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ract No.

(If Applicable):Si
gnature: Date:
Job Safety
Analysis Sheet
Job: Flange Replacement JSA Ref.
No. JSA / KOC / 37
Facility:
Work Area / Equipment:
Permit No:
Date:
PERSONAL PROTECTIVE
EQUIPMENT & TOOLS NEEDED
FOR WORK ACTIVITIES: Hard Hat,
Safety Shoes, Safety
Goggles, Hand Gloves, Hammer,
Spanner, Gas Monitor, Chain Pulley,
Airline Unit, Safety Harness
SEQUENCE OF
BASIC JOB STEPS
POTENTIAL HAZARDS
Yes /
No
PRECAUTIONS
Pre - work
Lack of Communication
 Plan the work involving
personnel responsible for
preparation (isolation,
depressurization, draining & gas
testing etc) of the Flange to be
replaced.
Non-compliance of KOC -HSEMS
Procedures
 Obtain the required work permits.
 Conduct Tool Box Talk
Incorrect Isolation
 Identify the Flange to be replaced
referring P & ID.
 Ensure the Flange e to be replaced is
isolated properly.
 Use Lock & Tag
Presence of Flammable / Toxic
vapors
 Depressurize / drain the fluid to safe
location.
 Override the gas detectors if
required.
 Carry out gas test for safe working
area.
Incorrect Flange
 Arrange correct specification flange
for replacement.
Flange
Replacement
Isolation Valve Passing
 Confirm isolation valve integrity
by opening slightly the
nearest vent / drain point.
Spark Generation / Fire
 Verify the work area is gas free.
 Use non sparking tools in hazardous
location.
Fall , Slip, Injury
 Erect secured scaffolding at properly
leveled ground in case
the Flange to be replaced is located at
height.
 Use safety harness while working at
height.
 Use appropriate lifting tools &
tackles (such as Chain Pulley,
Winch) for supporting the Flange to be
removed or installed.
Exposure to Toxic Vapor
 Check the work area is free from
toxic vapor.
 Slightly open one bolt / stud to
confirm no pressure.
 Use air line unit if required.
Splash of Hazardous Fluid
 Use safety goggles
 Loosen the bolts / studs slowly.
Leak / Spill
 Remove old flange & install new one
safely.
 Use gasket proper rating &
specification as required.
 Tighten all the studs & bolts
uniformly.
Windup &
Housekeeping
Scattered Material
 Ensure proper wind up &
housekeeping at worksite.
 The lifting tools, tackles, scaffolding
must be removed after
work completion.
Additional Hazards
(Other than indicated
above)
JSA Done By
Name:
Designation:
KOC / ID. No.
Company:
Controlling Team:
Job: Flange Replacement

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