You are on page 1of 3

JOB SAFETY ANALYSIS

Facility / Site: GORDHAB TATAOUINE Location within Site: Permit No: Permit Type: Date:

Task Description: connection de cable MT via boite junction

REQUIRED REFERENCES JSA REVIEW


Have the relevant Procedures, Standards, Guidelines,
Yes N/A
or Safe Work Practices been reviewed? Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the
significant Task Steps, Hazards, and Controls.

JSA REVIEWER (Supervisor or Designate):


RISK ASSESSMENT
Must existing Procedures or Work Practices be
Yes No Name / Signature : Company: ETELEC
modified to perform this work?
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (Scenario-Based Yes No
Risk Assessment required)
The Work Team has assessed the worksite conditions and confirms:
 The JSA addresses the applicable hazards and necessary controls.
PPE REQUIRED DURING THIS TASK
 The Team has the appropriate resources (people and equipment) to do the job safely.
HARD HAT SAFETY GLASSES
 Others that could be affected by the work have been informed.
FACE SHIELD TASK LEADER:
SAFETY SHOES / BOOTS
GOGGLES

FALL PROTECTION Name / Signature: Company: SOCOBAT

FALL RESTRAINT COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
GLOVES:

COTTON Work Team Declaration:


LEATHER I acknowledge that I have reviewed the attached JSA, I understand my roles
and responsibilities, and I will comply with the instructions for this task.
IMPACT PROTECTION
Name (print): Name (print):
Dust mask
OTHER (specify):
           
Work clothes
           
           
           
           
OTHER PPE (specify): Worker performing task inside to wear Double
           
Earing Protection (ear plugs and ear muffs)

TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT


(Number) (What could go wrong?) (How can harm be prevented?) MITIGATION STATES

• Poor communication • A valid permit to work  Project Emergency


• incompetent workers • Competent workers response plan
1. Job preparation • trips and falls • TBM (medical treatment)
• pinch point • Certified equipment  Proper fire
extinguisher

• PTW/TBT
2. Connexion • Proper PPE
• Hand, eye, ear, shock
injuries • Competent workers
• Flying metal; pieces • Certified equipment
• Electrical shock • Adequate PPE
• Sharp objects • Competent workers
 Project Emergency
• Pinch point • Close supervision
response plan
• Poor communication • Good communication (medical treatment)
• Incompetent workers • Check equipment before use  Proper fire
• Working in an • Watchman in place extinguisher

excavation
• Trips and falls
• Electrical equipment

• Bites • Job rotation to be applied and share outdoors activities


• Poisonous insects between all workers
• Slip, trips and fall • Big and fresh quantity of water to be displayed
3. Adverse weather • Dehydration • Manual technique  Project Emergency
condition: • Heat struck • Awareness session to workers to aware them about hazards response plan
Scorpions and • Dizziness associated with poisonous insects (medical treatment)
snakes • MSD • First aid kit and first aider should be available  Proper fire
extinguisher
• Fatigue • Frequent breaks to be taken for recovery
• Working in extreme • Workers should wear adequate coverall
temperature • Time management culture among work force
TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(Number) (What could go wrong?) (How can harm be prevented?) MITIGATION STATES

• Silica exposure
• Struck by equipment
• Entanglement h • Dust mask to be worn to avoid inhalation contact and respiratory
• Severe injuries Back pain system protection  Project Emergency
• Falling/Flying Debris • Use ear plugs and adequate PPE response plan
4. HOUSEKEEPING • Tool Malfunction and • Ensure machine guard are well fixed (medical treatment)
Electric Shock • Frequent breaks should be taken for recovering  Proper fire
extinguisher
• Loss of Control Over Tool • Ensure work area is clear of other workers.
• Excessive Noise • Housekeeping and cleaning the area after EACH SHIFT
• Looseness Perforator bit

Name Position Date Signed


Prepared By HSSE
Checked By Area HSSE Supervisor
Approved By PTW coordinator

You might also like