Job Safety Analysis and Job Impact Environmental Analysis: JSA/JICA HS-F-2000-009

1. JSA/JICA Analyst : NGUYỄN NGỌC SANG Department: Downstream Maintenance Company : LSP Work Permit No. :

Job Description : _ Modified support at HDPE Working location :HD #400

2. Job Safety and Environmental Analysis (JSA/JICA) : JSA/JICA Analyst Fill In With the Correct Details Completely

Procedures Potential Hazards Cause of Potential Hazards 6. Field Verication of Control Measure

Working Environment
(Field Verifier by US or FO)

Environment Impact
Chemicals Leakage
Property Damage

Personal Injuried

Tools/Equipment
Injuries/Illnesses
During Working

Control Measures
Before Working

Fire/Explosion
After Working

No. Impact/Hazard/Accident That May Occur During Cause of Impact/Hazard/Accident That May Occur to Reduce or Eliminate Risk of Environmental
Step of work Impacts/Hazard/Accident That May Occur During Work Signature to confirm

Procetures
Work Description During Work Description Completed Missing already take
corrective action

Set up work and pre-welding checks Injury to workers Untrained workers ŸEnsure that personnel have required training certificates (including HSE
1 √ √ √ training) & relevant working experience
Ensure that all Operators, welder, fitter, inspectors and technician are
knowledgeable and trained to operate the equipment assigned to them and
must be certified by the 3rd party company approved by LSP

Proper and clear instructions must be given to workers on what tools and
equipments arc going to be used

ŸEnsure that work distribution and designation are well-understood

Lack of knowledge ŸEnsure that workers to perform the task are well trained and knowledgeable
ŸEvery work activity as per site condition shall be discussed atToolbox talk (TBT)
meeting
ŸArrange the handing over time between 2 shift for handing over job and
checking the equipment condition before next shift

Physical fitness to work Interview each member in team for health, illness or any ill symtoms, history.

√ √ Injury to workers, Fire √ Process leak Check by slowly open drain valve
Injury to workers Heat, sparks, and hot spatter Pre-Welding Inspection: Before starting welding work, inspect the area to identify
potential fire hazards. Also, consider the possibility of hidden flammable
√ √ materials in walls, floors, or ceiling

Modified support at HDPE Injury with flying object Improper use of the grinder All handheld grinding machines shall be complete with handle or commonly
known as the ‘T’ bar
2 √ √ √ Grinders shall Be equipped with the ‘dead man switch’
Grinder inspected with LSP sticker
Injury with flying object Using the wrong wheel for the job or grinder Cutting wheel is only allowed for cutting do not do grinding using cutting wheel,
√ √ chances of breaking

Injury with flying object Improper mounting of wheel or guard Each grinding machine shall be fitted with its correct guard as supplied by the
√ √ manufacturer. The guard shall cover a minimum of 70% of the circumference of
the rotating disc.
Injury with flying object Disk broken Cutting discs without the manufacturer’s maximum RPM marked shall not be
√ √ used
Employees shall be briefed not to stand directly in front of the wheel as it
accelerates to full operating speed
Welding Injury,burn Electric Shock Equipment Grounding: The welding machine and workpiece should be properly
√ √ grounded. Grounding provides a safe, controlled path for electric current to
reduce the risk of electric shock
Proper Insulation: Always wear dry, hole-free gloves for insulation
Keep your work environment dry as much as possible
Fire And Explosions Heat, sparks, and hot spatter remove all flammable and combustible materials from where welding is
√ √ √ √
performed
Always keep an appropriate fire extinguisher nearby when welding
√
Set up fire-resistant blankets, curtains, or screens to protect them from sparks
and spatter.

Injury,burn Radiation Exposure Welding Helmets: A welding helmet fitted with the appropriate filtered lens is
√ √ crucial to protect your eyes and face from radiation

Protective Clothing: Long-sleeved shirts, trousers without cuffs, high shoes, and
a cap under your helmet can protect your skin from UV radiation

Proper Technique: Avoid looking at the welding arc without eye protection
the muscles, tendons, ligaments, and other soft tissues, Repetitive Stress Injury Frequent short breaks can help alleviate the strain on your muscles and joints
√ √
causing pain, discomfort
3 √ Paint
4 √ Clean work area √ Waste generated from activity √ Don't collect the waste after working Collect and classify all waste after work

√ The worker was injured while working √ Locatedequipment obstacles access way Clear access way when finish
5 √ Return work permit to operator

3. Person Responsible for JSA/JICA Analysis 4. Person Responsible for JSA/JICA Verification (*)4. Person Responsible for JSA/JICA Verification (*)4. Person Responsible for JSA/JICA Verification

Sign________________________________(JSA/JICA Analyst) Sign_____________________________(Unit sup) Sign__________________________________ (Department Manager of Area Owner or Delegated) Sign_____________________________________ (LSP Safety Manager or Delegated)

Date ___ ___ /___ ___ /___ ___ Time ___ : ___ Date ___ ___ /___ ___ /___ ___ Time ___ : ___ Date ___ ___ /___ ___ /___ ___ Time ___ : ___ Date ___ ___ /___ ___ /___ ___ Time ___ : ___

(*) 3. Person Responsible for JSA/JICA Analysis (**)5. Person Responsible for JSA/JICA Verification
Sign________________________________(Department Manager of Job Owner or Delegated ) Sign__________________________________ (Environmental Development and Operational Control Manager or Delegated)

Date ___ ___ /___ ___ /___ ___ Time ___ : ___ Date ___ ___ /___ ___ /___ ___ Time ___ : ___

Note: (*) For critical work, Department Manager and LSP Safety will attend in approval JSA/JICA process
(**): For activities which generate environmental/community impact
7. Task Supervisor communicates JSA/JICA details to workers in order to comply with all safety measures. Worker sign to acknowledge. (In case worker(s) join JSA/JICA communication later, sign to acknowledge and specified time.)

Check mark (/) if the workers resume work according to the list. Cross mark (X) and specify reason(s) why the workers stoped work according to the list.

Worker Listed Attend to JSA/JICA Communication Signature Worker Listed Attend to JSA/JICA Communication Signature

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Remark : Add Name List as an Attached Document