JOB SAFETY ANALYSIS (JSA) WORK SHEET

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RISK MATRIX PROJECT /JOB DETAILS DATE

Project Ref./Job Title/Work

Order: JSA No.

Brief Description of Job REVISION

INCREASE PROBABILITY RADIOGRAPHY WORK
Job Location:
Sponsoring
A B C D E Department
Occurs Occurs
Potential Has Hazard Area Classification
People Asset /Production Environment Reputation Never
occurred
Has several several Performing
Severity heard of occurred times a times a
in Department
in industry in QP year in year at this
industry
QP site Permit Requirements:
Hot/Cold/Radiography Permit
0 No injury No damage No effect No impact No Risk Low Low Low Low Authority

Slight injury or
Slight damage, Participant (Parties involve in
1
health effects
No disruption to Slight effect Slight impact Low Low Low Low Low JSA) Site engineer, supervisor JSA -
operation Approved by
and safety officer
Minor injury or Minor damage Limited
2 Minor effect Low Low Medium Medium Medium
health effects (=QR 250,000) impact All the mitigation measures
identified in JSA are in place
Major injury or Local damage Localized National
3 Low Medium Medium Medium High before starting the activities
health effects (=QR1 300,000) effect effect

Single fatality
Minor damage Regional
4 or permanent Major effect Low Medium Medium High High
(=QR 25,000,000) effect
total disability
Multiple Extensive Massive International
5 Medium Medium High High High
fatalities (=QR 25,000,000) effect impact
Probability Factor

Work Site Supervisor

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 JOB SAFETY ANALYSIS (JSA) WORK SHEET
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Severity Severity
Sl.
Activity (Job Steps) Potential Hazard Before Required Control/Mitigation Measures & Checks After Action party
No.
Mitigation Mitigation
1 Tool box Meeting And  People Not Understanding What Medium C  Make Sure Everyone Is Involved With The JSA/JHA Low C Site radiation
JHA Discussion The Plan Or Hazards Are; People Discussion And Understands; Encourage Everyone To supervisor &
Afraid To Ask Questions Ask Questions And Participate. Don't Make Anyone Feel radiation
 Presence of H2S gas and Toxic For Speaking Up Or Questioning
workers
gas In Work Areas.  Try To Identify These Types Of things In Your Work Areas
 Presence of chemical or flammable Before Starting the work; Clear Carefully Work Areas By
items gas testing and daily site inspection
2 Work Permit  Unauthorized commencement of Medium C  Authorized work permit holders shall ensure obtaining and Low C Site radiation
works maintaining valid work permits. supervisor &
 May result in exposing people  The supervisor responsible for this activity has to check radiation
and/or potential to harm or danger. the PPE of his staff to ensure that all required items are workers
available and properly used.
 Inform all people regarding permit conditions before work
starts.
 Supervisors must conduct daily toolbox talk about nature
of work and associated potential hazards and their
essential precautionary measures.
4 HSE check list &Prior to  Lack of safety awareness  Medium  All personnel shall be H2S trained Low C Site radiation
commencing C  Obtain work permits supervisor &
mobilization to site  Comply with all general job requirements mentioned on radiation
PTW workers
 TBT on possible emergency and response procedure.
 All safety requirements stated on the work permit must
be fulfilled
5  Radiography  Radiation exposure Medium C  Complete PTW Requirement Low B Site radiation
 Over dose  Controlled area classification supervisor &
 Property loss radiation
 Prior to visual inspection of the area, the safety
 Ionizing radiation workers
barriers shall be erected on all access ways, to
 Vomiting prevent people from entering the restricted area
 Nausea during the inspection. This

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 Paleness  includes preventing access above and below the

 Loss of hairs area.
 Loss of appetite  The Radiographer and Assistant Radiographer shall
 Damage of geneses check the area to ensure that all non-authorized
personnel have left the area
P.A. announcement shall be made 30 minutes prior
to radiography commencing, advising all affected
personnel to make safe their workplaces and vacate
the area. Another P.A. announcement shall be made
5 minutes prior to radiography commencing, advising
affected personnel to vacate the area immediately. A
final PA announcement shall be made to announce
the commencing of the radiography. Each
announcement shall be repeated twice
 RPO must have PTW (Dukhan QP)card
 Approved radiation safety procedure and radiation
emergency procedure.
 Radiography shall be done by experienced trained
and MOE (minister of environment, Qatar)
authorized technicians.
 Source under lock and key.
 Personal Monitoring.
 Area monitoring using radiation survey meters
 Daily equipments check list by RPO.
 Maintain daily and monthly dose record through
film badge.
 Personal monitoring through dosimeter. Dosimeter
shall be calibrated to “0”reding prior to start the job

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 Reduce radiation exposure.

 Retract source back to container.
 Spare container.
 qualified driver
 Handling and transportation to be performed as per
standing instructions.
 Radiation dose records keeping.
 All activities shall be accordance with QP
radiography procedure.QPR-HSSD-03

5  Housekeeping  Slips trips and falls due to poor Medium C  Remove tools equipment and rubbish from worksite and Low C Site radiation
 Clean up worksite housekeeping maintain a clean work environment. supervisor &
 Arrange housekeeping on daily and every shift bases radiation
 Supervisor shall conduct tool box meeting in this regards workers

Engineer ( Project Engineer Production Supervisor Asst.Manager(if Required)

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