Job Safety Analysis Sheet

JOB DESCRIPTION: Electrical Isolation Facility: Work Area / Equipment: JSA Ref. No. JSA / KOC / 06 Permit No. Date:

PERSONAL PROTECTIVE EQUIPMENT: Hard Hat, Safety Shoes Suitable for Electrical Work, PVC Gloves Safety Goggles SEQUENCE OF BASIC JOB STEPS POTENTIAL HAZARDS Lack of Communication Non-compliance of KOC -HSEMS Procedures, F & S Regulations In-appropriate Tools & PPE Unintended Shutdown of other equipment / Unit / System Yes / No • • PRECAUTIONS Plan the work involving Permit Applicant, Permit Issuer & Worksite Supervisor. Refer Appendix - 10 of KOC F & S Regions, HSEMS Procedure Doc. No. SA.KOC.022 ‘Electrical Multilock & Tagout’ Ensure the correct tools & required PPEs are ready to use prior to carrying electrical isolation. Identify the equipment to be isolated and any safety override to be carried out prior to isolation. Raise electrical Isolation Certificate as per procedure. Obtain the permit from Asset Owner. Ensure the isolation to be carried out by authorized electrical person only. Stop the equipment from local switch prior to isolating from substation. Ensure the substation is free from flammable / toxic atmosphere. Keep suitable fire extinguishers ready for use. Identify & confirm the switchgear feeding electrical power to the equipment. Isolate safely electrical power from the switchgear. Confirm the electrical isolation through proper tools. Install lock & tag as per procedure as well as keep the key in safe custody. Endorse the isolation in the permit and record details in the Isolation Logsheet as per procedure. Place the Fuses removed in safe custody and record the information of Fuse removed & Earthing applied in the Isolation Certificate.

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Planning & Preparation

Unauthorized Isolation

Running Equipment Presence of Flammable / Toxic Gas in the Substation Fire & Explosion Electrical Isolation Energized Circuit Electrical Shock Unauthorized Energizing of Equipment Endorsement & Recording of Isolation Lack of Information Unsecured Materials

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Additional Hazards (Other than indicated above) Name: KOC / ID. No. Controlling Team: Signature: Designation: Company: Contract No.(If Applicable): Date:

JSA Done By

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