Permit No: 18278

Job Hazard Analysis JHA /

Work Order No: D1651715 Date: 24/10/2017

Activity Location: 1P-1201 Site/Plant/Area: DAM 1 JHA Prepared by: Ahmed Nasief
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Work Activity: Remove seal guard to tight mechanical seal
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Hazard Identification tick all that apply, write additional Hazards Identified

N Y Environment # N Y Environment # N Y Hazard # N Y Hazard # N Y Hazard # N Y Workplace #
. . . . . .
Noise -plant &
Air emissions dust, fumes Line of fire Suspended loads Electrical Shock Confined Space
46 equipment 37 28 19 10 1
-

Communication Electrical Arc Restricted/difficult
General waste Moving / rotating parts Traffic management
47 personal / method 38 29 20 Flash 11 entry/exit 2
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/

Excavation /
Hazardous waste Lighting Welding/grinding/cutting Machinery - mobile plant Radiation
48 39 30 21 12 Engulfment 3
// /
/
Hydrocarbon / chemical spill Reduced visibility Live equipment welding Elevated work platforms Static electricity Working at heights
49 40 31 22 13 4
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Potential energy, tension / Disabled safety device
Hazardous substances Weather extremes Ladders Crane Activity
50 41 compression 32 23 14 5

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Temperature
Toxic fumes or gas Flying particles / dust Falling objects Heat treatment Slippery surfaces
51 extremes 42 33 24 15 6
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O2 Remote area, work
Flammable gas Sharp objects/ materials Manual handling Trip hazards
52 deficiency/excess 43 34 25 Alone 16 7
/
/ /
Pressurised air /
Use of utility hoses, hoses
Flammable materials gas/fluid Fatigue, over exertion Conflicting Work Overhead obstacles
53 44 under pressure 35 26 17 8
/ /
/
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Hand tools Vehicle Entry
54 45 36 27 18 9

Additional Safety Equipment and Control Measures

N Y N Y N Y N Y N Y N Y N Y
Gloves Hat Hearing Protection Eye Protection Foot Wear Breathing Protection Clothing
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People Controls Y N Equipment Controls Y N Environmental Controls Y N High Risk Controls Y N

Lock-out and tag system
/Safety Watch person Ventilation / Work Permit /

Scaffolding for access
/ / Barriers / Flagging Lighting / Certificate /

Fire extinguishers
/Warning signs Gas Testing / Fall Protection Plan /

Radio/ Spill Kit / Critical Lift Plan /

Low Risk (1&2)- Acceptable, use 5 X 5, PA approve :

5*5 ) 2&1( PA Name/Sign : AA Name/Sign :
/ /
Low Risk (3,4 & 5) - Review risk reduction with supervisor, PAS approve
) 3-4-5(
PAS Name/Sign (if Reqd) :
Medium & High RISK (6+) UNACCEPTABLE, STOP AND RE-PLAN JOB /
- ) 6+( /
Rev 0 06 October 2015 Uncontrolled when printed MP4GLBL0071 JHA Form ---------------- Page 1 of 3
 JHA

Task Step Risk Reduction

# Task Step Credible Potential Hazards Control/Recovery/Response Residual Risk

. / /

STEP BACK 5 X 5 AFTER EACH WORK BREAK

) 5X5 (

I confirm by my signature below, that I have attended a briefing on the requirements of the attached this Job Hazard Analysis and attached documentation and I agree to perform the work in the manner detailed on it.
.

Name: Name: Name:

Sign: Date: Sign: Date: Sign: Date:


(Please Print) (Please Print) (Please Print)

Rev 0 06 October 2015 Uncontrolled when printed MP4GLBL0071 JHA Form ---------------- Page 2 of 3
 JHA

Task Step Risk Reduction

# Task Step Credible Potential Hazards Control/Recovery/Response Residual Risk

. / /

Rev 0 06 October 2015 Uncontrolled when printed MP4GLBL0071 JHA Form ---------------- Page 3 of 3