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Company Insrumentation &Control Specialists, Inc. Document ID No.

JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

1
EL remove all unnecessary that can cause of obstraction
S
EC
Site Survey of scaffold Site Evaluation for the work 1. All prsonnel to have completed the site specific induction.
erection area before area. Evaluate the possible Operational slip and trip hazard Fracture, body injurie 2.
start erecting. hazard and risks at the work precise coordination
area. A 3. Ensure that
workers are educate on spotting potential hazards.

PPE safety shoes


2 EL
S
Preparation of Misccommunication EC
Documents or Permit Prepare necessary Occupational with Project Enduser Delay of Permit to
to Work (PTW). documents (pen and papers) Health & Safety and Project Owner Work (PTW) Coordinate the activity to the Enduser and Project owner
A before commencing work.
PPE
3 EL
S
EC
1. Check Vehicle of its road worthiness.
Occupational Hit againts personnel body injuries, property 2. comply with
Health & Safety or property damage plant road speed limits and driving regulations.
A
3. banksman or
spotter shall be provided during loading, unloading, moving
prepare tools, equipment operation.
and materials to be used for
Preparation and erecting of scaffold (tubular PPE hardhat, safety glass, safety shoes,
mobilization of tools, pipes, fixed/swivel clamps,
equipment and toeboards, flatforms, beam 1. Keep access and egress routes clear and segregate the
scaffolding materials clams, and all necessary work area from others and vehicles in access areas.
scaffold materials and 2.
accessories). remove any items that may obstruct the work activty; and

Occupational Slips, trips and falls at cuts, bruises, sprains 3. Check for any items that may cause slips, trips and falls
Health & Safety the same level and strains and remove or secure them as required.
EL
S
EC
A
PPE safety shoes

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

4 EL
S
EC

Mobilization of Mobilization of manpower Occupational Hit by moving 1. Ensure all workers abide to the traffic rules and regulations
Manpower to the work area for the Health & Safety machinery Bodily injury/Fatality in the plant.
scaffolding erection 2. Ensure workers use the pedestrian walkway
provided during travelling.
3 Be extra carefull when crossing the road.
A
PPE
5
EL
1. Ensure material is carried in small quantity to minimize the
weight carried.
S

bodily injury/back 1.Use mechanical aid if necessary ( boom truck or crane )


Ergonomically hazard EC
injury/Hand injury
1. Educate worker of correct manual lifting method.
2. Advice worker to seek help if the
load is to heavy/large (Buddy Buddy System)
A
PPE working gloves
Manual Loading and Loading and unloading of 1. Keep access and egress routes clear and segregate the
Occupational work area from others and vehicles in access areas.
unloading of scaffold scaffold materials use for Health & Safety
materials erection of scaffold 2.
remove any items that may obstruct the work activty
EL
S
Tripping and Slipping Bodily Injury, fracture, EC
hazard disability 1. avoid carrying large material that could obstruct view
ahead.
2. Check for any items that may cause slips, trips and
falls and remove or secure them as required.
3. Maintain good
A housekeeping at work area.
PPE safety shoes

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

6
EL
S
EC
1. All personnel to have read and understood the RA that is
Occupational specific for their area of work 2
Health & Safety Poor access and egress Bodily Injury
Make sure all access and egress, access ladders, steps and
ramps are safe and secure.
3. RA
is to be modified where and when necessary to reflect the
changing work area.
Preperation of Asses work area access and weather A
working area condition PPE
EL
S
EC

Occupational Poor or bad weather Bodily injuries, Immediately cease work in hazardous weather conditon such
Health & Safety conditon property damage as:
A 1. strong winds that may cause loss of balance.
2. Rain is causing a
slippery work surface.
PPE
7
EL
Ensure material is carried in small quantity to minimize the
S weight.
EC
1. Educate worker of correct manual lifting method.
Ergonomally hazards bodily injury/back pain 2. Advice worker to seek help if the
load is to heavy/large (Buddy Buddy System)
3.
avoid awkward position to prevent body pain/back pain.
A
Lay Sole board, if required PPE
Erection / modification of Occupational Health & EL
scaffolding place base plates at suitable Safety
location S
EC

Pinch point, sharp bodily injury/hand


edges around the base injury/cuts
plate

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
7

Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005


Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Lay Sole board, if required


Erection / modification of
Risk place base plates at suitable Occupational Health &
Procedure / Job Steps Activities/Equipment/Products
scaffolding
location or Services RiskSafety
Category Aspect / Hazard / Risk Impact / Risk / Threat HOC Control Measures Action Plan Target Date
Item Source / Vulnerability

1. Educate worker on proper hand placement


Pinch point, sharp 2. Buddy buddy system
edges around the base bodily injury/hand
injury/cuts
3.
plate A
proper communication and coordination before lifting
tubular pipes.
4. provide an awareness training regarding
line of fire and hand finger safety.

PPE working gloves


8
EL
Ensure material is carried in small quantity to minimize the
S weight.
EC

Ergonomally hazards bodily injury/back pain 1. Educate worker of correct manual lifting method.
2. Advice worker to seek help if the
A load is to heavy/large (Buddy Buddy System)
3. avoid awkward
position to prevent body pain/back pain.

PPE
EL
S
EC
1. Educate worker on proper hand placement
Pinch point, sharp 2. Buddy buddy system
pitch the standard at spacing edges around the base bodily injury/hand
injury/cuts 3. proper
plate communication and coordination before lifting tubular pipes.
Install the lift ledgers of not more than 2.5mapart.
Secure foot-tie at inner side Occupational Health &
and transoms of not more that 460mm
Safety 4. provide an awareness training regarding
from ground. line of fire and hand finger safety.
A
PPE

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title pitch the standard at spacing Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019
Install the lift ledgers of not more than 2.5mapart.
Secure foot-tie at inner side Occupational Health &
and transoms of not more that 460mm
Safety
Risk Procedure / Job Steps Activities/Equipment/Products
from ground. Aspect / Hazard / Risk
Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
S

1. Ensure vertical tubes are not releasd until the foot ties are
securely installed.
2. ensure ratchet
Hit by falling scaffold spanner is secured to the erectors body.
tubes, ratchet spanner Bodily injury/ fatality/ EC
damage to property
and coupling 1. Ensure worker are trained and qualified to erect,
dismantle or modify scaffold.
2. Ensure
close supervision
3. implement a buddy system for assistance to
hold vertical tubes during securing of foot-tie.
A
PPE
9
EL
Ensure material is carried in small quantity to minimize the
weight.
S
EC
Occupational
Health & Safety Ergonomally hazards bodily injury/back pain 1. Educate worker of correct manual lifting method.
2. Advice worker to seek help if the
load is to heavy/large (Buddy Buddy System)
3. avoid awkward
position to prevent body pain/back pain.
A
PPE
EL
S
EC

Pinch point, sharp 1. Educate worker on proper hand placement


Occupational bodily injury/hand 2. Buddy buddy system
Health & Safety edges around the base injury/cuts 3. proper
plate communication and coordination before lifting tubular pipes.

4. provide an awareness training regarding line of fire


and hand finger safety.
A

Install temporary platform


Erect working flatform (at least 500mm wide) and
temporary access ladder
Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Pinch point, sharpand dismantling Effective Date July 24-31, 2019
Occupational Erection/Modification of scaffolding unit 1
bodily injury/hand
Health & Safety edges around the base injury/cuts
plate

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

PPE
EL
S
Install temporary platform
Erect working flatform (at least 500mm wide) and 1. Ensure metal decking, ladder are not released until it is
temporary access ladder secured. .
2. Ensure ratchet spanner is secured to the
erectors body.
Hit by falling metal,
Occupational decking, ladder, ratchet Bodily injury/ fatality/ EC
Health & Safety spanner and coupling. damage to property
1. Ensure worker are trained and qualified to erect,
dismantle or modify scaffold.
2. Ensure close supervision
3. implement a buddy
system for assistance to hold the flatform during securing.
A
PPE
Stop work if severe weather condition (wind speed is above
EL 16 knots).
S
1. work area to be barriered off by suitable means to prevent
access of unuathorized personnel.
2. Install independent lifline for
Falling from anchoring points of lanyard encase of sacffold colapse.
Occupational height/drop object or
Health & Safety small materials /falling Bodily Injury/ fatality 3. Secure tools using nylon rope, provision of tool
of ladder EC bag for small object to prevent from falling.
1. must be supplemented by the posting of prominently
located signage.
2. secure PTW with secondary
PTW for W@H
A 3. ensure 100% tie-off of FBH lanyard
PPE

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

10 Stop work if severe weather condition (wind speed is above


EL 16 knots).
S
1. Ensure ladder is tie-down by putting couplers of scaffold
wires.
2. install independent life line for anchoring of
EC FBH lanyard.

1. must be supplemented by the posting of prominently


Falling from height/fall located signage.
of person during 2. secure PTW with secondary PTW for W@H
erection and Serious injury/ fatality 3. ensure
dismantle/falling of 100% tie-off of FBH lanyard
ladders 4. ensure all workers has trained and aware of
working at heights
5. ensure close monitoring and
supervision 6. avoid
over reaching to prevent personnel from accidental falling.
A

1. personnel to wear suitable full body harness with double


lanyards and shock absorber.
PPE
EL
Ensure material is carried in small quantity to minimize the
S
weight.

EC

bodily injury/ back 1. Educate worker of correct manual lifting method.


Ergonomically hazards pain/ muscle strain 2. Advice worker to seek help if the
load is to heavy/large (Buddy Buddy System)
3. avoid awkward position to prevent body
pain/back pain.
4. avoid over reaching to
A
prevent muscle strain

PPE

Occupational
Health & Safety

Erection of scaffolding
Erection of Edge protection bey means of toe
protection, ladder
and toe board board, install ladder to
access each individual lift.
Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
Occupational S
Health & Safety
EC
1. Educate worker on proper hand placement
Pinch point, sharp bodily injury/hand 2. Buddy buddy system
edges around the base injury/cuts 3. proper
plate communication and coordination before lifting tubular pipes.
4.
Erection of scaffolding provide an awareness training regarding line of fire and hand
Erection of Edge finger safety.
protection, ladder protection bey means of toe A
and toe board board, install ladder to
access each individual lift. Ensure hand gloves is worn in any operation
PPE
no modification is to made to the scaffold, specially removal
of ties or structural members.
EL
S

1. Structural design of scaffold must be review and sign by a


structuraal engineer.
2. Scaffolds to be located upon firm and solid
foundations that are capable of withstanding all impose load.

3. scaffold to be physically tied throughout all satges of


erection and dismantling.
Collapse of scaffold Serious injury/ fatality / EC
when erected and
during dsmantle property damage
1. All sacaffolders must be a NCII Certied
2. Ensure that scaffolding working load is
not exceeded or overloaded.
3. level of material stored on the
scaffold should be kept to the lowest possible level at all
times. 4. Use the scaffold in accordance
withthe loading specified on the hand over
certificate/scaffold tag
A

Ensure wearing of proper/basic PPE's such as but not limited


to Haardhat, Safety shoes, safety glass, hand gloves.
PPE

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
S
EC

1. scaffold must be erected by a person holding a certificate


of competency for scaffolding.
Bodily injuries, 2. ensure buddy system when lifting tubular pipe to prevent
Occupational Strucck by Scaffolding fracture, disability, A
struck by injuries. 3.
Health & Safety when erected fatality provide safe means of raisisng, lowering and storing tools,
scaffold materials and debris. 4. make
sure safe distance are maintained to prevent struck by
injuries.

Ensure wearing of proper/basic PPE's such as but not limited


to Haardhat, Safety shoes, safety glass, hand gloves.
PPE
11
unauthorized removal of interference with scaffold
components
EL
S
Scaffold inspected by competent person prior to use
EC
Occupational Incomplete scaffold
structure/ scaffold
Bodily injury/ property
Health & Safety collapsed damage 1. Scaffold to be barricaded toprevent unauthorized used.
A
2. make sure all scaffold components stayin
place until the scaffold is dismantled.

Ensure wearing of proper/basic PPE's such as but not limited


to Hardhat, Safety shoes, safety glass, hand gloves.
Tagging of scaffolding for PPE
safe use, SLPGC safety officer
Use of scaffold conduct inspection prior to EL
use the scaffold. S

Occupational Fall from height /Fall


from scaffold or
serious injury/
Health & Safety working flatform disability/ fatality

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
11

Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005


Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Tagging of scaffolding for


Risk Activities/Equipment/Products
/ Job Steps safe use, SLPGC safety officer Aspect / Hazard / Risk
Item
Procedure
Use of scaffold Risk Category Impact / Risk / Threat HOC Control Measures Action Plan Target Date
conduct or Services prior to
inspection Source / Vulnerability
use the scaffold.
1. Complete edge protection to working flatform
2. safe access and egress from the scaffold must
be provided
EC

1. Secure supporting PTW for working at heights


Occupational Fall from height /Fall
from scaffold or serious injury/ 2. Ensure close supervision
Health & Safety working flatform disability/ fatality 3. Ensure 100% tie-off of
A
full body harness lanyard 4.
ensure 3 point of contact while descending and ascending on
scaffold ladder and working flatform.
5. Make sure all workers stayfully within the
scaffold at all times.

1. personnel to wear suitable full body harness with double


PPE lanyards and shock absorber.
12
EL
S

1. All Raising and lowering of materials to be carried out in


controlled manner (i.e. hand to hand, by light-line, nylone
rope and fitting bags.)
2. Provide safety nets if necessary
EC

Occupational Bodiliy injury, disability, 1. post warning signs and work within the sealed area
Health & Safety Fall of materials fatality, property or 2. Only the material being used to be out
equipment damage on the scaffold until boardedd areas are erected to store.
A
3. materials to be stored in a safe and
secure manner, to prevent them accidentally falling or being
knocked off th eworking platform when at height.
4. Ensure
close monitoring and supervision.

1. personnel to wear suitable full body harness with double


working on scaffold for the lanyards and shock absorber.
working on/below installation works, cable PPE
scaffold pulling and other work at EL
heights activities.
S

Fall from height /Fall


Occupational from scaffold or serious injury/
Health & Safety disability/ fatality
working flatform

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
12

Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005


Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

working on scaffold for the


Risk working on/below Activities/Equipment/Products
installation works, cable Aspect / Hazard / Risk
Item
Procedure / Job Steps
scaffold pulling and other work at
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date
heights activities.

1. Complete edge protection to working flatform


2. safe access and egress from the scaffold must
be provided
3. Installed independent lifline
EC
Occupational Fall from height /Fall serious injury/
from scaffold or 1. Secure supporting PTW for working at heights
Health & Safety working flatform disability/ fatality 2. Ensure close supervision
3. Ensure 100% tie-
A
off of full body harness lanyard
4. ensure 3 point of contact while descending and ascending
on scaffold ladder and working flatform.
5. Make sure all workers stayfully within
the scaffold at all times.

1. personnel to wear suitable full body harness with double


PPE
lanyards and shock absorber.
13 EL
S

1. All Raising and lowering of materials to be carried out in


controlled manner (i.e. hand to hand, by light-line, nylone
rope and fitting bags.)
2. Provide safety nets if necessary
EC
1. post warning signs and work within the sealed area
Occupational Bodiliy injury, disability, 2. Only the material being used to be out
Health & Safety falling of Materials fatality, property or on the scaffold until boardedd areas are erected to store.
equipment damage 3. materials to be
A stored in a safe and secure manner, to prevent them
accidentally falling or being knocked off th eworking platform
when at height.
4. Ensure close monitoring
and supervision.
1. personnel to wear suitable full body harness with double
PPE lanyards and shock absorber.
Scaffold dismantled in
accordance with plant safety, EL
Dismantle scaffold Enduser and supplier S
instruction

Occupational Structural colapse Bodily injury/ property


Health & Safety damage

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
13

Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005


Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date July 24-31, 2019

Risk Scaffold dismantled in


Activities/Equipment/Products Aspect / Hazard / Risk
Item
Procedure / Job Steps accordance
or with plant safety,
Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date
Dismantle scaffold Enduser and supplier
instruction
1. Scaffold to be dismantled in accordance with
manufacturers or supplier instruction.
EC

1. Make sure area beneath and around the sacffold is kept at


all times during deconstruction.
Occupational Bodily injury/ property 2. Make sure the lower ties are
Health & Safety Structural colapse damage only removed when the scaffold is dismantled down to that
level to avoid collapse.
A 3. Make sure ropes for
lowering equipment are securely tied.
4. Make
sure safe distanced are maintained at alltimes during the
dismantling process.
5. ensure 100% tie-off of FBH lanyard

1. personnel to wear suitable full body harness with double


PPE lanyards and shock absorber.
14 1. Remove and segregate materials, waste materials, store
tools, equipment on their designated area
2. . Keep access and egress routes clear and segregate
the work area from others and vehicles in access areas.

3. remove any items that may obstruct the work activty; and

4. Check for any items that may cause


Housekeeping before, Housekeeping before, During Occupational Slips, trips and falls at Bodily Injury, fracture, EL slips, trips and falls and remove or secure them as required.
During and after (5's) and after (5's) Health & Safety the same level disability S
EC
A 1. Make sure the work area is left clean and tidy

Ensure wearing of proper/basic PPE's such as but not limited


to Hardhat, Safety shoes, safety glass, hand gloves.
PPE
Prepared by / Date: Checked by / Date: Approved by / Date:

O. MERCENE/Erickson Bala _______________________


Safety Officer/PIC CPC Safety Inspector TL Risk Management

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL remove all unnecessary that can cause of obstraction


S
EC
1. All prsonnel to have completed the site specific induction.
Site Survey of scaffold Site Evaluation for the work 2.
1 erection area before area. Evaluate the possible Operational slip and trip hazard Fracture, body injurie precise coordination
start erecting. hazard and risks at the work
area. A 3. Ensure that
workers are educate on spotting potential hazards.

PPE safety shoes


EL
S
Preparation of Prepare necessary Occupational Misccommunication Delay of Permit to EC
2 Documents or Permit documents (pen and papers) Health & Safety with Project Enduser Work (PTW)
to Work (PTW). and Project Owner Coordinate the activity to the Enduser and Project owner
A before commencing work.
PPE
EL
S
EC
1. Check Vehicle of its road worthiness.
Occupational Hit againts personnel body injuries, property 2. comply with
Health & Safety or property damage plant road speed limits and driving regulations.
A
3. banksman or
spotter shall be provided during loading, unloading, moving
prepare tools, equipment operation.
and materials to be used for
Preparation and erecting of scaffold (tubular PPE hardhat, safety glass, safety shoes,
3
mobilization of tools, pipes, fixed/swivel clamps,
equipment and toeboards, flatforms, beam 1. Keep access and egress routes clear and segregate the
scaffolding materials clams, and all necessary work area from others and vehicles in access areas.
scaffold materials and 2.
accessories). remove any items that may obstruct the work activty; and

Occupational Slips, trips and falls at cuts, bruises, sprains 3. Check for any items that may cause slips, trips and falls
Health & Safety the same level and strains and remove or secure them as required.
EL
S
EC

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
prepare tools, equipment
and materials to be used for
Preparation and erecting of scaffold (tubular
3
mobilization of tools, pipes, fixed/swivel clamps,
Companyequipment and toeboards, flatforms, beam Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
scaffolding materials clams, and all necessary
Department/s scaffold materials and Contractor Revision No 5
accessories). Effective Date Nov. 29 - dec. 5, 2019
Job Title Erection/Modification and dismantling of scaffolding unit 1
Occupational Slips, trips and falls at cuts, bruises, sprains
Health & Safety the same level and strains
Risk Activities/Equipment/Products Aspect / Hazard / Risk
Item
Procedure / Job Steps
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

A
PPE safety shoes

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
S
EC

Mobilization of manpower 1. Ensure all workers abide to the traffic rules and regulations
Mobilization of to the work area for the Occupational Hit by moving
4
Manpower Health & Safety machinery Bodily injury/Fatality in the plant.
scaffolding erection 2. Ensure workers use the pedestrian walkway
provided during travelling.
3 Be extra carefull when crossing the road.
A
PPE
EL
1. Ensure material is carried in small quantity to minimize the
weight carried.
S

bodily injury/back 1.Use mechanical aid if necessary ( boom truck or crane )


Ergonomically hazard injury/Hand injury
EC

1. Educate worker of correct manual lifting method.


2. Advice worker to seek help if the
load is to heavy/large (Buddy Buddy System)
A
PPE working gloves

Manual Loading and Loading and unloading of 1. Keep access and egress routes clear and segregate the
Occupational work area from others and vehicles in access areas.
5 unloading of scaffold scaffold materials use for Health & Safety
materials erection of scaffold 2.
remove any items that may obstruct the work activity
EL
S
Tripping and Slipping Bodily Injury, fracture, EC
hazard disability
1. avoid carrying large material that could obstruct view
ahead.
2. Check for any items that may cause slips, trips and
falls and remove or secure them as required.
3. Maintain good
A housekeeping at work area.
PPE safety shoes
EL

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

S
EC

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

1. All personnel to have read and understood the RA that is


specific for their area of work 2
Make sure all access and egress, access ladders, steps and
Occupational ramps are safe and secure.
Health & Safety Poor access and egress Bodily Injury 3. RA
is to be modified where and when necessary to reflect the
changing work area.
A
PPE
6
Preperation of Asses work area access and weather
working area condition EL
S
EC

Occupational Poor or bad weather Bodily injuries, Immediately cease work in hazardous weather conditon such
Health & Safety conditon property damage as:
A 1. strong winds that may cause loss of balance.
2. Rain is causing a
slippery work surface.
PPE
EL
Ensure material is carried in small quantity to minimize the
S weight.
EC
1. Educate worker of correct manual lifting method.
Ergonomally hazards bodily injury/back pain 2. Advice worker to seek help if the
load is to heavy/large (Buddy Buddy System)
3.
avoid awkward position to prevent body pain/back pain.
A
Lay Sole board, if required Occupational PPE
Erection / modification of
7 scaffolding place base plates at suitable Health & Safety EL
location S
EC
1. Educate worker on proper hand placement
Pinch point, sharp 2. Buddy buddy system
bodily injury/hand 3.
edges around the base injury/cuts
plate A
proper communication and coordination before lifting
tubular pipes.
4. provide an awareness training regarding
line of fire and hand finger safety.

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Lay Sole board, if required
7
Erection / modification of
place base plates at suitable Occupational Document ID No. JSEA-ICS-005
scaffolding
Company location Health & Safety Insrumentation &Control Specialists, Inc.
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019
Pinch point, sharp bodily injury/hand
edges around the base injury/cuts
plate
Risk Activities/Equipment/Products Aspect / Hazard / Risk
Item
Procedure / Job Steps
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

PPE working gloves

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
Ensure material is carried in small quantity to minimize the
S weight.
EC

Ergonomally hazards bodily injury/back pain 1. Educate worker of correct manual lifting method.
2. Advice worker to seek help if the
A load is to heavy/large (Buddy Buddy System)
3. avoid awkward
position to prevent body pain/back pain.

PPE
EL
S
EC
1. Educate worker on proper hand placement
Pinch point, sharp bodily injury/hand 2. Buddy buddy system
pitch the standard at spacing edges around the base injury/cuts 3. proper
of not more than 2.5mapart.
8
Install the lift ledgers Secure foot-tie at inner side Occupational Health & plate communication and coordination before lifting tubular pipes.
and transoms Safety
of not more that 460mm 4. provide an awareness training regarding
from ground. line of fire and hand finger safety.
A
PPE
EL
S

1. Ensure vertical tubes are not releasd until the foot ties are
securely installed.
2. ensure ratchet
Hit by falling scaffold spanner is secured to the erectors body.
tubes, ratchet spanner Bodily injury/ fatality/
EC
and coupling damage to property
1. Ensure worker are trained and qualified to erect,
dismantle or modify scaffold.
2. Ensure
close supervision
3. implement a buddy system for assistance to
hold vertical tubes during securing of foot-tie.
A
PPE

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Activities/Equipment/Products Aspect / Hazard / Risk


Item
Procedure / Job Steps
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
Ensure material is carried in small quantity to minimize the
weight.
S
EC
Occupational
Health & Safety Ergonomally hazards bodily injury/back pain 1. Educate worker of correct manual lifting method.
2. Advice worker to seek help if the
load is to heavy/large (Buddy Buddy System)
3. avoid awkward
position to prevent body pain/back pain.
A
PPE
EL
S
EC

1. Educate worker on proper hand placement


Pinch point, sharp
Occupational edges around the base bodily injury/hand 2. Buddy buddy system
Install temporary platform Health & Safety plate injury/cuts 3. proper
9 Erect working flatform (at least 500mm wide) and communication and coordination before lifting tubular pipes.
temporary access ladder
4. provide an awareness training regarding line of fire
and hand finger safety.
A
PPE
EL
S

1. Ensure metal decking, ladder are not released until it is


secured. .
2. Ensure ratchet spanner is secured to the
erectors body.
Hit by falling metal, EC
Occupational decking, ladder, ratchet Bodily injury/ fatality/
Health & Safety spanner and coupling. damage to property

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Install temporary platform
9 Erect working flatform (at least 500mm wide) and
temporary access ladder

Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005


Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

Hit by falling metal,


Occupational decking, ladder, ratchet Bodily injury/ fatality/
Health & Safety spanner and coupling. damage to property
1. Ensure worker are trained and qualified to erect,
dismantle or modify scaffold.
2. Ensure close supervision
3. implement a buddy
system for assistance to hold the flatform during securing.
A
PPE

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

Stop work if severe weather condition (wind speed is above


EL 16 knots).
S
1. work area to be barriered off by suitable means to prevent
access of unuathorized personnel.
2. Install independent lifline for
Falling from anchoring points of lanyard encase of sacffold collapse.
Occupational height/drop object or
Health & Safety small materials /falling Bodily Injury/ fatality 3. Secure tools using nylon rope, provision of tool
of ladder EC bag for small object to prevent from falling.

1. must be supplemented by the posting of prominently


located signage.
2. secure PTW with secondary
PTW for W@H
3. ensure 100% tie-off of FBH lanyard
A
PPE
Stop work if severe weather condition (wind speed is above
EL
16 knots).
S
1. Ensure ladder is tie-down by putting couplers of scaffold
wires.
2. install independent life line for anchoring of
FBH lanyard.
EC
Falling from height/fall
of person during 1. must be supplemented by the posting of prominently
10 erection and Serious injury/ fatality located signage.
dismantle/falling of 2. secure PTW with secondary PTW for W@H
ladders 3. ensure
100% tie-off of FBH lanyard
4. ensure all workers has trained and aware of
working at heights
5. ensure close monitoring and
supervision 6. avoid
over reaching to prevent personnel from accidental falling.
A

1. personnel to wear suitable full body harness with double


lanyards and shock absorber.
PPE

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Activities/Equipment/Products Aspect / Hazard / Risk


Item
Procedure / Job Steps
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
Ensure material is carried in small quantity to minimize the
weight.
S
EC
1. Educate worker of correct manual lifting method.
Ergonomically hazards bodily injury/ back 2. Advice worker to seek help if the
pain/ muscle strain
load is to heavy/large (Buddy Buddy System)
3. avoid awkward position to prevent body
pain/back pain.
4. avoid over reaching to
prevent muscle strain
A
PPE
EL
S
EC
1. Educate worker on proper hand placement
Pinch point, sharp 2. Buddy buddy system
edges around the base bodily injury/hand 3. proper
plate injury/cuts
communication and coordination before lifting tubular pipes.
4.
provide an awareness training regarding line of fire and hand
A finger safety.

Ensure hand gloves is worn in any operation


PPE
no modification is to made to the scaffold, specially removal
of ties or structural members.
EL
S

Collapse of scaffold Serious injury/ fatality / 1. Structural design of scaffold must be review and sign by a
when erected and property damage structuraal engineer.
during dsmantle 2. Scaffolds to be located upon firm and solid
foundations that are capable of withstanding all impose load.
3. scaffold to be physically tied throughout all satges of
erection and dismantling.
EC

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Activities/Equipment/Products Aspect / Hazard / Risk


Item
Procedure / Job Steps
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

1. All sacaffolders must be a NCII Certied


2. Ensure that scaffolding working load is
not exceeded or overloaded.
3. level of material stored on the
scaffold should be kept to the lowest possible level at all
times. 4. Use the scaffold in accordance
withthe loading specified on the hand over
certificate/scaffold tag
A

Ensure wearing of proper/basic PPE's such as but not limited


to Haardhat, Safety shoes, safety glass, hand gloves.
PPE
EL
S
EC

1. scaffold must be erected by a person holding a certificate


of competency for scaffolding.
Bodily injuries, 2. ensure buddy system when lifting tubular pipe to prevent
Occupational Strucck by Scaffolding fracture, disability, A
struck by injuries. 3.
Health & Safety when erected fatality provide safe means of raisisng, lowering and storing tools,
scaffold materials and debris. 4. make
sure safe distance are maintained to prevent struck by
injuries.

Ensure wearing of proper/basic PPE's such as but not limited


to Hardhat, Safety shoes, safety glass, hand gloves.
PPE

unauthorized removal of interference with scaffold


components
EL

Tagging of scaffolding for S


safe use, SLPGC safety officer Occupational Incomplete scaffold Bodily injury/ property Scaffold inspected by competent person prior to use
11 Use of scaffold conduct inspection prior to Health & Safety structure/ scaffold damage EC
use the scaffold. collapsed

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Activities/Equipment/Products Aspect / Hazard / Risk


Item
Procedure / Job Steps Tagging of scaffolding for
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date
Incomplete scaffold
safe use, SLPGC safety officer Occupational structure/ scaffold Bodily injury/ property
11 Use of scaffold conduct inspection prior to Health & Safety damage
collapsed
use the scaffold.
1. Scaffold to be barricaded toprevent unauthorized used.
A
2. make sure all scaffold components stayin
place until the scaffold is dismantled.

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

Ensure wearing of proper/basic PPE's such as but not limited


to Hardhat, Safety shoes, safety glass, hand gloves.
PPE
EL
S

1. Complete edge protection to working flatform


2. safe access and egress from the scaffold must
be provided
EC

Fall from height /Fall 1. Secure supporting PTW for working at heights
Occupational from scaffold or
serious injury/ 2. Ensure close supervision
Health & Safety working flatform
disability/ fatality 3. Ensure 100% tie-off of
A
full body harness lanyard 4.
ensure 3 point of contact while descending and ascending on
scaffold ladder and working flatform.
5. Make sure all workers stayfully within the
scaffold at all times.

1. personnel to wear suitable full body harness with double


PPE lanyards and shock absorber.
EL
S

1. All Raising and lowering of materials to be carried out in


controlled manner (i.e. hand to hand, by light-line, nylone
rope and fitting bags.)
2. Provide safety nets if necessary
EC
working on scaffold for the
Bodiliy injury, disability,
12
working on/below installation works, cable Occupational Fall of materials fatality, property or 1. post warning signs and work within the sealed area
scaffold pulling and other work at Health & Safety equipment damage 2. Only the material being used to be out
heights activities. on the scaffold until boardedd areas are erected to store.
A
3. materials to be stored in a safe and
secure manner, to prevent them accidentally falling or being
knocked off the working platform when at height.
4. Ensure
close monitoring and supervision.

1. personnel to wear suitable full body harness with double


PPE lanyards and shock absorber.

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Activities/Equipment/Products Aspect / Hazard / Risk


Item
Procedure / Job Steps
or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
S

1. Complete edge protection to working flatform


2. safe access and egress from the scaffold must
be provided
3. Installed independent lifline
EC
Fall from height /Fall
Occupational from scaffold or serious injury/ 1. Secure supporting PTW for working at heights
Health & Safety working flatform disability/ fatality 2. Ensure close supervision
3. Ensure 100% tie-
A
off of full body harness lanyard
4. ensure 3 point of contact while descending and ascending
on scaffold ladder and working flatform.
5. Make sure all workers stayfully within
the scaffold at all times.

1. personnel to wear suitable full body harness with double


PPE
lanyards and shock absorber.
EL
S

1. All Raising and lowering of materials to be carried out in


controlled manner (i.e. hand to hand, by light-line, nylone
rope and fitting bags.)
2. Provide safety nets if necessary
EC
Scaffold dismantled in 1. post warning signs and work within the sealed area
accordance with plant safety, Occupational Bodiliy injury, disability, 2. Only the material being used to be out
13 Dismantle scaffold Enduser and supplier Health & Safety falling of Materials fatality, property or on the scaffold until boardedd areas are erected to store.
instruction equipment damage 3. materials to be
A stored in a safe and secure manner, to prevent them
accidentally falling or being knocked off th eworking platform
when at height.
4. Ensure close monitoring
and supervision.
1. personnel to wear suitable full body harness with double
PPE lanyards and shock absorber.

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

EL
S
1. Scaffold to be dismantled in accordance with
EC
manufacturers or supplier instruction.

1. Make sure area beneath and around the sacffold is kept at


all times during deconstruction.
2. Make sure the lower ties are
Occupational Bodily injury/ property only removed when the scaffold is dismantled down to that
Health & Safety Structural colapse damage level to avoid collapse.
A 3. Make sure ropes for
lowering equipment are securely tied.
4. Make
sure safe distanced are maintained at alltimes during the
dismantling process.
5. ensure 100% tie-off of FBH lanyard

1. personnel to wear suitable full body harness with double


PPE lanyards and shock absorber.
1. Remove and segregate materials, waste materials, store
tools, equipment on their designated area
2. . Keep access and egress routes clear and segregate
the work area from others and vehicles in access areas.
3. remove any items that may obstruct the work activty; and

4. Check for any items that may cause


14
Housekeeping before, Housekeeping before, During Occupational Slips, trips and falls at Bodily Injury, fracture, EL slips, trips and falls and remove or secure them as required.
During and after (5's) and after (5's) Health & Safety the same level disability S
EC
A 1. Make sure the work area is left clean and tidy

Ensure wearing of proper/basic PPE's such as but not limited


to Hardhat, Safety shoes, safety glass, hand gloves.
PPE
Prepared by / Date: Checked by / Date: Approved by / Date:

_______________________ _______________________ _______________________

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019
Company Insrumentation &Control Specialists, Inc. Document ID No. JSEA-ICS-005
Department/s Contractor Revision No 5
Job Title Erection/Modification and dismantling of scaffolding unit 1 Effective Date Nov. 29 - dec. 5, 2019

Risk Procedure / Job Steps Activities/Equipment/Products Aspect / Hazard / Risk


Item or Services
Risk Category
Source / Vulnerability
Impact / Risk / Threat HOC Control Measures Action Plan Target Date

_______________________ _______________________ _______________________


Safety Officer/PIC CPC Safety Inspector TL Risk Management

Job Safety Environmental Analysis Form CPC-SAF-PRO-029-F01Effectivity Date February 11, 2019

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