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JOB SAFETY ANALYSIS

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

Task Description: punch list recovery

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: ETELEC

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
• trips and falls
1. Job preparation • TBM (medical treatment)
• pinch point  Proper fire
• Certified equipment
• heavy load extinguisher

• PTW/TBT
2. Tasks to be done • Proper PPE
• Incompetent workers • Competent workers
• Pinch point • Certified equipment
• Poor communication • Ensure good communication
• Poor supervision • Close supervision
• Equipment failure • Limit the area  Project Emergency
• Work at height • Certified technicians response plan
• Heavy equipment • Adequate fire extinguisher (medical treatment)
• Sensitive equipment  Proper fire
• Manual handling technique
extinguisher
• Uneven ground • Make sure the ground is safe
• Non certified equipment • Stop work in case of windy weather
• Sharp objects
• Electrical shock

• 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

4. HOUSEKEEPING

• 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
• 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

- Project Emergency
response plan
(medical treatment)
- Proper fire
extinguisher
• Risk of being infected by • Keep safe distance
5. COVID-19 the virus • Compulsory use of mask
• Risk of infection of other • Sanitization frequently
workers • Claim in case of any doubt
TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(Number) (What could go wrong?) (How can harm be prevented?) MITIGATION STATES

Name Position Date Signed


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

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