F _____
JOB TITLE / AIM: Jsa for Insulation inside stripper.
JSA DATE: 22/4/2007 JSA NO./ REVISION: Rev #!
SUPERVISOR/ JSA LEADER: Muhammad Azam Rauf SCRIBE: Muhammad Ali Anjum
PARTICIPANTS: Muhammad Nadeem, Muhammad Saleem
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps:
1- Mobilization Workers and Equipment
2- Entering the hole (Dia 20 inch)
3- Erection of scaffold platform inside
4- Cleaning of vessel
5- Application of foam glass (Ist Layer 50 mm) & sealing of joint with foster
6- Demobilization
Alternatives Considered: N/A
Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans. Standard PPE, S: First aid kit must be present at the area and the Hse personnel are the first response in case of
emergency. Man lift must be present all the time. Safety Observer is responsible to check the time.
Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices
that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.
File: 10.30
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 Mobilization of workers & Unauthorized equipment/tools brought out to Before mobilization any equipment/ tools make
equipment site sure that the E & P Personal got inspected. Ensure
that the checklist is with every equipment.
Unskilled and uninducted personal starting the Ensure that all personal prior to start the work
job should be inducted and oriented about the hazards
in the job site
Workers starting the job unfit to work All persons not fit to work shall not be allowed to
work at the project site.
Work without JSA/Confined Space Permit JSA & Confined Space permit must be placed prior
to work
Ensure all the persons take part in the tool box
meeting discussion
2 Entering the hole (Dia 20 inch) Improper access Prior to work make arrangement proper access to
enter the hole dia 20 inch
Unskilled and untrained and physically unfit Skilled trained and physically fit person enter the
person enter the confined space confined space
He should be aware all related confined space
hazards
Head and body injury Use the right method while entering in confined
space/man hole
Get sport /help from safety observer if required
while entering.
Ensure that when a person going into the Confined
space must worn the chin strap.
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Improper PPE’s Ensure that PPE’s shall be worn at all times like
hand gloves, safety helmet with chain strip, safety
goggles and coveralls
Poor Ventilation Ensure that the fans are must be in place for proper
ventilation of air and also Air compressor must be
use for fresh air
Entering without body harness Ensure that the entrant must be used the full body
harness and hook off body harness with the
lifeline.
Left the position of attendant Ensure the attendant or watch man must be present
all time in front of main hole and he will maintain
confined space entry register
Deficiency / Excess of Oxygen Confined space coordinator must be monitor every
30 minutes with gas detector
Confined space coordinator must ensure that the
oxygen limit is in between (19.5 to 21.5 %)
Poor lighting Sufficient illumination must be installed inside the
cold box. This lighting voltage must be 110 v or
less.
Poor communication Safety observer should remain at entering point
throught the activity in confined space
Safety observer should be aware and fully trained
regarding his duties and responsibilities
Safety observer should maintain communication
with entrant throught the activity. Observer &
Entrants must have the Radio
Confined space coordinator should fulfil all the
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
related documents and the other
requirements/communication with safety observer
and confined space supervisor
Confined space coordinator should conduct
demonstration / rehearsal before entering the
confined space
Radio must be present all times inside the cold box
for communication
Lack of supervision Ensure that supervisor will be present all times
when activity is going on and make liaison with
confined space coordinator
3 Erection of scaffold platform inside Fall of Workers or Materials Ensure workers are wearing appropriate full body
Harness and tie-off 100% on yellow tag
Scaffolding. No one should access a scaffold if
there is a red tag or no tag. Works on scaffold must
be supervised at all times. No equipment and tools
will be stored on the scaffold. All persons working
on scaffold must be trained on working at heights
and use of harnesses. All harness must be checked
daily by a competent person and inspected monthly
and logged. NO workers should alter the
scaffolding Ensure that no tools or materials will
be stored at the working platform Ensure that no
throwing of materials at elevated area Ensure that
area was secured and barricaded Ensure that the
scaffold is approved inspected by BHPB person
prior to used and tagged
Ensure workers properly inducted about the proper
Back injury positioning Ensure workers are complying with the
min. PPE req. Safety shoes, helmet, safety glass,
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
dust mask, Ensure workers have provided water
and proper shade.
Heat Stress/Exhaustion Ensure potable water/sufficient shelter is available
each area where workers are doing the job. First
aid kit available at site. Water callers should be
sealed and signed by water handler and should be
filled from UV Filter source located at del camp.
4 Cleaning of vessel Persons Inside vessel Cleaning brush with long handle shall be used for
cleaning purpose.
Incase of person walking Inside vessel shall use
dust mask.
5 Application of foam glass (Ist Layer Skin irritation / Inhalation Plastic glove shall be worn while spreading of
50 mm) & sealing of joint with polyurethane
foster Dust mask shall be used to prevent the inhalation
of polyurethane.
MSDS shall be available and all the instructions
shall be followed
Respirators shall be worn while applying Foster
at the back side (Confined area) of the stripper.
Leather/Plastic gloves shall be worn while
applying Foster.
6. Demobilzation Poor House Keeping After completion of job Supervisor is responsible
for house keeping.
