JOB SAFETY ANALYSIS

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

Task Description: carpentry

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:
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
• incompetent workers
• trips and falls
1. Job preparation
• pinch point
• heavy load
• A valid permit to work  Project Emergency
• Competent workers response plan
• TBM (medical treatment)
 Proper fire
• Certified equipment
extinguisher

2. carpentry
• Hand, eye, ear, shock
injuries
• Flying metal; pieces
• Skin, eye and
respiratory irritations
• Electrical shock
• Sharp objects
• Pinch point
• PTW/TBT
• Proper PPE
• Competent workers
• Certified equipment
• Adequate PPE
 Project Emergency
• Competent workers
response plan
• Close supervision (medical treatment)
• Good communication  Proper fire
• Check equipment before use extinguisher

• Poor communication
• Incompetent workers

• 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
(Number) (What could go wrong?)
• Silica exposure
• Struck by equipment
• Entanglement h
• Severe injuries Back pain
• Falling/Flying Debris
4. HOUSEKEEPING • Tool Malfunction and
Electric Shock
• Loss of Control Over Tool
• Excessive Noise
• Looseness Perforator bit
Name
Prepared By
Checked By
Approved By
HAZARDS CONTROLS HAZARD PORT
(How can harm be prevented?) MITIGATION STATES
• Dust mask to be worn to avoid inhalation contact and respiratory
system protection  Project Emergency
• Use ear plugs and adequate PPE response plan
• Ensure machine guard are well fixed (medical treatment)
• Frequent breaks should be taken for recovering  Proper fire
extinguisher
• Ensure work area is clear of other workers.
• Housekeeping and cleaning the area after EACH SHIFT
Position Date Signed
HSSE
Area HSSE Supervisor
PTW coordinator