JOB SAFETY ANALYSIS – TBL-JSA

STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E

STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

PROJECT:
TITLE: Pipeline Stringing No: 002 Rev: 000
TATAOUINE BRANCH LINE

DEVELOPED BY: Project Team DATE: 04/11/2018 APPROVED BY: HSE Manager SIGN: DATE:

Mandatory PPE to be
PPE worn as
→ required
→

Activit POST SUPERVISORY

STEPS POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
y RISK REQUIREMENTS
 Contractor mobilization to Site/ logistics/ plot plan
Construction equipment and personnel to site, Falling
objects Collision to structures, Equipment  HSE team to assess continuously the conditions of work
 Control (Organization) and Communications in the assigned area
 PTW
- Improper communication  One person to issue work permits  Activity
system
- Improper control of the activity, Lack of understanding of  Toolbox talks supervisor /
procedures  Tool box
01 Permitting work C3  Competency of personnel and supervisory for the B1 Foreman
Talk
 Work condition not safe activity  HSE
 Inspection
 Procedures and tasks not clear  Define hierarchy and reporting flowcharts Supervisor
certificates
 Lack of supervisory  Define proper PPE to be used for the work
 Miscommunication  Check inspection certificates of equipment for the job
 Not correct PPE worn
 Equipment not inspected and certified
 JOB SAFETY ANALYSIS – TBL-JSA
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E
STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

 TBT prior job commencement, Ensure an adequate

coordination between all workers, foreman and
supervisors.
 Manual handling technic to be explained
 Manual handling
 Access route to be assessed.
 Slips trips and fall
 Keep hands away from nipping points.
Site preparatory  Unstable ground condition  PTW system  Activity
 Stop if unsafe.
works (Clear and  Underground facilities  Tool box supervisor /
 Safe egress in Emergency, JHA, Manual handling
02 free access for  Simultaneous operations, Crushing injuries, Pinch injuries, C3 Talk B1 Foreman
training, Hand and power tool training, Load handling-
equipment and Posture strain, Repetitive strain, Vibration, Han tools, Inspection  HSE
team lifting, Mechanical devices
personnel) Power tools, Load handling certificates Supervisor
 First aid kits / Doctor, medic & ambulance on site.
 Emergency response Plan/Procedure
 Bad weather
 PPE includes standard footwear, gloves, hardhats and
dust mask.
 Consider the possibility of stopping the job at bad
weather condition: heavy rain/strong winds.

 Have right body posture / spinal alignment when

handling woods
 Wear leather gloves  PTW system
 Induction (HSE awareness) process.  Tool box  Activity
 Back injuries  Permit to work. Talk supervisor /
Sand bags
03  Hand puncture / laceration C3  Spotter and permit notification when required to work  Inspection B1 Foreman
preparation
 Pinch point within proximity distances. certificates  HSE
 Signs erected.  PPE Supervisor
 Construction Execution Procedure.  First aid
 Drivers vehicles and journey management procedure
 JSA reviewed and signed by crews.
 JOB SAFETY ANALYSIS – TBL-JSA
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E
STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

 Wear correct PPE  Activity

 Phones supervisor /
 Punch point / hand injuries  Smart grip / 3 points of contact when climbing onto
04 Checking equipment C3 Foreman
 Falling from machines machines  Rear view
B2  HSE
 Diesel / oil spill  Use proper ladders / steps mirrors
Supervisor
 Use containment cans/ plastic covers to prevent spills  Horn

 Activity
 Wear high visibility jackets  PPE
 Pipe fall from Excavator machine supervisor /
 Truck driver visibility, use of rear view mirrors and  Ladder
Excavator lifting of  Excavator machine fall Foreman
05 D4 communication with banksman  Rear view D1
pipe  Pipe hitting equipment  HSE
 Avoid running excavator when truck still not parked mirrors
 Pipe hitting ground workers Supervisor
 Restrict area only for designated personnel  Horn
 Banksman

 Restrict area to only authorized personnel

 Working under suspended vacuum machine or pipe  Never pass under suspended pipes and vacuum machine  PPE  Activity
 Pipe falling due to vacuum failure  Inspect and check lifting gears and bolts before every job  First aid kit supervisor /
Vacuum lifting of  Vacuum machine falling due to lifting gears failure  Spot vacuum at right place after measuring the middle of  Tag lines Foreman
06 D3 B2
pipes  Pipe hitting ground personnel the pipe with measuring tape  Rear view  HSE
 Pipe hitting equipment / truck / structure  Mark the middle of the pipe with red paint visible to mirrors Supervisor
 Uncontrolled pipe rotation excavator operator  Horn  Banksman
 Control lifted pipe slowly with remote control
 Control lifted double jointed pipes with 2 tag lines

07 Spotting pipes from  Pipe hitting truck cabin C4  Control lifted pipe slowly with remote control  PPE C2  Activity
the trailer  Pipe hitting personnel on trailer  Control lifted double jointed pipes with 2 tag lines  First aid kit supervisor /
 Pipe falling on ground personnel  Good communication with excavator operator  Tag lines Foreman
 JOB SAFETY ANALYSIS – TBL-JSA
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E
STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

 Truck driver and co-driver to stay away from lifting area

during loading the pipes
 Pipe scratched by trailer side barriers  Cover the truck side barriers with rubber material before  Rear view  HSE
 Over loading trailer / exceeding truck capacity loading mirrors Supervisor
 Person falling from top of trailer when tying the pipes  Never exceed truck load and follow loading plan given  Horn  Banksman
by activity supervisor
 Use correct ladder to go on trailer if needed
 Activity
supervisor /
 Pipe hitting wood stand  Control pipe carefully with excavator
 PPE Foreman
08 Spotting pipe on  Pipe hitting ground workers D4  Stay away from suspended pipe until landing on wood D1
 First aid kit  HSE
wood stands  Punch point / hand injury stand
Supervisor
 Banksman

Participants / Work Crew JSA Reviewed By: Name: Date:

 JOB SAFETY ANALYSIS – TBL-JSA
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E
STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

Name (Print Clearly): Signature: Date: Review Comments:

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Responsible Supervisors / Foreman
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