SAPMT/Contractor JSA Form - AB-4 rpoject

JOB SAFETY ANALYSIS WORK SHEET

BAHRAIN SAUDI ONSHORE NEW a Contractor : AL-ROBAYA HOLDING CO.
JSA # 01-01 DATE 9-Apr-16
PIPELINE PROJECT REV'N. BI: 25-00044

JSA Funtion Name Badge # Job Title

Contractor Project Manager Vener Capunitan Project Manager

Contractor Safety Manager Jovit Olayvar 41019 Safety Manager

SAPMT Representative Shahid Khan Lead Project Engineer

SAPMT Representative Chris Obree OCPD Safety Advisor

Proponent Rep. (P/L)

( Optional ) R
DESCRIPTION OF TASK : Construction of Right of Way (ROW) e
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WORK LOCATION : AB-4 pipeline corridor ( KM 0 to KM 43) e
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Prepared by : Confirmed by: Reviewed & Approved by: Reviewed & Approved by: A Reviewed & Approved by:
Al-Robaya Holding Co. Al-Robaya Holding Co. SAUDI ARAMCO PMT SAUDI ARAMCO PMT p SAUDI ARAMCO
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Jovit Olayvar Vener Capunitan Shahid Khan Chris Obree e Najeeb M. Al Ghamdi
Safety Manager Project Manager Lead Project Engineer Safety Advisor d P/L Operation Supervisor
Mobile # 0534562704 Mobile # 0555862512 Mobile # 0532915682 Mobile # 0531630801 Mobile #0504809752
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 SAPMT/Contractor JSA Form - AB-4 rpoject

Reference:
Work Permit System G.I. 2.100; Waste Management, GI 430.001; Work Permit System G.I. 2.100; Saudi Aramco Construction Safety Manual; Traffic and Vehicle Safety G.I. 6.030, Mobile Heavy Equipment Operator
Testing and Certification G.I. 7.025, Fire Fighting Training Company Personnel G.I. 1783.001, Safety Spectacles G.I. 8.002, Protective (Safety) Footwear G.I. 8.005, Environmental Conservation Policy Implementation G.I.
2.714. Near Miss Reporting Process. G.I. 6.004. Cranes & Heavy Equipment Accident Reporting Proced'r.

Saudi Aramco Standard Safety Equipment / PPE (FRC, Steel toed Shoes, Safety Glass and Safety helmet.

S/N SEQUENCE OF BASIC STEPS POTENTIAL HAZARD/S HAZARD/S CONTROL/S ACTION BY

Follow Saudi Aramco Work Permit System (GI 2.100).

Contractor and Proponent shall assign person to be responsible for specific job.
Obtain work permit and Approval Miss-communication / miss- Safety Officer / Permit
1 from the concern proponent/s. understanding Receiver / Foreman
Conduct joint site inspection, check equipment, operator's license, and Saudi Aramco
Certificates.

Conduct Safety Toolbox Talk regarding borehole activties

Joint inspection prior to start of work, conducted jointly by Foreman, Work permit receiver, and
Unsafe working condition.
Safety Officer.
Lack of equipment warning devices such
Peform daily inspection of equipment
as backhorn, beacon lights, etc.
2
Pre-Construction activities Safety Officer / Permit
inspection Missing JSA and Method Statement Receiver / Foreman
Provide copy of JSA and Method Statement to Safety Officer on work site.
procedure copies on site.

Lack of knowledge by workers about Conduct daily tool box meeting, especially when there is change in work condition and when
potential hazards in the work place. new worker join the crew.

Struck people by equipment. Install barricades & warning sign boards 6 mtrs. away or at reasonable distance.

Potential contact to overhead powerline Provide goal post before and after the OverHead power lines

Struck equipment by another

Provide apprpriate sIgnage such as ( Km speed limit ,men at work , etc)
equipment or vehicle

Struck Above Ground (A/G) and or Conduct cable / metal detection prior to start work/activity
Under Ground (U/G) facility by
equipment/s. Provide barricade where necessary.

Take breaks if feeling faint or overexerted

Contruction works for the Right of
3a
Way (ROW). Secure the working Safety Officer / Permit
area. Secure the area against Heat / Cold Stress Consume adequate food/beverages (water, sports drinks) Receiver / Foreman
traffic.
If possible, adjust work schedule to avoid temperature extremes

Notify attendant or site owner/manager of work activities and location

Use cones, signs, flags or other traffic control devices as outlined in the Traffic Control Plan
Traffic (including pedestrian)
Set up exclusion zone surrounding work area using cones, signs, flags or other traffic control
devices

Wear appropriate PPE including high visibility clothing such as reflective vest
 SAPMT/Contractor JSA Form - AB-4 rpoject

Reference:
Work Permit System G.I. 2.100; Waste Management, GI 430.001; Work Permit System G.I. 2.100; Saudi Aramco Construction Safety Manual; Traffic and Vehicle Safety G.I. 6.030, Mobile Heavy Equipment Operator
Testing and Certification G.I. 7.025, Fire Fighting Training Company Personnel G.I. 1783.001, Safety Spectacles G.I. 8.002, Protective (Safety) Footwear G.I. 8.005, Environmental Conservation Policy Implementation G.I.
2.714. Near Miss Reporting Process. G.I. 6.004. Cranes & Heavy Equipment Accident Reporting Proced'r.

Saudi Aramco Standard Safety Equipment / PPE (FRC, Steel toed Shoes, Safety Glass and Safety helmet.

S/N SEQUENCE OF BASIC STEPS POTENTIAL HAZARD/S HAZARD/S CONTROL/S ACTION BY

Post No Smoking signs around work area

Contruction works for the Right of

Way (ROW). Secure the working Safety Officer / Permit
3b area. Secure the area against
Fire/Explosion Provide fire extinguisher and fire watchman. Isolate the area, secure the existing facilities.
Receiver / Foreman
traffic.

Stop work if hazardous conditions (explosive atmosphere) are identified

Equipment or dump trucks hitting
existing facilities while turning.
4 On-going Work Monitoring
Change in work conditions such as
sloping terrain and weather condition.
Equipment operators and drivers shall have constant contact with the spotter while doing the
work.
Safety Officers/Foreman
Continous surveillance in the work place conditions to be conducted to identify new hazards.
Updating the JSA and Method Statement as required after new hazards are identified.

Safety Officers/Foreman
5 Housekeeping during and after the Accident in the evening after working Remove the equipment from the center of right-of-way and install warning signs and barricades.
work. hours caused by parked equipment.

No. Recommendations / Notes Assigned to Position

Conduct tool box safety meeting prior to commence of work activities every
1 day Al Robaya Safety Personnel Safety Officers

Explain to the key workers the purpose of this JSA and enforce
2 Al Robaya Safety Personnel Safety Officers
implementation of content

3 Use the JSA to identify the hazards and list the precautions on the work Al Robaya Safety Personnel Safety Officers

If an injury or nearmiss occurs, Stop the job immediately , conduct a toolbox

4 talk, and inform management and SAPMT HSE Advisor. Secure the incident Jovit Olayvar Safety Manager
scene to preserve evidence.

Note: In the case of an emergency call 013-5720110 from mobile phone or "110" from landline