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JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT
ACTIVITY OR TASK:HYDRO TESTING SPOOL PIECES AND PIPE WORK
JSA Preparation & task work team:
Competence = Relevant Training/Qualifications + Experience
Location / Project: Job Number: JSA Number: M36 Codes of Practice & Legislation that are applicable: JSA Revision:
Competence/ Qualific’n req’d to complete work safely JSA approved by person responsible i.e.
Team Leader / Tradesman
Position / Competence/ License:
2. HAZARD IDENTIFICATION
Identify hazards that may be present by ticking items on the list below.
3. PRECAUTIONS: hard hat, safety glasses, safety boots
Gloves: type …………………. Goggles Full Face Shield High Visibility Vest Harness Fire Extinguishers Barricades Ventilation Lighting Erect Scaffolding to access Respirator or Dust mask Erect Warning signs Personal Locks or Tag system Group isolation Welding screen Fall Arrest systems Welding Face Shield
Difficult Entry/Exit Oxygen Deficiency Oxygen Excess Engulfment (trench collapse) Poisonous Gas Present Temperature Extremes Defined Confined Space Explosive Gas Present
Hazardous Substances - attach MSDS to JSA Working at Heights Remote Area Motor Room Hazards Toxic Substances Potential for Difficult Rescue
Falling Objects Poor Lighting Slippery Surfaces Multiple Electrical Feeds Trip Hazards Electrical Hazards - LV Electrical Hazards - HV Manual Handling Sharp Materials Ladders used in the task Working at Heights Working near Crane & Crane Runways Rail Movement Pressurised Fluids Flamm. Materials Present
Suspended loads Poor Visibility Inhalable Dusts/Fibres High Noise Levels Use of Chemicals Elevated Work Platform Difficulty to Communicate amongst workers Moving Machinery Tools & Equipment Heat/ Sunlight/ Radiation Traffic Movement Working near Operation Processing Lines Live Rails Pneumatics
Hot Work Excavation Confined Space Hazardous Work Clearance Access to Area High Voltage Access Scaffolding Other?
HAZARDOUS SUBSTANCES in work area / to be used
4. ENVIRONMENTAL HAZARDS – (IMPACTS) tick those identified
Air Pollution (dust, fumes) Noise (plant & equipment) Spills to drains/waterways Spills to ground Soil Erosion Hazard to Flora /Fauna
RISK RATING TABLE
This table is used to calculate whether the hazard you have identified is Extreme: 9-10 High: 7-8, Medium: 5-6 or Low: 3-4
The objective of rating the risk is to lower the risk by initiating risk control measures. The score is
Likelihood: How likely is it to be that bad? Almost Certain Expected to Occur
Consequences: how severe an injury? Death
Serious Injuries Medical Treatment Req’d 1st Aid req’d
10 9 8 7 6
9 8 7 6
8 7 6 5
7 6 5 4 3
5. EQUIPMENT REQUIRED: Static Plant & Equipment
Mobile Plant & Equipment
Likely – could
Moderate – could
happen but not likely
Unlikely – could
happen but very rare
Revision Date: March 2005
………. of …………..
Rare - could happen
but probably never will
OHS-03-F01 5 4
. Supervision. Revision Date: March 2005 ………. Sentry to control entry to work area. Correct lifting techniques. inspect pressure unit and safety device prior to use. PPE. Removing Blanks and Fittings Personal Injury resulting from trapped pressure escaping Clean up work area Personal Injury resulting from uneven. Each step should accomplish a major task and be logical. PPE. NAME OF TASK: HYDRO TESTING SPOOL PIECES AND PIPE WORK JSA Number: Risk Rating M36 Rev: Risk Rating Of the risk following corrective action Step No. Signs. Supervision Inspect hoses and fittings prior to use. Training in PTW system. Take 5. Correct tools. Logical sequence Sequence of Basic Job Steps Break down Job into steps. Barriers. Environmental Aspects Potential Safety & Environmental Hazards/Impacts Recommended Corrective Action or Procedure Determine what actions are necessary to eliminate or minimise all hazards that could lead to an accident. OHS-03-F01 . Supervision Inspect fittings for compatability & condition. correct torque-ing techniques. the previous examine each to find all possible risk factors page to score risk 1 2 3 4 5 6 7 8 Discuss scope of work and work method Personal Injury resulting from with workforce working with hand tools and lines under pressure Obtain PTW Injury / damage as a result of incorrect information Identify work area Risk of injury due to low awareness of work environment Fit blanks and fittings into spool pieces Personal Injury resulting from incorrect work methods and incorrect tools Hydro Testing Personal Injury resulting from incorrect work methods. Signage. Correct lifting techniques. Personal Injury resulting from Blow out of equipment under test. PPE Barriers. Indicate who is to perform the action where applicable against each action Identify the hazards (health and safety or Use table on environmental) associated with each step. supervision. supervision. Correct Work Methods Obtain correct PTW. slippery work area Remove bunting and signage Personal Injury resulting from uneven. of …………. The risk must be reduced or controlled to a level that is acceptable before work commences. PPE. Appropriate tools. PPE. Inspect PSV for condition and correct setting Ensure equipment drained and depressurized prior to removing fittings. PPE. injury. incomplete fittings Personal Injury resulting from High Pressure Hose Bursting. Incorrect work methods.POWER JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT Safety / Emergency Equip’t noted in the JSA risk score column on the next page – both before & after risk control measures have been nominated. Faulty Equipment. illness or environmental incident. slippery work area Toolbox Meeting. be aware of hazards Correct Lifting Techniques. PPE. Equipment Damage.
OHS-03-F01 . of ………….POWER JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT Revision Date: March 2005 ………..
Isolation Plans etc. I confirm that copies of the relevant Permits. MSDS's. JSA NAME JSA No: Rev: DATE NAME (Please print) SIGNATURE THIS SAFE WORK BRIEFING / TRAINING WAS CARRIED OUT BY (responsible person at that location) : Name: Signature: Date: Client sign off (where applicable) Site / Project Manager sign off (document reviewed) Revision Date: March 2005 OHS-03-F01 .POWER JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) CONSULTATION & SIGN-OFF RECORD I confirm by my signature below. that I have attended a briefing on the requirements of the attached Job Safety & Environment Analysis and agree to perform the work in the manner detailed on it. have been reviewed.