JOB SAFETY ANALYSIS / RISK ASSESSMENT

INTERNAL AND EXTERNAL SCAFFOLD

RA Title: RA No.: SAMSUNG-CERI-M 2023-01 Date: 19/ 10 /2023
ERECTION, DISMANTLING & MODIFICATION
Work Location: Bypass Area Company: CERI Supervisor:

Please tick () appropriate boxes

1.0 Permit(s) Required: Cold Hot  Confined Space Entry  Energy Isolation  NDT  Night Work  Hot works Checklist
 Hard Hat  Clear Safety Glasses  Dark Safety Glasses  Chemical Goggles  Cutting Goggles
 Dust Mask  Face Shield  Welding Screen  Welding Aprons  Welding Leggings
 Ear Plugs  Earmuffs  Cartridge Respirator  Escape Respirator  SCBA
2.0 PPE Required:
 Cotton Gloves  Leather Gloves (rigging)  Leather Gloves (welding)  Rubber Gloves  Rubberized Cotton
 Coverall
 Chin Streep  Disposable Coverall  Full Body Harness  Hi-Viz Vest / jacket  Safety Shoes
 Gas Badge  Multi-Gas Monitor Gas Detective  Light Meter  Anemometer
Special Tools and  Dosimeter  Thermometer Ventilation Fans  Air Blowers Fire Extinguisher
3.0
Equipment Required:  Lifeline  Retrieval Line  Padlock, Hasp, Tags  Lighting (low voltage)  Lighting (high lux)
 Air Horn  Whistle  Traffic Flags  Traffic Cones  Spill Kits
Potential
 Noise  Air Pollution (dust)  Air Pollution (smoke)  Air Pollution (vapor)
4.0 Environmental
Soil erosion  Spills (to ground)  Spills (wadi)  Waste generation
Hazards
Hazardous Materials
5.0  Carcinogen  Irritant  Highly Flammable  Toxic  Explosive
(attach MSDS)
Other Potential  Electrical  Pressure (air, water, gas)  Mechanical (crush points)  Ergonomics  Temperature (±)
6.0
Hazards  Light / Dark  Ignition Sources  Dust / Vapor  Suffocation  Other Trades

1. Only Competent person shall perform the task / activity. Working at Height training complied.

2. In the event of adverse weather conditions, High Winds, Sandstorm, Rains/ Heavy the activity must stop accordingly.
Additional
7.0
Instructions
3. Proper housekeeping to be done before & after work. Excess materials shall be removing and kept at stacking area.

4. Ambulance must be at site in case of emergency.

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT

RA Title SCAFFOLDING ERECTION, DISMANTLING & MODIFICATION RA No.: PIUL-BUTEC-TRA-2020-014 Rev : 01

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT

Potential
Potetial Risk

Risk
SI
No: Activity Significant hazard Hazard Effect Contol Measures Proposed / Identified

Risk Rating

Risk Rating
Probability

Probability
Severity

Severity
Work  Pinch point.  Personnel Injury  PTW shall be prepared by the appropriate
Preparation  Sharp edges.  Asset Damage. supervisor, with all required documentations must
Communication  Failure to identify and be attached with PTW.
(pre job meeting follow required safety  Any type of scaffold erect, dismantle or
with all personnel procedure. modification PTW must be supported by request
involved in task) form and must be approved by PIUL supervisor.
 Slip; trip, fall
 A pre-task meeting shall be held with all personnel
4 3 12 involved in the activity to ensure that all are aware & 4 1 4
1 understand the contents of the associated hazards.
 Supervisor shall ensure that all personnel understand
their duties and responsibilities.
 Workforce shall be aware of Emergency Response Plan
ERP (raised in TBT).
 Martial arrangement and housekeeping.

2 2/ Accessing  Slips and Trips  Personnel injury  Site shall be visited and inspected by the supervisor
Worksite  Unauthorized entry  Asset damage prior to work commencing and shall ensure that the
Vehicle, tracks,  Not following traffic  Traffic accident area is clear of tripping hazards, and all required
boom truck… safety requirement . precautions are implemented.
4 3 12  Flag man must be at site.
4 1 4
 housekeeping shall be maintained
 Personnel must wear required PPE

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT
1C 3/ Movements, in  Traffic accident and  Personnel injury  Signs and barriers shall be erected to prevent vehicle
and Around scaffolding collapses  Asset damage and unauthorized personnel from entering area where
Worksite and  Driving in off road & work is ongoing, Hard barriers and no one allowed to
 Personnel Struck
SIMPOS. during the sandstorm work underneath.
by Vehicles.
 All vehicle movements near the work site shall be
monitored and guided by a flagman.
4 3 12  Vehicles should be parked in dedicated parking area. 4 1 4
 Operator must have a valid country required driving
license.
 Equipment must have a valid inspection and all
required country documentations for equipment and
vehicle.

1D 4/ Work  Personnel Come into  Personnel injury/  Supervisor shall ensure all personnel are aware of the
Environment Contact with Insects / health problem dangers of insects / wildlife during the pre-work TBT.
Wildlife/Hot Climatic  Property damage  Supervisor shall ensure all personnel are aware of the
conditions signs & dangers of dehydration / sun stroke/heat stroke
2 2 4 2 1 2
 Sand storm  Enough supply of drinking water to be onsite always.
 Emergency equipment/vehicle shall be available in
case need arise.
2 Loading/  Tripping/ Slipping  Personal injury  Utilize proper lifting techniques/certified/ equipment.
unloading of  Falling of load.  Property damage. crane to be used / inspected all rigging tools before use
scaffolding  Size up the load before lifting.
materials
 Ask for help when lifting heavy items more than 25 kg.
 Forklift or crane which will be used to load or unload
should be inspected.
4 2 8  All lifting gears (sling belt, shackles and others) should 2 2 4
be checked prior to perform the work.
 Equipment operator should be qualified and
familiar with such activity.
 Work area must be barricaded.
 Rigger man must be at site as needed.
 Tag line must be used during the operation.

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT
3 Erection of  Tripping/ Slipping  Personal  More than 12 m scaffold must be designed and approved by
Scaffolding  Falling from heights injury competent 3rt part company.
(welding &  Falling Objects  Fatality  Ground condition (ground must be firmed and leveled) to be
grinding))  Damage to inspected periodic to erecting the scaffold by competent
 Flying particles
supervisor.
property
 Electrical hazard  The scaffold to be erected by the competent supervisor.
 Fire.
 Fire
 Scaffolding materials to be inspected periodically and
 Electric
shock damaged/defected ones to be removed from service.
 Housekeeping to be conducted on the working area on prior to
start the work.
 Provide hard barriers for the working area & appropriate signs
to be displayed.
 use rope/pulley/scaffolding basket in ascending and
descending scaffolding materials.
 Use proper scaffolding tools and tool lanyards in order to
5 3 15 prevent falling tools. 5 1 5
 Use Full Body Harness with Double Lanyards when working
at heights. Tie off must be 100
 Toolbox talks/ Orientation of workers on the work to be done.
 Scaffold erected must be COMPLETE and READY TO USE
and a scaffolding Tag is installed before endorsing to the
discipline requesting the scaffolding.
 Task specific PPE to be worn
 All equipment shall be examined before use
 All cables to be inspected and color coded
 Proper ventilation to be insured where required (Local exhaust,
where possible)
 Ensure the use of fire blanket where required
 High standard of housekeeping to be maintained at all times,
Flammable materials shall be kept away from ignition sources,
and removed from the work location, where possible.
 Welders to make an announcement before striking arc. Fire
extinguisher nearby.

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT
4 Dismantling of  Falling from height  Personal injury  Provide hard barricades around the working at height /
scaffolding  Scaffolding collapse  Fatality scaffold erection area with appropriate sings.
(Cutting &  Grinding & Cutting / Disk  Damage to  Use only inspected Full Body Harness with Double
grinding) shattering property Lanyard.
 Flying sparks
 use proper tools, Use rope/ pulley and scaffolding
 Electrical hazard
basket in ascending and descending scaffolding clamps.
 fire
 Conduct toolbox talk reminding scaffolders that the
sequence of work in dismantling of scaffolding is; the
last scaffolding material installed, must be the first
material to be removed or dismantled.
 Housekeeping of the working area after dismantling is
done and pull-out scaffolding materials at site.
 Task specific PPE to be worn, full-face visor with white
glass/ Heavy duty gloves/ Hearing protection.
 Correct size and type of grinding disc to be used
 Only trained personnel can change a grinding disk
 Fire watchman with fire extinguisher in the vicinity to be
5 3 15 present. 5 1 5
 Removal of used grinding disks at the end of the work shift.
 All tool to be inspected by a competent person and color
code of the month to be applied.
 Removal of potential flammable substances
 Industrial type electrical connection to be applied.
 Do not remove/modify the handle of power tools.
 Do not use a grinding wheel that was dropped or subjected
to other impact, or a grinding wheel where any abnormality
was found during inspection.
 Wear goggles for all grinding machine operations.
Check grinding wheels for cracks (Ring Test Figure 5-11)
before mounting.
 Do not exceed recommended depth of cut for
the grinding wheel or machine.
 Remove work piece from grinding wheel before
turning machine off.
 In order to prevent respiratory illnesses, be sure to ensure
dust control and sufficient ventilation.
 Use shield plates or other means to protect operators from
sparks.

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT
5 Working at  Defective scaffolding  injury/fatality  All personnel working at heights shall be trained in
height  improper use of  property damage. “WAH”.
scaffolding  Scaffold shall be inspected only by the 3rd party
 Overload authorized inspector. Make sure only green tagged
 Defective/inadequate scaffold to be used.
platform for work  Small tools and materials kept in the basket and hand
 Faulty mounting of ladder tools have lanyards to prevent falls from height.
 Dizziness while working at  Material and tools must be properly secured on
height. elevations to protect from falling.
 Full body harness must be worn and 100% tied off.
 Barricade area below work location to isolate the Drop
5 3 15 zone. 5 1 5
 Confirm personnel in good health condition
 Barricade the work area and provide proper signage.
 Not allowed to store any loose materials on top of the
step ladder.
 Do not carry materials while using ladders.
 Ensure the ladder rungs are free from oil, grease, and
other slippery things.
 Insure life line cables are in place before scaffolding
operation.

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT
6 Modification of  Scaffold collapse  Personal injury  The scaffold modification should be planned and PTW
sacaffolding  Tripping/ Slipping  Fatality must be signed and kept at site along with the JSA.
 Falling from heights  Damage to  The green scaffold tag should be replaced by a red one
 Falling Objects property prior to start the scaffold modification.
 The modification should be done under supervision of a
qualified Scaffold Supervisor/Foreman.
 Safety requirement mentioned on the JSA and PTW must
be communicated at site by scaffolding
supervisor ,supported by subcontractor HSE advisor ,to
all scaffolders involved on the task (STARRT form must
be signed and kept in PTW box as a proof)
 The work area must be barricaded and safety signs must be
posted .
 The modification must be done as planned .once the
4 3 12 modification is completed and proper housekeeping has 4 1 4
been carried out ,PIUL scaffolding inspector will perform
the inspection and will apply green tag if the scaffold
complies wirh the requirements .
 Only when the scaffold is green tagged it can be safely
used by other workers

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT
7 Confined space  Toxic gases  Fatality  Obtain the PTW to work with confined space entry
entry  Oxygen deficiency  Asphyxiation certificate prior to accessing the confined space.
 Inadequate access  Inability to escape  Any type of scaffold erect, dismantle or
 Poor communication  Personal injury modification PTW must be supported by request
 Fatality form and must be approved by PIUL supervisor.
 Gas testing to be done by an authorized gas tester prior
entering the confined space and at all times when personnel
are within the confined space
 All personnel to have confined space training
 Sufficient Illumination must be in place.
 No ignition source
 Keep only minimum number of persons for the work to
avoid congestion
 Supervisor and stand by man to ensure record of all persons
entering (log sheet).
 Standby man must be present at all times at the entrance of
the confined space to constantly monitor the safety of
confined space entrants. NO STANDBYMAN – NO
ENTRY shall be implemented strictly
 Approved rescue plan must be in place, checked and
approved before the operation
 Provide safe means of access / egress
 Only the persons involved with the works inside the
5 3 15 confined space shall be allowed to enter the tank at any 5 1 5
time.
 A safety harness and retrieval line shall be worn by the
persons working in the confined space
 Emergency equipment should be available, where necessary
 Any activity outside the confined space generating fumes
(within 15 meters) or noise which may impact on air
quality or communications shall be suspended while the
entry is underway and for the full duration of the entry.
 Oxy-acetylene gas cylinders shall be kept outside of the tank
at all times to prevent accumulation of harmful level of
gases in case of gas leak.
 Never leave oxy-acetylene nozzle inside a confined space
during long breaks to prevent possible accumulation of gas
inside the tank.

 TBT to be conducted prior to start of work covering all

hazards and controls
 Stop the work, if immediate, imminent hazard appears
 Ensure Permanente HSE Coverage
 Ensure adequate ventilation
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 JOB SAFETY ANALYSIS / RISK ASSESSMENT

Prepared By: CERI Supervisor In-charge Reviewed/Approved By: CERI HSE Reviewed/Approved By: SAMSUNG HSE Approved By: SAMSUNG Construction

Name Signature Date Name Signature Date Name Signature Date Name Signature Date

INTERNAL AND EXTERNAL SCAFFOLD ERECTION, DISMANTLING &

RA Title: RA No.: SAMSUNG -CERI-M-2023-01 Rev.: 00
MODIFICATION.
PRE-START TOOLBOX TALKS Worksite Supervisor Conducting JSA Talks

NOTE: As the worksite Supervisor, my signature (next column) confirms that I understand the hazards and control measures on
the previous page(s) and have communicated all requirements with my work crew and will abide by all conditions and
______________________ _________________ ________
restrictions stated therein. List of names of work crew detailed below. Name Signature Date
No. Name Designation Company Signature Date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

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 JOB SAFETY ANALYSIS / RISK ASSESSMENT
INTERNAL AND EXTERNAL SCAFFOLD ERECTION, DISMANTLING &
RA Title: RA No.: SAMSUNG -CERI-M-2023-01 Rev.: 00
MODIFICATION.
PRE-START TOOLBOX TALKS Worksite Supervisor Conducting JSA Talks

NOTE: As the worksite Supervisor, my signature (next column) confirms that I understand the hazards and control measures on
the previous page(s) and have communicated all requirements with my work crew and will abide by all conditions and
______________________ _________________ ________
restrictions stated therein. List of names of work crew detailed below. Name Signature Date
No. Name Designation Company Signature Date
13.
14.
21.

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