Third
party certificates and insurance for crane.
 Third-party certificate for Operator and
rigger.
 Ensure wind speed and weather conditions
are within the safe limit. Assign flagman to
guide the vehicle movement.
 A valid vehicle movement certificate is
available
 Vehicle driver should comply the plant
safety rules including speed limit. (SHEM-
15.1)
Minor
Working without work permit C2 L3
Personal injury Significant
Poor supervision
2 Pinch point  Valid Work permit to be available at site during
activity
C2 L4
Material falling
Improper tools and equipment  WPR should be certified from sabic HADEED
Slip trip and fall EHSS department with valid card
Electrical shock  All crew should use proper PPE
Improper Signage  Train crew for job.
 Evaluate and identify all pinch point and keep
Classification: Internal Use
 Inspected and proper tools for the job.
 DO NOT use damaged / broken equipment.
 DO NOT use damaged Tool
 Hand and body parts away from pinch point.
 Maintain Proper Housekeeping
 Use clear access and egress
 Awareness about slip and trip hazard
 Provide signage
 Use inspected rope and bucket for shifting
material
 Do not carry-on hand any tools / material while
climbing on ladder
 Avoid the entrance of unauthorized personnel.
 Double Insulation
 Water accumulation strictly prohibited.
 Use insulated rubber mat in wet condition.
 Working supervisor should conduct TBT before
starting the activity
 Implement (LOTO) system where required.
 All activity should be under competent
supervision.

Electrocution  Valid Work permit to be available at site during


Fire activity
3 Explosion C1 L2
 WPR should be certified from sabic HADEED
Personal injury Likely EHSS department with valid card
Damage and defective tools C4 L4
Unauthorized enrty  All crew should use proper PPE
 Train crew for job.
 Do not use damaged / broken equipment & tools. Minor
 All equipment & tools should periodically
inspected and color coded.
 Certified fire watcher, fire extinguisher & fire
blanket must be available during hot work
activity.
 All tools should be double insulated.
 Apply LOTO where required.
 Avoid the entrance of unauthorized personnel.

4 Injury C2 L3 Use Inspected hand & power tools Minor


Slip and trip Significant
Sharp edges Persons should be trained
Falling of materials Proper house keeping
Oil spillage Ensure all the safety devices are working properly.
Improper grounding
Dip should be used
Classification: Internal Use
Proper ppe
All equipment should be properly grounded
All cables should properly arranged with insulated

5 Injury C2 L3 Significant Use Inspected hand & power tools C2 L5 Minor


Slip and trip
Sharp edges Persons should be trained
Falling of materials Proper house keeping
Oil spillage Ensure all the safety devices are working properly.
Improper grounding
Dip should be used
Proper ppe
All equipment should be properly grounded
All cables should properly arranged with insulated

6 Electrocution C2 L3 Significant  Electrical Tie-ins to be carried by LOTO proce- Minor


Pinch points dure
 LOTO procedure to be implemented only by au-
thorized persons.
 Test cables with approved test equipment to en-
sure that cables are electricity ‘dead’.
 Awareness shall be conducted on LOTO and
isolation procedures
 Wear PPE
 Keep the hands and fingers away from pinch
points.
 Awareness about Pinch Point
7 Scaffolding collapse C2 L3 Significant  All crew should valid TUV holders Minor
Material falling  Ground should be stable and level
Person falling  Proper access mean of ladder should provide 4:1
Damage scaffold materials  Inspected scaffolding material
 100% tie off
 Tag system
 Using chain strip while working on height
 Tool bucket
 Scaffolding inspection on weekly basis by
Scaffolding supervisor and Inspector
 No stacking of material on platform

8 Fire C1 L2  All employees should be oriented with project C3 L4 Minor


Explosion emergency plan
Gas release Likely
 All employees should have the knowledge of all
the emergency sirens codes
 Awareness of nearest assembly points
 Crosswind directions
 All employees should be familiar with plant
emergency numbers and emergency number
should be posted at offices and rest shelters.

9 Slip, trip & fall  Maintain Proper Housekeeping


Classification: Internal Use
Scattered material  Use clear access and egress
Obstruction of access & egress C4 L3 C4 L4
 Awareness about slip and trip hazard
Unwanted material storage Minor Insignificant
 Provide signage

 Waste material should be removed from site

 Proper storage of material

Prepared by: JSA Team Leader

Prepared by: JSA Team Leader Acknowledged by Maintenance Manager:

Name:__________________ _________________________Signature:__________________________ Badge:__________

JSA Team Members


Team members include area owner,maintenance,EHSS,Technical sup or engineer if needed, contractor (if job is to done through the contractor)
Name ID Department Signature Date
Name:________________Signature:_________________ Badge: ______

Note: For risks cannot be reduced or mitigate after formal JSA study,
then approval shall be obtained as per SHEM-02 SAFER requirement.
Approved by Unit Owner/Operation Manager:

Name:____________________________________ Signature:______________________________ Badge: ___________

Approved By
SN Area Owner Sr.Manager (Minor Residual Risk) Department Signature Date
01
Note: If Residual Risk is, Significant and above SAFER Approval Required.
Classification: Internal Use

ENDORSEMENT SECTION (This section shall be filled incase this document use for same scope of work in future)

Date Unit Manager (Sig) Maint.Manager (Sig) Validity Date

SFM-08.10-SHEM-009
Classification: Internal Use

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